Role Description Are you an accomplished Board Certified Orthopedic Surgeon? Are you passionate about your work/life balance? We are seeking flexible and experienced physicians for our medical reviewstream division. This telecommute role provides the ability for you to customize your schedule and caseload within a Monday - Friday work week and within business hours. Create a flexible work schedule and be compensated on a per case basis as a 1099 independent contractor. Candidates must have a NJ license. Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations. Responsibilities - Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act (FMLA), Group health and workers’ compensation claims. - Meets (when required) with Concentra Physician Review Medical Director to discuss quality of care and credentialing and state licensure issues. - Maintain proper credentialing and state licenses and any special certifications or requirements necessary to perform the job. - Returns cases in a timely manner with clear concise and complete rationales and documented criteria. - Telephonically contacts providers and interacts with other health professionals in a professional manner. Discusses the appropriate disclaimers and appeal process with the providers. - Attends orientation and training. - Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits. - Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer reviewed literature that support sound and objective decision making and rationales in reviews. - Provides copies of any criteria utilized in a review to a requesting provider in a timely manner. Qualifications - Board certified MD, DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these services. - Current, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board). - Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer. - Must be in active medical practice to perform appeals. Job-Related Experience - Post-graduate experience in direct patient care. Job-Related Skills/Competencies - Demonstrated computer skills, telephonic skills. - Demonstrated ability to perform review services. - Ability to work with various professionals including members of regulatory agencies, carriers, employers, nurses and health care professionals. - Medical direction shall also be provided consistent with the requirement that the physician advisor shall not have a financial conflict of interest. - Must present evidence of current error and omissions liability coverage for job duties and activities performed. - Managed care orientation. - Knowledge of current practice standards in specialty. - Good negotiation and communication skills. Working Conditions/Physical Demands - Phone accessibility. - Access to a computer to complete reviews. - Ability to complete cases accompanied by a typed report in specified time frames. - Telephonic conferences. Company Description This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management. Concentra is an Equal Opportunity Employer M/F/Disability/Veteran. Concentra's Data Protection Commitment: - Concentra is committed to protect patient data and to ensure privacy of personal and medical information. - Every Concentra colleague has the responsibility to adhere to data protection principles. - If a colleague's role includes handling or processing sensitive data, role-specific policies and requirements apply to ensure the protection of patient information.

Patients are at the heart of everything we do. As part of our Medical Affairs team, you’ll foster internal and external collaboration to generate and disseminate evidence-based clinical practices to help impact patient lives and advance the quality of care. Your scientific curiosity and passion for patients will help us grow our reach and develop innovative solutions for people fighting cardiovascular disease. How you’ll make an impact: The NextGen Medical Affairs Manager sits at the interface of Medical Affairs and Professional Education, driving the development and engagement of high‑potential rising stars and emerging KOLs in TAVI. With deep hands‑on expertise in transcatheter procedures and a strong coach mindset, the role designs and leads tailored educational and development pathways that accelerate scientific, procedural, and professional growth. Acting as a strategic connector across countries and functions, the NextGen Medical Affairs Manager builds sustainable expert pipelines, identifies future proctors, and shapes the future of interventional cardiology through structured engagement, feedback‑driven programs, and collaborative innovation. - A highly collaborative role, being at the interface of Medical Education, Medical Affairs and Countries to identify, create, map the development and collaboration opportunities with Edwards to progressively engage with and train the new HCP generations. - Track activities and collect corresponding feedback accordingly. Present progresses by Country in a concise manner. - Refine the NextGen strategy, in collaboration with Director, its segmentation and scoring. - Proactively identify future potential proctors. - Create a NextGen working group for ideation on the future of HealthCare in Interventional Cardiology, technology, research and training. - Lead dedicated events. What you'll need (Required): - A university degree and solid professional experience in Interventional Cardiology, including comprehensive knowledge of transcatheter procedures such as TAVI. - Fluency in English; additional languages are a strong advantage. - Ability and willingness to travel internationally up to 60% of the time. What else we look for (Preferred): - Prior experience as a trainer or coach is highly desirable; alternatively, a strong motivation and commitment to develop these skills is essential. - Experience managing complex healthcare projects within a matrix organization; project management skills are an advantage. - Strategic mindset combined with strong analytical and problem-solving capabilities. - Excellent communication skills with a demonstrated ability to build and maintain strong professional relationships. - Solid scientific knowledge and critical understanding of cardiology literature. - Ability to interact professionally and effectively with stakeholders at all organizational levels, as well as with healthcare professionals (HCPs). What is it like to work at Edwards Lifesciences in the Czech Republic? As a global leader in patient-focused medical innovations, we offer rewarding opportunities and exciting challenges in a truly international, dynamic and friendly work environment. We are committed to fostering a diverse and inclusive work environment where all employees can grow, personally and professionally. To achieve this, we offer on-the-job development, training opportunities and the support and guidance provided by dedicated employee groups (the Edwards Network of Women, Edwards Foundation charity team, sustainability activities, and others). Edwards Lifesciences in the Czech Republic also offers the following benefits: • Competitive Compensation and Benefits package • Flexible working hours, remote/hybrid set up possible • Pension Plan Risk Life Insurance • Virtual Medical Clinic (online access to healthcare) • Meal Benefits • Service Awards • Enhanced Sick Leave Benefits • Flexible Benefit Plan (Cafeteria) • Employee Stock Purchase Program • Employee Assistance Program • Comprehensive Wellness Program including onsite gym, Yoga, Pilates or SM System classes, massages, fresh fruit in the office, healthy lifestyle workshops, educational events, charity activities and much more. Benefits are regulated by an internal policy which contains the full details regarding the entitlement and conditions for the benefits. Benefits policy and components may vary by location.

