Matrix Medical Network Reviews Jobs in Usa
48,777 positions found
Job Summary:
The Medical Promotional Review Specialist ensures the scientific accuracy, clinical appropriateness, and regulatory validity of promotional materials from a medical and scientific perspective. This role serves as a member of the Promotional Review Board (PRB), collaborating with cross-functional stakeholders including Marketing, Legal, Regulatory Affairs, and Medical Affairs. The specialist reviews promotional content, evaluates supporting scientific data, and provides recommendations to ensure compliance with approved labeling, regulations, and company policies while supporting safe and effective product use.
Key Responsibilities:
- Review promotional materials to ensure medical accuracy, scientific validity, and clinical appropriateness
- Verify alignment of promotional content with approved labeling, scientific evidence, regulations, and company policies
- Evaluate the appropriateness of data, references, and claims used in marketing materials
- Provide recommendations for alternative data, references, or language when needed
- Collaborate with PRB reviewers and commercial teams to address concerns related to promotional materials
- Engage with business partners early in promotional material development to improve efficiency
- Work with Medical Directors for assigned products or therapeutic areas to ensure alignment and mitigate risk
- Document review comments and verdicts within the PRB workflow system within assigned timelines
- Participate in Promotional Review Board meetings as required
- Stay current with medical literature and scientific data in assigned therapeutic areas
- Attend internal and external meetings and training related to regulations, scientific updates, and marketing strategy
Required Skills:
- Demonstrated expertise in reviewing medical literature and evaluating scientific validity of promotional content
- Ability to clearly and concisely communicate complex scientific information
- Proven ability to build and maintain collaborative cross-functional relationships
- Strong understanding of the US pharmaceutical industry, healthcare landscape, and promotional review compliance requirements
- Detail-oriented with strong editorial and analytical skills
- Strong organizational and prioritization abilities
- Ability to work effectively within cross-functional teams
- Ability to critically analyze and apply scientific data in a customer-focused manner
- Strong verbal and written communication skills
- Effective negotiation and influencing skills
Education:
- PharmD, MD, DO, or NP required
- Minimum 2 years of relevant professional experience (academic, clinical, or industry)
- Post-doctoral fellowship may substitute for professional experience where appropriate
Conducts comprehensive clinical reviews of adverse determinations related to medical necessity. Initiates outreach to providers to obtain clarification or additional documentation in alignment with established clinical criteria and organizational policies, to support Medical Director decision making. Provides support for claim appeals in relation to medical necessity. Ensures the timely and accurate resolution of appeal cases and supports organizational adherence to all state, federal, and accreditation standards. Facilitates member second level appeal process.
EDUCATION/EXPERIENCE
Graduate from an accredited school of professional nursing is required. BSN preferred. Minimum 2 years acute care experience or managed care experience is required. Basic knowledge of Medicaid, Medicare preferred. Knowledge of InterQual screening criteria, ICD-10, CPT coding preferred.
LICENSURE
Current Registered Nurse (RN) license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required. Active Certification in Case Management (CCM) is preferred.
Our collaborators over see our highly skilled Nurse Practitioners in the field as stated by state law.
This is a Great Opportunity for physician to earn extra income with no out of pocket expense to you, or your current practice situation.
This is a 1099 Contractor position.Type: Collaborating Physician
- 1099 (Chart Reviews)Location: Remote Opportunity
- State of MissouriHours: Flexible HoursRate of Reimbursement: Varies per stateThis is not a full-time position.
This position varies in days and hours.
Remote working/work at home options are available for this role.
Medical Reviewer
As a Medical Reviewer in the Healthcare sector, you play a crucial role in ensuring the accuracy, compliance, and quality of medical content and documentation. Your work directly impacts patient safety, regulatory adherence, and the overall success of the company.
Importance of the Role:
Medical Reviewers are the gatekeepers of medical information, ensuring that all materials meet high standards of accuracy and integrity.
Impact on Team Collaboration: By collaborating with medical writers, researchers, and regulatory affairs teams, Medical Reviewers contribute to seamless teamwork and project success.
Industry Trends: Medical Reviewers must stay abreast of evolving regulations, digital health innovations, and data privacy laws to uphold best practices in medical content creation.
Key Stakeholders: This role interacts closely with medical writers, regulatory bodies, compliance officers, and project managers, playing a vital role in the company’s content development pipeline.
Success Measurement: Performance is gauged based on adherence to regulatory guidelines, accuracy of medical content, timely completion of reviews, and feedback from stakeholders.
Key Responsibilities
As a Medical Reviewer, your responsibilities encompass a range of critical tasks:
Project Planning and Execution: You will be involved in planning, scheduling, and executing medical content reviews to ensure timely delivery and accuracy.
