• Provides clinical leadership and direction to utilization & care management functions of Martin’s Point’s Health Plans • Works collaboratively with other plan functions that interface with Medical Management such as Health Management, Compliance and Appeals, Network Management, Member Services, benefits & claims management, and Compliance. • Assists in or drives short and long-range clinical programming, quality management, and external relationships. • Reports to the Vice President Health Plan Medical Director and works closely with other Health Plan leaders. • Responsible and accountable to the Health Plan Medical Director for helping to manage health plan medical costs by assuring clinically appropriate health care delivery for health plan products and services utilizing Evidence-Based Guidelines.

• Support BeOne clinical assets and pipeline by successful execution of clinical development programs and deliverables in partnership across the organization, with external vendors, and with external academicians and collaboration partners. • Assess and execute clinical programs and help assure that activities are executed within expected scope, budget and timelines. • Establish and grow Clinical Research functions to assure best-in-class global capabilities and execution. • Work closely with colleagues in clinical development, program management, biometrics, clinical operations, safety/pharmacovigilance, regulatory, molecular diagnostics, and translational research and other functions. • Facilitate generation of key documents, including protocols, informed consent documents, Investigator Brochures, clinical study reports, and more. • Partner with clinical operations and other functional areas for successful implementation and execution of clinical studies. • Provide scientific expertise for selection of investigator and vendors. • Train BeOne colleagues, study site staff on the therapeutic area, molecule, and/or clinical protocol. • Review, query, and analyze clinical trial data; interpret, and present clinical trial data both internally and externally.

• Lead Medical Excellence in Clinical Trials • Serve as Medical Monitor for gastroenterology studies, ensuring scientific integrity and patient safety • Provide expert medical oversight throughout the clinical trial lifecycle—from protocol development through study completion • Review and approve critical study documents including protocols, Medical Monitoring Plans, safety reports, and Informed Consent Forms • Conduct real-time medical data review, evaluate protocol deviations, and ensure medical accuracy across all study deliverables • Build and maintain consultative relationships with pharmaceutical sponsors • Deliver medical expertise during client meetings, bid pursuits, and proposal development • Provide therapeutic area training to study teams and site personnel • Respond to complex medical and protocol-related questions from sites and study teams • Participate in early engagement activities and feasibility assessments • Contribute medical insights to protocol design and drug development programs • Support pharmacovigilance activities including medical review of serious adverse events • Collaborate with cross-functional project teams and business development initiatives

• Apply your clinical expertise to evaluate requests for medical services • Interpret benefit language and medical policies • Make sound coverage determinations • Engage in peer-to-peer discussions with treating providers • Perform clinical coverage reviews using member benefits, medical policies, and established clinical guidelines • Document review outcomes in alignment with regulatory, accreditation, and internal standards • Participate in peer-to-peer discussions with treating providers as needed • Collaborate with Medical Directors across multiple specialties and regions