We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today! This job monitors and evaluates drug therapy for appropriateness based on the patient’s health status, institutional criteria/guidelines, and cost efficient measures; assumes responsibility for the management of pharmacy services to assigned areas for the goal of improving patient outcomes; provides drug information to health care personnel; participates with appropriate medical team on patient care rounds; precepts pharmacy students and residents; and provides in-services/education to pharmacy and other health care providers when appropriate.To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties. This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion. Education Required – Graduate of an accredited School/College of Pharmacy, PGY1 Residency in Pharmacy Practice Preferred – PG21 Residency in Pharmacy Practice Certifications Required – Licensed to practice pharmacy in the State of Louisiana, or eligible for licensure by examination or reciprocity from another state Knowledge Skills and Abilities (KSAs) - Must have computer skills and dexterity required for data entry and retrieval of information. - Effective verbal and written communication skills and the ability to present information clearly and professionally. - Must be proficient with Windows-style applications, various software packages specific to role and keyboard. - Strong interpersonal skills. - Ability to exhibit good clinical experience in specialty as well as leadership/teaching skills. - Ability to understand the distributive process of the Pharmacy within 45 days from hire. - Ability to travel to offsite locations as required. - Ability to work flexible schedule as needed such as nights, evenings, weekends, etc. Job Duties - Performs patient assessment and care. - Conducts Pharmacoeconomics. - Educates staff, students, patients, health care providers and other health care professionals. - Mentors residents, students and new staff to meet departmental goals. - Assumes responsibility for professional development and continued education. - Adapts behavior to the specific patient population, including but not limited to: respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style. - Other related duties as required. The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time. Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards. This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns. The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status. Physical and Environmental Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. NOTE: The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible. Must be able to stand or walk for extensive periods of time during the day (up to 16 hours). Ability to work with standard pharmacy equipment. Duties performed routinely require exposure to blood, body fluid and tissue. The incumbent works in a patient care area; works in an area where patients enter; works directly with patients; and/or works with specimens that could contain communicable diseases. There may be an occupational risk for exposure to communicable diseases. There is potential to encounter hazardous medications and hazardous waste. Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role. Are you ready to make a difference? Apply Today! Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website. Please refer to the job description to determine whether the position you are interested in is remote or on-site. Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C. Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at 504-842-4748 (select option 1) or careers@ochsner.org. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.

• Serve as the subject matter expert for products and related data within a Therapeutic Area • Interface with key stakeholders across CMR, Marketing, and the Global organization • Drive scientific exchange and communication with external Key Opinion Leaders (KOLs), Healthcare Professionals (HCPs), and other stakeholders • Assist the Senior Medical Director in developing and executing strategic priorities • Lead Core Medical Team, Project Team, and National Advisory Board meetings in certain instances • Maintains KOL relationships and serves as a consultant for Marketing, FMA, SCOE, Market Access, Public Affairs, and Sales • Develop strategies to appropriately position the Brand as part of the Novo Nordisk portfolio

Physician Advisor (Utilization Review) Part-Time | Remote (U.S. Based) Medical Review Institute of America (MRIoA) is a nationally recognized leader in utilization management and clinical review services, delivering evidence-based solutions for more than 43 years. We are currently seeking a part-time Physician Advisor to join our growing, fully remote team. POSITION OVERVIEW In this role, you will apply your clinical expertise to evaluate requests for medical services, interpret benefit language and medical policies, and make sound coverage determinations. You may also engage in peer-to-peer discussions with treating providers. This position emphasizes independent clinical judgment, thorough documentation, and collaboration with a nationwide team of Medical Directors. Core Responsibilities - Perform clinical coverage reviews using member benefits, medical policies, and established clinical guidelines - Interpret benefit language to support accurate and compliant determinations - Document review outcomes in alignment with regulatory, accreditation, and internal standards - Participate in peer-to-peer discussions with treating providers as needed - Collaboration with Medical Directors across multiple specialties and regions Work Schedule - 10-30 hour per week requirement - Flexible (but prescheduled) shifts between the hours of 6:00 a.m. - 7:00 p.m. MST (8:00 a.m. – 9:00 p.m. EST). Strong preference for shifts to be scheduled in 4-hour blocks. (6a-10a, 10a-2p, 2p-6p or 3p-7p Mtn time). - Must commit to 2 weekend shifts per month (4 hour shifts minimum) - Schedules are determined by physician and fixed 2 months in advance - Dedication during scheduled hours is required Requirements  To be eligible for this position, candidates must meet the following criteria: - Hold an active, unencumbered state licensure as a Medical Doctor (MD/DO), any state. - Hold current board certification in either Family Medicine or Internal Medicine (no other board-certified specialty is currently needed). - Possess a minimum of 5 years of direct patient care experience. - High level of computer proficiency and comfort with multiple software programs - Ability to be fully dedicated during scheduled work hours (Caregiving or other responsibilities during work hours are not permitted) - Must reside and work within the United States Additionally: - This is a part-time (W2), non-benefited role - Malpractice insurance is not required, as physicians do not provide direct patient care. Reviewers are covered under MRIoA's Errors and Omissions policy. Equipment Requirements - All necessary computer equipment is provided. - For security, computers must be hard-wired via Ethernet (Wi-Fi is not permitted). Work Environment: Ability to sit at a desk, utilize a computer, telephone, and other basic office equipment is required. This role is designed to be a remote position (work-from-home). Diversity Statement: Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Drug-Free Workplace: This company is a drug-free workplace. All candidates are required to pass a Background Screen before beginning employment. All newly hired employees will take a Drug Screen, as well as agreeing to all necessary Compliance Regulations on their first day of employment. Employees are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information. California Consumer Privacy Act (CCPA) Information (California Residents Only): - Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver’s license number, or state identification card number, and passport number. - Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at HR@mrioa.com.