Problem-Solving and Decision-Making: Medical Reviewers analyze complex medical data, resolve discrepancies, and make informed decisions to maintain content integrity.
Collaboration with Cross-Functional Teams: You will collaborate with medical writers, researchers, and regulatory teams to align content with medical and regulatory standards.
Leadership and Mentorship: Mentoring junior team members, providing guidance on medical writing best practices, and leading by example in quality assurance processes.
Process Improvement and Innovation: Constantly seeking ways to enhance efficiency, streamline review processes, and innovate in medical content creation and review.
Technical or Customer-Facing Responsibilities: Engaging with clients, healthcare professionals, or regulatory bodies to address queries, clarify medical information, and ensure compliance.
Required Skills and Qualifications
To excel as a Medical Reviewer, candidates must possess the following skills and qualifications:
Technical Skills:
Proficiency in medical terminology, knowledge of medical writing software, familiarity with regulatory guidelines, understanding of clinical trial protocols.
Educational Requirements:
A degree in Pharmacy, Medicine, Life Sciences, or a related field. Certification in Medical Writing or Regulatory Affairs is a plus.
Experience Level:
Minimum 3-5 years of experience in medical reviewing, pharmaceutical industry experience, familiarity with FDA and EMA regulations.
Soft Skills:
Excellent communication skills, attention to detail, critical thinking, ability to work under pressure, and a collaborative mindset.
Industry Knowledge:
In-depth knowledge of medical content regulations, pharmacovigilance processes, adverse event reporting, and medical device documentation requirements.
The Physician will diagnose and treat medical conditions, provide preventative care, and manage overall patient health.
This role requires a high level of clinical expertise, strong decision-making skills, and a commitment to delivering compassionate and comprehensive care.
Key Responsibilities: Conduct thorough patient evaluations, including medical history reviews, physical examinations, and diagnostic testing.
Diagnose and treat a wide range of acute and chronic medical conditions.
Develop and implement individualized treatment plans, including prescribing medications, therapies, or referrals to specialists.
Collaborate with other healthcare professionals, including nurses, specialists, and administrative staff, to ensure coordinated care.
Document patient encounters, diagnoses, treatment plans, and outcomes accurately and efficiently in electronic medical records (EMR).
Qualifications: Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree from an accredited medical school.
Completion of a residency program in the relevant specialty.
Board certification or eligibility in the physician?s specialty.
Active medical license in the state of practice.
Strong clinical knowledge, problem-solving skills, and attention to detail.
Excellent communication and interpersonal skills to build patient relationships and collaborate with healthcare teams.
How to Apply: Email CV to Call us at Please reference Job number: 274034
The Physician will diagnose and treat medical conditions, provide preventative care, and manage overall patient health.
This role requires a high level of clinical expertise, strong decision-making skills, and a commitment to delivering compassionate and comprehensive care.
Key Responsibilities: Conduct thorough patient evaluations, including medical history reviews, physical examinations, and diagnostic testing.
Diagnose and treat a wide range of acute and chronic medical conditions.
Develop and implement individualized treatment plans, including prescribing medications, therapies, or referrals to specialists.
Collaborate with other healthcare professionals, including nurses, specialists, and administrative staff, to ensure coordinated care.
Document patient encounters, diagnoses, treatment plans, and outcomes accurately and efficiently in electronic medical records (EMR).
Qualifications: Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree from an accredited medical school.
Completion of a residency program in the relevant specialty.
Board certification or eligibility in the physician?s specialty.
Active medical license in the state of practice.
Strong clinical knowledge, problem-solving skills, and attention to detail.
Excellent communication and interpersonal skills to build patient relationships and collaborate with healthcare teams.
How to Apply: Email CV to Call us at Please reference Job number: 273955
The Physician will diagnose and treat medical conditions, provide preventative care, and manage overall patient health.
This role requires a high level of clinical expertise, strong decision-making skills, and a commitment to delivering compassionate and comprehensive care.
Key Responsibilities: Conduct thorough patient evaluations, including medical history reviews, physical examinations, and diagnostic testing.
Diagnose and treat a wide range of acute and chronic medical conditions.
Develop and implement individualized treatment plans, including prescribing medications, therapies, or referrals to specialists.
Collaborate with other healthcare professionals, including nurses, specialists, and administrative staff, to ensure coordinated care.
Document patient encounters, diagnoses, treatment plans, and outcomes accurately and efficiently in electronic medical records (EMR).
Qualifications: Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree from an accredited medical school.
Completion of a residency program in the relevant specialty.
Board certification or eligibility in the physician?s specialty.
Active medical license in the state of practice.
Strong clinical knowledge, problem-solving skills, and attention to detail.
