This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Sr. Global Director Medical Affairs (GDMA) is responsible for supporting the execution of scientific & medical affairs plans for Rheumatology in key countries and regions. They are impactful members of Product Development Team sub-teams and Global Human Health commercialization teams. They collaborate with our Research & Development Division's Early and Late Development functional areas, Value & Implementation Outcomes Research (VIOR), Policy, Commercial and Market Access to address opportunities in key countries. They engage with their network of scientific leaders and decision makers. This is a headquarters-based position in Our Company Research Laboratories Value & Implementation Global Medical and Scientific Affairs (Research & Development (R&D) VI GMSA). - Supports execution of the annual Value & Implementation plan with medical affairs colleagues from key countries and regions. - Serves as an impactful member of Product Development Team sub-teams (e.g., Clinical, V & I, Commercial, Publications). - Contributes to the development of a single global scientific communications platform. - Consolidates actionable medical insights from countries and regions. - Engages with a network of international scientific leaders and other key stakeholders (therapeutic guideline committees, payers, public groups, government officials, medical societies) about Our Company’s emerging science. - Organizes global expert input events (advisory boards and expert input forums) to answer Our Company’s questions about how to develop and implement new medicines or vaccines. - Aligns plans and activities with Global Human Health (commercial) executive directors. - Organizes global symposia and educational meetings. - Supports key countries with the development of local data generation study concepts and protocols. - Reviews Investigator-Initiated Study proposals from key countries prior to headquarters submission (ex-USA). - Manages programs (patient support, educational or risk management) to support appropriate and safe utilization of Our Company medicines or vaccines. Qualifications - M.D., Ph.D. or Pharm.D. (M.D. preferred) and recognized medical expertise within rheumatology. - Minimum of 3 years experience in global/region medical affairs or clinical development. - Strong prioritization and decision-making skills. - Ability to effectively collaborate with partners across divisions in a matrix environment. - Excellent interpersonal, analytical, communication skills (written and oral) in addition to results-oriented project management skills. Requirements - At least 5 years Global medical affairs experience with proven track record of contribution to medical affairs strategies. - Customer expertise, especially of scientific leadership and other key stakeholders (payers, public groups, government officials, medical professional organizations) in the assigned therapeutic area. Skills - Clinical Development - Clinical Medicine - Clinical Trials - Collaborative Development - External Stakeholder Engagement - Healthcare Management - Immunology - Investigator-Initiated Studies (IIS) - Key Opinion Leaders - Management Process - Medical Affairs - Medical Care - Medical Review - Musculoskeletal System - Osteopathy - Pharmaceutical Medical Affairs - Pharmacodynamics - Pharmacology - Prioritization - Project Management - Research and Development - Rheumatology - Risk Management - Strategic Thinking Benefits - Comprehensive package of benefits including medical, dental, vision healthcare and other insurance benefits (for employee and family). - Retirement benefits, including 401(k). - Paid holidays, vacation, and compassionate and sick days.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description PCG is currently seeking a Utilization Review Nurse. The Utilization nurse will also be responsible for utilizing a medical management software system on a day-to-day basis. The purpose of the Fund is to provide a funding source for future health care costs associated with birth‐related neurological injuries. - Performs prior authorization, concurrent and retrospective reviews - Uses clinical documentation and clinical review criteria to make determinations regarding qualifying health care costs - Accurately records all review determinations and supporting documentation - Contacts providers and members according to established timeframes - Identifies and refers cases that do not meet established clinical or other criteria to the Case Management Supervisor - Identifies and communicates quality issues to the Case Management Supervisor - Communicates information to other team members - Utilizes knowledge of community resources and the member’s benefit structure - Interacts with providers, vendors, and facilities in a professional and respectful manner - Recognizes quality of care issues and escalates the issues appropriately - Understands and facilitates the Appeals and Grievances process - Assists members with the coordination of services from various settings as appropriate - Performs other duties as assigned Qualifications - Graduated from an accredited School of Nursing, Associate Degree, Bachelor’s preferred - Minimum of 2 years of direct clinical nursing experience - Minimum of 2 years of experience with medical management activities in a managed care environment, Medicaid or hospital utilization management - RN required Requirements - Possesses effective verbal/written communication skills, especially via phone, with the ability to interact with various levels of personnel - Able to work in a fast-paced environment, demonstrate excellent problem solving, critical thinking, and organizational skills - Performs multiple tasks efficiently and accurately, has exceptional attention to detail and performs consistent work product - Self-motivated, self-directed, team oriented, and responsible, with a positive attitude and a proactive style - Possesses the ability to operate in a highly variable work environment - Presents a courteous and competent demeanor to clients and teammates - Excellent customer service skills - Strong computer skills - Ability to easily navigate through website research Benefits - Compensation range: $76,000 - $85,000 - Medical and dental care benefits - 401k - PTO - Parental leave - Bereavement leave

• Serve as physician leader responsible for clinical review and approval of population health program processes where senior clinical sign off is required • Support organizational readiness for NCQA and other accreditation standards by ensuring clinical workflows, protocols, and documentation meet requirements • Participate in audits, quality reviews, and corrective action planning as needed • Provide clinical oversight for chronic condition management, preventive care, and high risk population programs • Ensure clinical standards and documentation practices are consistently applied across programs • Provide physician review and guidance for clinical content used by nurses, coaches, and care teams • Partner with Clinical and Pharmacy Informatics teams to ensure clinical appropriateness of code sets, rules logic, and decision support tools • Serve as the physician voice in collaboration with Product, Data Science, Quality, and Operations teams • Participate in selected client discussions where physician oversight or credibility is required

• Lead high-impact discussions with provider organizations, health systems, and payer executives, demonstrating the clinical and financial value of our solutions. • Establish credibility as a peer-to-peer clinical expert, effectively articulating the impact of our technology on patient care, provider efficiency, and operational success. • Navigate complex sales processes, address objections, and drive consensus among key stakeholders to accelerate decision-making. • Act as a key driver of revenue growth, partnering with the sales team to influence purchasing decisions and successfully close deals. • Analyze market needs and tailor messaging to align with the strategic priorities of healthcare executives. • Provide valuable insights to product, clinical and marketing teams to ensure alignment with industry trends and customer needs. • Represent the organization at conferences, industry events, and executive briefings, positioning the company as a leader in value-based care innovation. • Contribute to thought leadership through white papers, case studies, and speaking engagements that showcase the impact of our solutions. • Build and maintain a strong professional network with clinical leaders, digital health innovators, and industry stakeholders. • Collaborate with the clinical product leaders to provide market feedback to influence development roadmap.