• Utilization management – The medical director will perform concurrent and prior authorization reviews with peer to peer coverage of denials. • Appeals – The medical director will perform appeals in their “base plans” and may round robin based on “same or similar specialty” needs. • Pharmacy coverage – The medical director will perform pharmacy reviews. • The medical director will participate in and be able to lead rounds.

• Provide oversight for medical policy implementation as part of a team dedicated to the Federal Employee Health Benefits Program (FEHBP) • Participate in the development, implementation, and evaluation of clinical/medical programs • Expand Aetna's medical management programs to address member needs across the continuum of care • Support the Medical Management staff ensuring timely and consistent responses to members and providers • Oversee utilization review, quality assurance, case management, disease management, benefit planning, and fraud investigation • Provide clinical expertise and business direction in support of medical and pharmacy management programs • Act as a lead business and clinical liaison to network providers and facilities, plan sponsors, and related vendors • Support the effective execution of medical services programs by the clinical teams • Responsible for precertification reviews, appeals, and reviews of claim determinations

• Support the Aetna Better Health of Kentucky primarily, and the Southeast Region (FL, LA and WV) • Ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal request • Responsible for Utilization Management, including prior authorization and pre certification as well as concurrent review • Cases could focus on inpatient or outpatient, acute and post acute as well as peer to peer calls and first level appeals

Job Purpose: Oncology MSL is a pivotal field-based role that connects GSK to the healthcare community. This non-promotional, customer-facing position focuses on advancing clinical practice within an assigned territory to improve patient outcomes. The MSL brings deep clinical and oncology therapeutic expertise and market/landscape knowledge to engage with Healthcare Providers (HCPs) and account personnel, in alignment with GSK's medical strategies and plans. Key objectives of the MSL include engaging with various community and academic experts, facilitating scientific exchange, and serving as a medical resource. These scientific interactions aim to ensure that healthcare providers, and when relevant payers and other decision makes understand the unmet patient and healthcare needs, evolving treatment landscape and the benefit/risk profile of GSK medicines for their safe and appropriate use, improved patient outcomes and closure of gaps in unmet medical. The MSL role is crucial for identifying disease and product-related medical needs, ensuring the exchange of scientific knowledge, capturing and communicating medical insights, and facilitating research to advance clinical practice. This role will be focused in oncology therapeutic areas. Key Responsibilities: This role will provide YOU the opportunity to lead key activities to progress YOUR career. These responsibilities include some of the following: - Leverage scientific expertise and market knowledge to identify and engage HCPs (including academic and community HCPs, Pharmacists, Physician Assistants, nurses, and other healthcare professionals) who may have educational needs and can provide insights needed to inform medical plans. - Engage with HCPs on emerging data, clinical trials, medical unmet needs, patient barriers to access, market dynamics, and educate on disease state and product information. - Contribute to medical strategy by collecting and communicating medical insights throughout the product lifecycle and understanding the potential impact of these insights. - Demonstrate strategic territory planning and management and appropriate identification, mapping, and planning of scientific engagements in territory with key accounts and aligned with medical strategy. - Support clinical trials by facilitating relevant medical activities and collaborating with Medical Affairs and Clinical Operations colleagues. - Collaborate with internal colleagues (e.g., Medical Affairs, marketing, commercial, sales) to ensure a customer-centric approach aligned with GSK Standard Operating Procedures. - Understand and address the unique medical needs and attributes of accounts (e.g. educational needs, pathways). - Maintain in-depth knowledge of assigned therapeutic areas and GSK medicines to serve as a medical resource to both customers and internal colleagues. Understand the landscape and prepare to address the educational needs of customers. - Adhere to GSK’s Code of Conduct, policies and standards, and relevant ways of working documents. Ensure all activities are conducted in a compliant manner, reflecting GSK's commitment to transparency, respect, integrity, and patient focus. - Execute all administrative responsibilities, training, and documentation requirements in a timely manner. - Participate in Field Medical and cross-enterprise projects and teams that support medical strategies and tactics. Why you? Basic Qualifications: We are looking for professionals with these required skills to achieve our goals: Must reside within territory for consideration. - Doctorate level with a medical or clinical focus (Pharm D, PHD, or MD) or MS- advanced science/clinical/healthcare related degree with relevant clinical, industry and/or oncology experience (e.g., MSN, ANP, MS, MPH). - Oncology experience, pharmaceutical industry, or medical liaison experience. - 2 + years’ experience in pharmacology and pharmacotherapy in humans and has practical experience applying this knowledge in an oncology focused clinical setting. - Experience engaging in peer-to-peer scientific dialogue with medical professionals and decision makers. - Experience in delivering medical-based presentations. - Experience identifying opportunities for medical engagement and developing scientific engagement goals. - Experience developing relationships with external HCPs, KOLs, and external experts and with internal stakeholders and key decision makers. - Ability to manage a multi-state territory with 60-75% travel. - Fluently speaking Dutch and English. Preferred Qualifications: If you have the following characteristics, it would be a plus: - Previous clinical experience in situations where direct/or indirect decision-making authority for patient care was demonstrated (e.g., direct patient care, treatment protocol development, drug therapy guidelines development, traditional clinical pharmacy practice settings). - Proven track record of consistent, high performance. - Above average computer literacy (e.g. utilizing AI and digital fluency), including experience with software applications. - Managing individual and team performance. - Committed to delivering high quality results, overcoming challenges, focusing on what matters, execution. - Implementing change initiatives and leading change. - Sustaining energy and well-being, building resilience in teams. - Continuously looking for opportunities to learn, build skills and share learning both internally and externally. - Developing people and building a talent pipeline. - Translating strategy into action - a compelling narrative, motivating others, setting objectives and delegation. - Building strong relationships and collaboration, managing trusted stakeholder relationships internally and externally. - Budgeting and forecasting, commercial and financial acumen. #LI-GSK #LI-Remote #Seabiscuit #MSL_Onc Why GSK? Uniting science, technology and talent to get ahead of disease together. GSK is a global biopharma company with a purpose to unite science, technology and talent to get ahead of disease together. We aim to positively impact the health of 2.5 billion people by the end of the decade, as a successful, growing company where people can thrive. We get ahead of disease by preventing and treating it with innovation in specialty medicines and vaccines. We focus on four therapeutic areas: respiratory, immunology and inflammation; oncology; HIV; and infectious diseases – to impact health at scale. People and patients around the world count on the medicines and vaccines we make, so we’re committed to creating an environment where our people can thrive and focus on what matters most. Our culture of being ambitious for patients, accountable for impact and doing the right thing is the foundation for how, together, we deliver for patients, shareholders and our people. Should you require any adjustments to our process to assist you in demonstrating your strengths and capabilities contact us at HR.AmericasSC-CS@gsk.com where you can also request a call. Please note should your inquiry not relate to adjustments, we will not be able to support you through these channels. However, we have created a Recruitment FAQ guide. Click the Link where you will find answers to multiple questions we receive. GSK is an Equal Opportunity Employer. This ensures that all qualified applicants will receive equal consideration for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), military service or any basis prohibited under federal, state or local law. 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