Excellent communication and interpersonal skills to build patient relationships and collaborate with healthcare teams.
Please reference Job number: 281727
This is not your typical medical center.
This is not your typical physician leadership role.Medical Center in Atlanta is seeking a dynamic physician leader to put the principles of population health into action for our medically complex & socially vulnerable members.
Through unique provider-payor relationships, this Medical Center is designed to care for societys sickest patients.
Their patients are typically ill-served by the uncoordinated traditional health care system, bouncing between emergency rooms, hospitals, and specialists several times a year.
Oftentimes, due to the effects of trauma and poverty, a significant portion of their population suffer from infectious diseases including HIV, Hepatitis C, and complex wound infections.
However, through their integrated care teams, including physicians, advanced practice practitioners, nurse care managers, social workers, behavioral health therapists, peer counselors dietitians, pharmacists and community outreach workers, they are able to transform the lives of their members.
They offer complex, coordinated medical care through their medical teams with their onsite infusion center, full-service pharmacy, and laboratory& imaging suites.
They also treat the social determinants of health, addressing housing instability, food insecurity, or simply loneliness through our integrated care team.The Medical Director will have direct responsibility for the other physicians, and advanced practice practitioners in the medical center.
Established in 2000, this Medical Center has grown to be the largest provider of insured HIV care in Georgia caring for 3000 members living with HIV.
In addition, there is a large primary care division.
In order to succeed the Medical Director must have a strong clinical understanding and experience with both primary care and infectious diseases .
Experience working with the LGBTQ population and developing programs targeting this demographic is critical.
The Center has been recognized by the Health Equity Index of Human Rights as a Top Performer in 2020.Working within our matrix organization, the Medical Director will collaborate closely with the National Directors of their respective disciplines to implement process improvements, enhance our standards of care and surpass discipline specific professional practice guidelines in our ambulatory intensive caring unit care model.
As a dyad partner with the Practice Administrator, the Medical Director will be responsible for all the medical center outcomes including utilization, quality outcomes and the overall operation of the medical center and providers.
This role is instrumental to our fast-growing organizations success, and requires a person who exhibits dynamism, humility, clinical acumen, the ability to work collaboratively, and strong leadership skills.Highlights of the opportunity: Lead the medical center to deliver superb medical care utilizing a comprehensive "one stop shop" in a NCQA certified Patient Centered Medical Home (PCMH) model, along with Complex Care Management.
Build relationships with and collaborate with health plan medical directors, local hospitals, specialists and other organizations to help meet the outcomes and decrease the fragmentation of care.
Actively manage the team to track and meet contractual quality metric goals.
Use technology and the electronic medical record to the highest capability in order to increase quality initiatives and efficiency within the medical center.
Participate in multi-disciplinary meetings and recommend treatment alternatives designed to keep patients healthy or resolve on-going clinical issues.
Working in a dyad model with the Practice Administrator, manage the Medical Staff and other team members.
Collaborate with National Directors across the company to implement process improvements, enhance our standards of care and surpass discipline specific professional practice guidelines in our ambulatory intensive caring unit care model.
Provide medical guidance to the Medical Staff, reviewing current medical practices and guidelines and implementing best evidence-based practices.
Implement strategic medical operations and protocols in order to achieve company's contracted goals.
Constantly evaluate the current medical operations and operations of the entire medical center to ensure compliance and contractual obligations.
Strive to constantly improve the quality of care and outcomes for patients.
Qualifications: The ideal candidate will be an excellent physician, a systems thinker, organized, a clear communicator, technologically savvy, excited to work in an interdisciplinary team, and most of all, mission driven to serve our medically complex and socially vulnerable patient population.
Thrive in uncertainty and ambiguity.
Work without ego, and thoughtfully build successful relationships with team members and our partners.
Board certified in Internal Medicine or Family Medicine.
Infectious Disease training (Board Certification) or AAHIVM certification strongly encouraged Possessing other advanced degrees (MBA, MPH, MS) or work experiences outside of medicine are a plus, but not required.
Licensed physician in Georgia.
Minimum of 4 years of experience managing Medicare, Medicaid, and commercial populations.
ACLS certification.
Ability to treat the acutely ill in an outpatient setting offering hydration, IV antibiotics, wound care and other services.
Knowledge of value-based provider programs, utilization management and HEDIS quality measures For more information on this opportunity, please send CV to:Galen RobertsJordan Search
This opportunity will consist of reviewing medical data from our comprehensive health assessments.
This chart review can be completed in your office or at home in your spare time.
This opportunity will consist of reviewing medical data from our comprehensive health assessments.
This chart review can be completed in your office or at home in your spare time.