• 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

Our Company PharMerica Overview The Clinical Pharmacy Lead is responsible for developing and maintaining client-facing clinical products and programs that distinguish the Company’s level of excellence for optimizing resident care, to drive internal education initiatives that advance the knowledge base and clinical proficiency of the Company’s healthcare provider teams, and for growing the Company’s status as a Thought Leader through collaboration with Marketing initiatives. The Clinical Pharmacy Lead provides clinical insight to support the Client Reporting and Formulary Management efforts of the department and works with Purchasing and Trade to support strategic partnerships. The Clinical Pharmacy Lead is responsible for identifying and responding to internal and external clinical needs and creating solutions to meet client requests. Remote: Can reside anywhere within the Continental USA. Schedule: Monday - Friday, 8am to 5pm Required: Must have earned PharmD degree Geriatric Pharmacy Specialty Certification (BCGP), preferred Three (3) or more years of experience in clinical pharmacy, clinical programs, or a related role. Strong understanding of geriatric pharmacotherapy and long term care clinical guidelines Benefits and perks for You!    • Medical, Dental, Vision insurance    • Health Savings & Flexible Spending Accounts (up to $5,000 for childcare)    • Tuition discounts & reimbursement    • 401(k) • Company Paid Time Off* • Shift Differential • DailyPay • Pet Insurance • Employee wellness and discount programs Responsibilities - Leads the design, implementation, execution, and ongoing management of clinical programs (e.g., Stewardship Programs, Fall Risk Toolkit, Vaccine Initiatives, etc.) - Maintains the Company’s clinical resource library (e.g., Client Alerts, In-Services, Factsheets, etc.) to bolster the Company’s Illuminate Education and Thought Leadership - Serves as internal contact to provide consultative clinical input to other Company business units - Tracks and understands regulatory trends and developing resources that assist clients and operations in maintaining compliance - Responsible for furthering the Company’s standing as an industry thought leader, through maintenance of a Speaker’s Bureau, facilitating engagement at select industry meetings and speaker opportunities - Provides clinical expertise in business reviews to demonstrate program effectiveness, outcomes, and return on investment - Assisting in the tracking, implementation, and communication of updates to PharMerica’s Standard Formularies - Analyzes clinical, utilization, and financial data to identify trends, patterns, and actionable opportunities for clinical improvement and cost containment - Partners with Account Management and Sales teams to support client reviews, value demonstrations, and consultative discussions - Participates in cross‑functional projects and additional initiatives as needed to support evolving organizational priorities - Maintaining business relationships with internal and external partners - Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards Qualifications - PharmD degree - BCGP preferred - Three (3) or more years of experience in clinical pharmacy, clinical programs, or a related role. - Strong understanding of geriatric pharmacotherapy and long term care clinical guidelines - Demonstrated ability to design and execute targeted clinical programs - Advanced analytical, organizational, and presentation skills - Ability to communicate complex data clearly to both clinical and non clinical audiences - Proficiency in Microsoft Excel or pharmacy analytics tools - Behavioral Competencies - Analytical thinking and problem solving - Strategic planning and execution - Strong written and verbal communication skills - Customer focused and results oriented mindset About our Line of Business PharMerica, an affiliate of BrightSpring Health Services, delivers personalized pharmacy care through dedicated local teams, serving health care providers such as skilled nursing facilities, senior living communities, and hospitals. We also cater to individuals with behavioral needs, infusion therapy needs, seniors receiving in-home care, and patients with cancer. Operating long-term care, home infusion, and specialty pharmacies across the nation, we combine the personal touch of a neighborhood pharmacy with the resources of a national network. Our comprehensive solutions, backed by industry-leading technology and regulatory expertise, ensure accurate medication access, cost control, and compliance with best-in-class clinical standards. We are committed to enhancing resident health, reducing staff burdens, and supporting our clients' success. For more information, visit www.pharmerica.com. Follow us on Facebook, Twitter, and LinkedIn.