The physician provides clinical support to the Payment Integrity Office (PIO) to ensure that fraud, waste, and abuse efforts are performed in accordance with the highest and most current clinical standards. Responsible to review cases and evaluate billing and coding accuracy, medical necessity and appropriateness of the treatment service. Responsible for appropriate application of Medical Policy and criteria for reviews, audits, and investigations. Provide necessary support to the anti-fraud program which involves conducting reviews of organization or functional activities related to alleged fraud, waste, and abuse perpetrated by providers, members, facilities, pharmacies, and /or groups. Key Responsibilities: • Overall case guidance and consulting to ensure that fraud, waste, and abuse efforts are performed with the highest and most current clinical standards • Apply health plan review hierarchy to member contracts, medical policy, clinical guidelines and other approved resources to render timely decisions on services provided to members • Perform reviews and participate in peer-to-peer discussions of inpatient DRG Clinical Validation audits and appeals • Serves as a resource for information and consultation on the issues related to utilization management and clinical services • Approval and direction of consultant reviews. Participation in and support of overpayment recoveries • Support as needed to internal and external agencies in conjunction with these reviews such as but not limited to the Special Investigations Unit • Review of services suspected of being performed for purposes not medically necessary. Appropriate documentation of decisions and follow-up • Comply with all state, federal, and regulatory requirements • Other duties as necessary to ensure progression and completion of reviews • Participate on projects and committees as necessary Key Requirements: • MD or DO with an unrestricted FL medical license • 3+ years of experience in active clinical practice (primary care specialty desirable) • Excellent written and verbal communication skills with the ability to interact with all levels of the organization, external customers and providers • Ability to analyze data, measure outcomes, and develop action plans • Ability to intervene in crisis situations and multi-task • Conversant with most areas of medicine, show ability for rapid, accurate decision-making, and enjoy care review and the investigation and resolution of complex issues. Experience with CPT coding, medical claims review, hospital billing, and reimbursement. • Experience in utilization management, case review, and/or quality improvement activities in a managed care setting. Preferred: • Board Certification in an American Board of Medical Specialties or Bureau of Osteopathic Specialist recognized specialty, or The National Board of Physicians and Surgeons (NBPS) • Nationally recognized Certification in Inpatient and Outpatient coding, e.g., AHIMA and AAPC credentials • Graduate degree such as a MBA or MPH • Certified Physician Executive (CPE) • American Board of Quality Assurance and Utilization Review Physicians (ABQAURP) General Physical Demands Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally. What We Offer: As a Florida Blue employee, you will thrive in our Be Well, Work Well, GuideWell culture where being well as an individual, and working well as a team, are both important in serving our members and communities. To support your wellbeing, comprehensive benefits are offered. As an employee, you will have access to: Medical, dental, vision, life and global travel health insurance; Income protection benefits: life insurance, short- and long-term disability programs; Leave programs to support personal circumstances; Retirement Savings Plan including employer match; Paid time off, volunteer time off, 10 holidays and 2 well-being days; Additional voluntary benefits available; and A comprehensive wellness program Employee benefits are designed to align with federal and state employment laws. Benefits may vary based on the state in which work is performed. Benefits for intern, part-time and seasonal employees may differ. To support your financial wellbeing, we offer competitive pay as well as opportunities for incentive or commission compensation. We also conduct regular annual reviews with pay for performance considerations for base pay increases. Annualized Salary Range: $224,000 - $364,000 Typical Annualized Hiring Range: $224,000 - $280,000 Final pay will be determined with consideration of market competitiveness, internal equity, and the job-related knowledge, skills, training, and experience you bring. We are an Equal Employment Opportunity employer committed to cultivating a work experience where everyone feels like they belong and can perform at their best in pursuit of our mission. All qualified applicants will receive consideration for employment.