Overview: Our client, a US Fortune 50 organization and a leading provider of Healthcare and Health Insurance services, seeks an accomplished Medical Claims/ Appeals Specialist
Position: Medical Claims/ Appeals Specialist
Location: Tampa, FL
Duration: 6-12 months+ temp-to-hire!!!
Pay rate: $24/hr on W2
Note:
- REMOTE role with possibility
- The schedule for the training period will be a set schedule: 8:00am to 4:30pm EST time.
- Training will be 5-6 weeks. After training, the candidates may choose to flex start time of 6:00 AM EST to 10:00 AM EST.
- Candidates can work from 50 miles (or 1 hour) from any NGS or PulsePoint locations (EXCEPT the state of CA). These are not HYBRID requirements while working temp. However, if/when they convert temp-hire, they must be willing to work onsite depending on what the HYBRID requirements for FTE associates are at the time of conversion (usually 1-3 days per week).
JOB DESCRIPTION:
This is an entry level position in the Appeals Department that reviews, analyzes and processes non-complex pre-service and post service grievances and appeals requests from customer types (i.e. member, provider, regulatory and third party) and multiple products (Part A & B) related to clinical and non-clinical services, quality of service, and quality of care issues to include executive and regulatory grievances.
- The analyst may serve as a liaison between grievances & appeals and /or medical management, legal, and/or service operations and other internal departments.
- Requires a High school diploma or GED; up to 2 years’ experience working in grievances and appeals, claims, or customer service or any combination of education and/or experience which would provide an equivalent background.
- Familiarity with medical coding and medical terminology, demonstrated business writing proficiency, understanding of provider networks, the medical management process, claims process, all of the company's internal business processes, and internal local technology strongly preferred.
- Preferred Skills: Medical Terminology, Letter Writing, Claims Experience, Appeals Experience
Primary duties may include, but are not limited to:
- Reviews, analyzes and processes non-complex grievances and appeals in accordance with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear, understandable language.
- Utilizes guidelines and review tools to conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize and route to nursing and/or medical staff for review.
- The grievance and appeal work is subject to applicable accreditation and regulatory standards and requirements.
- As such, the analyst will strictly follow department guidelines and tools to conduct their reviews. Analyzes and renders determinations on assigned non-complex grievance and appeal issues and completion of the respective written communication documents to convey the determination.
- Responsibilities exclude conducting any utilization or medical management review activities which require the interpretation of clinical information.
Recruiter Contact Info
Gurjant Singh
Phone: 925-297-5994
Email:
'd love to talk to you if you think this position is right up your alley, and assure prompt communication, whichever direction. If you're looking for rewarding employment and a company that puts its employees first, we'd like to work with you.
Company Overview:
Amerit Consulting is an extremely fast-growing staffing and consulting firm. Amerit Consulting was founded in 2002 to provide consulting, temporary staffing, direct hire, and payrolling services to Fortune 500 companies nationally: as well as small to mid-sized organizations on a local & regional level. Currently, Amerit has over 2,000 employees in 47 states. We develop and implement solutions that help our clients operate more efficiently, deliver greater customer satisfaction, and see a positive impact on their bottom line. We create value by bringing together the right people to achieve results. Our clients and employees say they choose to work with Amerit because of how we work with them - with a service that exceeds their expectations and a personal commitment to their success. Our deep expertise in human capital management has fueled our expansion into direct hire placements, temporary staffing, contract placements, and additional staffing and consulting services that propel our clients’ businesses forward.
Amerit Consulting provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
Applicants with criminal histories are considered in a manner that is consistent with local, state and federal laws.
needs you! We are seeking an Emergency Medicine Physician for the role of Medical Director for the Salem, OR Fire Department EMT service.
We seek to place the best! Job Responsibilities:- Provide medical control and oversight for EMT protocols including equipment & pharmaceuticals, best-practice medical care, EMS policy, medical case review community-oriented training programs such as CERT, CPS and AED programs- Routinely perform ride-alongs with EMT staff on pre-hospital emergency response calls
- Indirectly observe EMT care through reports, communications, technical skill knowledge patient & physician reviews- Design, evaluation, and administer a continuous quality improvement (CQI) and acomprehensive quality assurance program (CQA)- Develop, review, or revise written operational and medial protocol procedures
- Work with EMT training officer to help develop, plan, and deliver CME for EMT staff- Provide quarterly reports outlining the Services provided in the preceding quarter- Partner with Salems ambulance provider as Supervising Physician Qualifications:- Active and unrestricted Oregon state M.D.
license- Active medical staff privileges at a hospital in Oregon- Current Certification by the American Board of Emergency Medicine- Possess thorough knowledge of Oregon laws and rules for EMS providers
- Must be eligible for certification by the American Board of Emergency Medicare EMS Subspecialty Boards- Possess valid and current ACLS certifications and Georgias Drivers LicensePosition Particulars:- Malpractice, General Liability, and Workmans Comp Insurance provided- Contract term is for two years with option to extend to five years- EMT Medical Director is expected to provide a minimum of 8 hours weekly toward the position
- EMT Medical Director must be willing to attend the National Association of EMS Physicians EMS Medical Directors Course and Practicum classes in January 2021 (or show evidence of previous attendance)
Job Title: Utilization Management RN
Location: Remote – must reside within the PA/NJ/DE tri-state area for potential conversion to full-time
License Requirement: Active Pennsylvania RN license or Nurse Licensure Compact (including PA) required
Overview
The Utilization Management RN plays a vital role in evaluating members’ clinical conditions through detailed medical record review to determine medical necessity for services. Using advanced clinical knowledge and independent analysis, this position applies appropriate medical criteria to support high-quality, cost-effective care decisions.
This is a remote position with the opportunity for future on-site conversion.
Key Responsibilities
- Apply critical thinking and clinical judgment to determine medical necessity using tools such as InterQual, Care Management Policy, and Medical Policy guidelines.
- Review and evaluate medical records, treatment plans, and histories to determine the appropriateness of inpatient, outpatient, and ancillary services.
- Contact providers to clarify or obtain additional clinical information as needed.
- Independently authorize medically necessary services based on established criteria.
- Refer cases that do not meet criteria to the Medical Director for further review.
- Identify members in need of discharge planning and collaborate with case management and physicians to ensure safe transitions of care.
- Maintain compliance with federal, state, and accreditation regulations and company policies.
- Document all utilization management activities accurately and timely per departmental procedures.
- Report potential utilization trends or issues to management with recommendations for improvement.
- Refer cases appropriately to Case Management, Disease Management, or Quality Management as indicated.
- Meet or exceed departmental productivity and turnaround time (TAT) goals.
Education/Licensure & Experience
- Active PA Licensed RN (or Compact License including PA) – required
- BSN preferred
- Minimum of 3 years of acute care clinical experience (hospital or healthcare setting)
- Discharge planning and/or utilization management experience preferred
- Prior medical management or precertification experience a plus
Knowledge, Skills & Abilities
- Strong clinical assessment, analytical, and problem-solving skills
- Excellent verbal and written communication abilities
- Effective prioritization and time management skills
- Team-oriented with strong collaboration and relationship-building capabilities
- Adaptable and open to change with a proactive, results-driven mindset
- Familiarity with current trends in medical practice and utilization management
- Proficient in Microsoft Word, Outlook, Excel, SharePoint, and Adobe; ability to learn new systems
Please find below the details:
Position: Registered Nurse/RN
Department: BHI - BH Utilization Management
Location: Onsite – Orange, CA 92868
Duration: 6 months (Possibilities of extensions/conversion)
Shift: Day 5x8-Hour (40-hours)
Schedule : Monday to Friday, 7:00 a.m. - 3:30 p.m
Work Arrangement: Full Office
Position Summary:
This role focuses primarily on Utilization Management Services (85%), with additional administrative and project responsibilities. The Medical Case Manager will review medical requests for appropriateness and medical necessity using established clinical protocols while ensuring compliance, accuracy, and timely communication.
Key Responsibilities:
Utilization Management (85%)
- Review requests for medical necessity using established clinical guidelines.
- Screen inpatient and outpatient cases for Medical Director review.
- Gather pertinent medical documentation and communicate determinations.
- Mail rendered decision notifications to providers and members.
- Document all activity in the utilization management system.
- Complete authorization updates and required data entry.
- Review ICD-10, CPT-4, and HCPCS codes for accuracy and coverage.
- Participate in Transition Care Management (TCM) activities.
- Identify and report complaints or utilization concerns.
- Collaborate with internal teams to support departmental goals.
Administrative Support (10%)
- Assist with staff training needs.
- Maintain current data resources.
- Comply with tracking and reporting protocols.
Other Duties (5%)
- Complete additional projects and assignments as needed.
Minimum Qualifications:
- Current unrestricted California license (LCSW, LPCC, LMFT, or RN).
- Minimum 3 years of clinical experience.
- Utilization Management reviewer experience required.
- Equivalent combination of education and experience may be considered.
Preferred Qualifications:
- Managed care experience.
- Behavioral health clinical experience.
Required Skills & Abilities:
- Strong clinical judgment and independent decision-making skills.
- Excellent verbal and written communication skills.
- Ability to work in a fast-paced environment and manage multiple priorities.
- Analytical and problem-solving skills.
- Proficiency in Microsoft Office (Word, Excel, Outlook, PowerPoint) and relevant systems.
- Ability to build rapport with diverse internal and external stakeholders.
With a legacy of innovation since 1899, a presence in more than 30 countries, and more than 19,000 employees, we are advancing breakthrough therapies in oncology, cardiovascular disease, rare diseases, and immune disorders.
Guided by our 2030 vision to "be an innovative global healthcare company contributing to the sustainable development of society", we are shaping a healthier, more hopeful future for patients, their families, and society.
Job Summary Medical Affairs Diagnostic lead, under leadership of the Executive Director of Research and Strategy, US Oncology Medical Affairs.
Develops and implements the USMA diagnostic strategy and tactical plan for all therapeutic areas as part of the US Brand Strategic Plan and leads the execution of the activities in the USMA plan including Launch Readiness and Life Cycle Management.
Responsibilities Responsible for the development of the US Medical Affairs strategy and medical objectives for all compounds and leads development, execution of the US Medical Affairs plan and budget management including activities related to evidence generation, scientific engagement and communication as part of Launch Readiness activities and life cycle management from a medical perspective.
Participates in Global Medical Affairs committees as requested and processes as US Medical Affairs Lead, to gain strategic and planning alignment across the matrix team the core USMA functions.
Represents US medical affairs function as a member of the various cross-functional forums including, Publications Planning, Clinical and Safety sub-teams, US and Global Brand Team, and US Product Team to inform clinical development, commercialization, market access, and other cross-functional strategic discussions.
Provides medical leadership: oLeads USMA teams as part of evidence generation forums and study teams for Local/Regional Medical Affairs company sponsored study concepts as needed.
Partners with RWE and HEOR strategy and Biomarker/CDx leads on related integrated evidence generation strategies and activities as part of the USMA Plan.
oCollaborates with Global Medical Affairs and across USMA functions to develop, review, and align on key scientific communications and medical information response documents within legal and compliance regulations.
Leads internal stakeholder medical education activities related to the compound data.
In partnership with Medical Intelligence and Congress Planning leads, communicates and educates on related competitor data.
oProvides medical leadership in scientific engagement activities with key external stakeholders such as advisory boards, investigator interactions, congress activities, peer to peer discussions with key thought leaders.
Provides medical support for scientific symposium and medical congresses within legal and compliance regulations.
oWorks with Patient Advocacy leads and Grants office to incorporate the patient voice and define external medical education strategies for independent grants, respectively.
oProvides input into publication strategy, data gap analysis, and tactical planning as part of the overall USMA plan.
Reviews and approves abstracts, manuscripts, and other data disclosure documents.
Manage budgets and resources efficiently for USOMA supported activities within the USMA plan, in collaboration with US Oncology Franchise Head Qualifications Education Qualifications Advanced scientific degree (Ph.D., PharmD or MD), equivalent will be considered with relevant experience in a health sciences related field or an equivalent combination of education and experience required Bachelor's Degree required Experience Qualifications 10 or More Years Pharmaceutical industry experience or commensurate healthcare or research experience required 4 or More Years Post-doctoral and/or relevant industry experience, and expertise in oncology biomarker and/or companion diagnostic development required 4 or More Years (in-house) medical affairs or related experience, US preferred required •Must have oncology experience, specifically in solid tumors •Previous overall responsibility and accountability for multiple indications of one or more compounds and related USOMA plan/budget for related MA activities •Demonstrated ability to lead and influence others internally and externally -Experience leading matrix medical teams and representing medical on cross-functional leadership teams (e.g.
US Product Team, US Brand Team, Global Medical Team, etc.) -Relationships with or proven history developing key external experts • Proven ability to manage multiple priorities at one time • Strong knowledge of medical strategy, clinical diagnostic development, and Field Medical activities required •Knowledge of ADC or other biologics, or small molecules •Demonstrated experience working with an alliance partner company preferred Travel Requirements Ability to travel up to 20% of the time.
Daiichi Sankyo, Inc.
is an equal opportunity/affirmative action employer.
Qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.
Salary Range: USD$230,175.00
- USD$383,625.00 Download Our Benefits Summary PDF
Be part of changing the way health care is delivered while working with a Fortune 6 industry leader.
We are looking for a Market Medical Director to join our WellMed medical team in the Ft.
Worth office.
The market medical director is a key member of the market leadership team who shares responsibility for the contracted clinic outcomes with other members of the team.
You will work to drive measurable and meaningful improvement in the use of evidence-based medicine to improve affordability.
You can make a difference at UnitedHealth Group and our family of businesses in serving our Medicare Advantage, Medicare, Medicaid and commercial members and plan sponsors.
We are looking for a market medical director who understands the value based approach to medical care and is comfortable working in a Medicare Advantage setting as well as a Fee for Service setting.
You will be responsible for conducting Patient Care Coordination meetings weekly with your care management team and you should be able to understand risk adjustment initiatives.
In addition, you should have the ability to understand the metrics that drive clinical quality initiatives in the primary care medical home and joint commission arenas.
You will be expected to work collaboratively with operations and matrix partners.
You will also be required to become competent in Tableau and other informatics/reports required to achieve market metrics/objectives.
The market medical director is responsible for improving the quality and efficiency of medical care in his/her clinics of responsibility.
Primary Responsibilities: Work to improve quality and promote evidence-based medicine Provide information on quality and efficiency to doctors, patients and customers to inform care choices and drive improvement Support initiatives that enhance quality throughout our national network Ensure the right service is provided at the right time for each member Work with medical director teams focusing on inpatient care management, clinical coverage review, member appeals clinical review, medical claim review and provider appeals clinical review Success in this technology-heavy role requires exceptional leadership skills, the knowledge and confidence to make autonomous decisions and an ability to thrive in a production-driven setting.
Careers with WellMed.
Our focus is simple.
We're innovators in preventative health care, striving to change the face of health care for seniors.
We're impacting 240,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services.
We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness.
Our providers and staff are selected for their dedication and focus on preventative, proactive care.
For you, that means one incredible team and a singular opportunity to do your life's best work.
SM WellMed was founded in 1990 with a vision of being a physician-led company that could change the face of healthcare delivery for seniors.
Through the WellMed Care Model, we specialize in helping our patients stay healthy by providing the care they need from doctors who care about them.
We partner with multiple Medicare Advantage health plans in Texas and Florida and look forward to continuing growth.
Registered Nurse (RN), Medical Intensive Care Unit
Fulltime: Days
Schedule:
12-hour shifts
6:45am-7:15p
6:45p-7:15a
Your experience matters
Frye Regional Medical Center is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Registered Nurse (RN)joining our team, you are embracing a vital mission dedicated to making communities healthier. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.
More about our team
This unit accepts New Grads
How you will contribute
A Registered Nurse (RN)who excels in this role:
- Accurately performs patient assessments and identifies patient needs
- Identifies and initiates appropriate nursing interventions
- Provides care appropriate to condition and age of the patient
- Performs timely and appropriate documentation relating to medical necessity in the medical record
- Responsible for completion and revision of the Interdisciplinary Care Plan for each patient
- Performs timely and accurate QI assessments
Why join us
We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:
- Comprehensive Benefits: Multiple levels of medical, dental and vision coverage with medical plans starting at just $10 per pay period tailored benefit options for part-time and more.
- Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
- Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
- Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
- Professional Development: Ongoing learning and career advancement opportunities.
More about Frye Regional Medical Center
Frye Regional Medical Center is a 355-bed hospital offering acute care hospital, home to the Frye Regional Brain Center, Heart Center, Cancer Center, Emergency Services, General and Vascular Surgery, Orthopedics, Surgical Weight Loss, Women's Birthing Center and Inpatient Rehabilitation that has been offering exceptional care to the Hickory NC community since 1911. We are proud to be recognized by U.S. News & World Report as a High Performing Hospital.
What we are looking for
Applicants should have a current state RN license.
Bachelors degree preferred but not required
Additional requirements include:
· Basic Life Support certification is required within 30 days of hire.
· ACLS and PALS are required within six months of hire.
· One year of experience preferred
EEOC Statement
Frye Regional Medical Center is an Equal Opportunity Employer. Frye Regional Medical Center is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.
Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran
Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.
Registered Nurse (RN), Intermediate Medical Care Unit
Fulltime: Nights
$20,000 Sign on bonus eligible
Schedule:
3 12 hours shifts
6:45am-7:15pm
6:45pm-7:15am
12 bed unit
Your experience matters
Frye Regional Medical Center is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Registered Nurse (RN)joining our team, you are embracing a vital mission dedicated to making communities healthier. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.
More about our team
This unit accepts New Grads
How you will contribute
A Registered Nurse (RN)who excels in this role:
- Accurately performs patient assessments and identifies patient needs
- Identifies and initiates appropriate nursing interventions
- Provides care appropriate to condition and age of the patient
- Performs timely and appropriate documentation relating to medical necessity in the medical record
- Responsible for completion and revision of the Interdisciplinary Care Plan for each patient
- Performs timely and accurate QI assessments
Why join us
We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:
- Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees
- Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
- Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
- Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
- Professional Development: Ongoing learning and career advancement opportunities.
More about Frye Regional Medical Center
Frye Regional Medical Center is a 355-bed hospital offering acute care hospital, home to the Frye Regional Brain Center, Heart Center, Cancer Center, Emergency Services, General and Vascular Surgery, Orthopedics, Surgical Weight Loss, Women's Birthing Center and Inpatient Rehabilitation that has been offering exceptional care to the Hickory NC community since 1911. We are proud to be recognized by U.S. News & World Report as a High Performing Hospital.
What we are looking for
Applicants should have a current state RN license.
Bachelors degree preferred but not required
Additional requirements include:
· Basic Life Support certification is required within 30 days of hire.
· ACLS and PALS are required within six months of hire.
· One year of experience preferred
EEOC Statement
Frye Regional Medical Center is an Equal Opportunity Employer. Frye Regional Medical Center is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.
Frye Regional Medical Center is an Equal Opportunity Employer. Frye Regional Medical Center is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.
Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran
Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.
ï Registered Nurse (RN), Medical Intensive Care Unit
Fulltime: Days
Schedule:
12-hour shifts
6:45am-7:15p
6:45p-7:15a
Your experience matters
Frye Regional Medical Center is part of Lifepoint Health , a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Registered Nurse (RN)joining our team, you are embracing a vital mission dedicated to making communities healthier . Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.
More about our team
This unit accepts New Grads
How you will contribute
A Registered Nurse (RN)who excels in this role:
- Accurately performs patient assessments and identifies patient needs
- Identifies and initiates appropriate nursing interventions
- Provides care appropriate to condition and age of the patient
- Performs timely and appropriate documentation relating to medical necessity in the medical record
- Responsible for completion and revision of the Interdisciplinary Care Plan for each patient
- Performs timely and accurate QI assessments
Why join us
We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:
- Comprehensive Benefits: Multiple levels of medical, dental and vision coverage with medical plans starting at just $10 per pay period tailored benefit options for part-time and more.
- Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
- Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
- Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
- Professional Development: Ongoing learning and career advancement opportunities.
More about Frye Regional Medical Center
Frye Regional Medical Center is a 355-bed hospital offering acute care hospital, home to the Frye Regional Brain Center, Heart Center, Cancer Center, Emergency Services, General and Vascular Surgery, Orthopedics, Surgical Weight Loss, Women's Birthing Center and Inpatient Rehabilitation that has been offering exceptional care to the Hickory NC community since 1911. We are proud to be recognized by U.S. News & World Report as a High Performing Hospital.
What we are looking for
Applicants should have a current state RN license.
Bachelors degree preferred but not required
Additional requirements include:
Basic Life Support certification is required within 30 days of hire.
ACLS and PALS are required within six months of hire.
One year of experience preferred
EEOC Statement
Frye Regional Medical Center is an Equal Opportunity Employer. Frye Regional Medical Center is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.
Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran
Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.
ï Registered Nurse (RN), Intermediate Medical Care Unit
Fulltime: Nights
$20,000 Sign on bonus eligible
Schedule:
3 12 hours shifts
6:45am-7:15pm
6:45pm-7:15am
12 bed unit
Your experience matters
Frye Regional Medical Center is part of Lifepoint Health , a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Registered Nurse (RN)joining our team, you are embracing a vital mission dedicated to making communities healthier . Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.
More about our team
This unit accepts New Grads
How you will contribute
A Registered Nurse (RN)who excels in this role:
- Accurately performs patient assessments and identifies patient needs
- Identifies and initiates appropriate nursing interventions
- Provides care appropriate to condition and age of the patient
- Performs timely and appropriate documentation relating to medical necessity in the medical record
- Responsible for completion and revision of the Interdisciplinary Care Plan for each patient
- Performs timely and accurate QI assessments
Why join us
We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:
- Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees
- Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
- Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
- Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
- Professional Development: Ongoing learning and career advancement opportunities.
More about Frye Regional Medical Center
Frye Regional Medical Center is a 355-bed hospital offering acute care hospital, home to the Frye Regional Brain Center, Heart Center, Cancer Center, Emergency Services, General and Vascular Surgery, Orthopedics, Surgical Weight Loss, Women's Birthing Center and Inpatient Rehabilitation that has been offering exceptional care to the Hickory NC community since 1911. We are proud to be recognized by U.S. News & World Report as a High Performing Hospital.
What we are looking for
Applicants should have a current state RN license.
Bachelors degree preferred but not required
Additional requirements include:
Basic Life Support certification is required within 30 days of hire.
ACLS and PALS are required within six months of hire.
One year of experience preferred
EEOC Statement
Frye Regional Medical Center is an Equal Opportunity Employer. Frye Regional Medical Center is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.
Frye Regional Medical Center is an Equal Opportunity Employer. Frye Regional Medical Center is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.
Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran
Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.
