We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. - This role requires the nurse to exercise clinical judgment and perform the following duties: - Review and interpret clinical documentation obtained from medical records or systems. - Apply clinical decision-making to utilize appropriate clinical criteria and policies for post-service claims - Coordinate clinical resolutions independently, with clinician/MD support as required - Act as a resource for customer service and claims processing teams - Train new staff and provide cross-training to existing team members - Identify trends and provide feedback to leadership if discrepancies or potential fraudulent activities are identified - Remain current with applicable laws, regulations, and internal workflows to ensure full compliance with organizational and state-specific requirements Required Qualifications: - A minimum of 2–3 years of professional experience as a licensed - Registered Nurse (RN) Licensure in the state they reside - Strong analytical skills to assess medical claims Preferred Qualifications: - Computer proficiency, Microsoft Suite - Utilization Management experience Education: - Bachelor’s in Science and Nursing Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $29.10 - $62.32 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will close on: 04/13/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Requisition ID: 34817 At Terumo Blood and Cell Technologies, our 8,000+ global associates proud to come to work each day, knowing that what we do impacts the lives of patients around the world. For Terumo, for Everyone, Everywhere. We make medical devices and related products that are used to collect, separate, manufacture and process various components of blood and cells. With our innovative technologies and service offerings, we touch a patient’s life every second of every day and are committed to continuing to increase the number of patients we serve. Advancing healthcare with heart. With some of the best and brightest minds in the industry, an unmatched global footprint, comprehensive benefits and a distinct culture, Terumo Blood and Cell Technologies is a great place to work, grow and be part of a team that is focused on making a difference. Join us and help shape wherever we go next. You create your future and ours. The Medical Education Lead (MEL) will support the delivery and embedding of medical education in North America in order to develop the clinical skills, knowledge, confidence and competencies of the internal team and the health care professional’s community with the aim of increasing therapy awareness & adoption. The MEL will be a business partner who will engage in identifying and overcoming unmet medical needs especially related to apheresis and cell therapies. The MEL will act both internally and externally to develop therapy adoption programs together with North America (NA) thought leaders and prescribers. The MEL may be called on to support, participate and/or drive special projects, such as clinical trials, internal and external education and medical congresses. The MEL will respond to medical, scientific & clinical information requests with regards to high-level troubleshooting and procedure optimization. DUTIES AND RESPONSIBILITIES - Develops and maintains professional scientific relationships in areas critical to Terumo Blood and Cell Technologies (TBCT) with thought leaders and health care professional in key medical or blood centers, with medical professional associations and patient advocacy groups - Works with the sales and marketing team to build knowledge, confidence and competence to drive clinical excellence and help to achieve unmet medical needs in the field of Apheresis - Serves as a primary Medical Affairs contact involved with clinical/scientific information exchanges. These exchanges may be verbal, written or electronic inquiries from healthcare professionals. - Identifies opportunities and conducts formal presentations to essential groups as requested by medical and technical healthcare professionals, including key accounts, hospital therapeutic committee members in accordance with company policies, applicable laws, regulatory guidelines, and ethical standards. - Maintains expert knowledge and understanding of clinical, scientific, and technical information in areas critical to TBCT through collaboration with the global medical affairs organization, attending conferences and networking with experts. - Support the commercialization team and global product marketing where appropriate, providing input as needed in product innovation and unmet medical needs. - Active participation in developing tools, resources e.g. training material. - Attends & provides coverage at national & regional medical education venues (congresses, conferences, symposia) and brings back medical insights to key internal stakeholders for accurate planning. - Responds to and tracking medical information requests from healthcare professionals and decision makers with accurate, unbiased, balanced and timely answers. - May lead and/or coordinate special projects as it relates to building scientific & medical competencies within the organization, such as internal training of sales & marketing, scientific symposium program, presentation and slide kit development. MINIMUM QUALIFICATION REQUIREMENTS Education - Registered Nurse (RN) credentials required. - Master’s or bachelor’s Degree strongly preferred. Experience - Minimum 6+ years’ experience in apheresis, blood product management, blood transfusion or blood banking. - Apheresis technology experience is strongly preferred. - Previous experience with genetic hematological disorders such as sickle cell disease will be a plus. Skills - Strong interpersonal, influencing, and negotiation skills with different types of internal and external stakeholders. - Team player, patient and customer-focused, problem solver with clear focus on end-results. - Ability to work autonomously and independently with time management skills to effectively manage field-based responsibilities. - Ability to work in a matrix structure, i.e. maintains strong working relationships with various other departments, such as Scientific & Clinical Affairs, Regulatory Affairs, Legal, Global & Regional Marketing and Sales. - Able to build trust and credibility with healthcare professionals, internal experts, and cross‑functional partners. - Excellent in written and oral communication skills in English. Any additional language will be a plus. Certificates, Licenses, Registrations - Registered Nurse (RN) credentials required. - Certification in Apheresis or other professional credentials and/or certifications preferred. -Or- An equivalent competency level acquired through a variation of these qualifications may be considered. LOCATION Lakewood, Colorado or Remote TRAVEL Domestic travel required up to 20-30%. PHYSICAL REQUIREMENTS - Typical Office Environment requirements include: reading, speaking, hearing, close vision, walking, bending, sitting, and occasional lifting up to 20 pounds. - The physical demands described here are representative of those that must be met by an associate to successfully perform the essential duties of this job. - Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties. Target Pay Range: $120,600.00 to $150,800.00 - Salary to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data Target Bonus on Base: 10.0% At Terumo Blood and Cell Technologies, we provide competitive total reward offerings that consist of compensation, benefits, recognition, along with a wealth of other well-being, work-life and recognition programs which support in unlocking the potential for you and your family. Included in our expansive list of benefits offerings are multiple group medical, dental and vision plans, a robust wellness program, life insurance and disability coverages, also a variety of voluntary programs such as group accident, hospital indemnity, critical illness, pet insurance and much more. To help you save for retirement, we offer a 401(k) plan with a matching contribution and for work-life balance we have vacation and sick time programs for associates. For us, it’s about protecting the personal welfare of our associates and their families, helping to achieve personal goals and offering those extra touches for convenience, security and overall peace of mind. - Terumo Blood and Cell Technologies is part of Terumo Group, founded in 1921 and headquartered in Tokyo, Japan. - In 2024, Terumo Blood and Cell Technologies reached $1.5 billion in revenue. - We employ nearly 8,000 associates globally, with global headquarters in Lakewood, CO, U.S., and regional headquarters in Brussels, Buenos Aires, Singapore and Tokyo. - We manufacture devices, disposable sets and solutions at our facilities in Belgium, India, Japan, Northern Ireland, the U.S. and Vietnam. Our global presence enables us to serve customers in more than 130 countries. - Our core values help set our direction, guide our actions and keep us true to our corporate mission of contributing to society through healthcare. - Respect – Appreciative of others - Integrity – Guided by our mission - Care – Empathetic to patients - Quality – Committed to excellence - Creativity – Striving for innovation - We contribute to the Leukemia and Lymphoma Society (LLS), raising $2.4 million USD since 2025. We are proud to be an Equal Opportunity Affirmative Action Employer. All applicants will be afforded equal opportunity without discrimination because of race, color, religion, sex, gender identity or expression, sexual orientation, marital status, order of protection status, national origin or ancestry, citizenship status, age, physical or mental disability unrelated to ability, military status or an unfavorable discharge from military service. Terumo Blood and Cell Technologies is committed to providing a safe, healthy and secure working environment. Our Colorado campus locations are tobacco-free workplaces, and we maintain a drug-free workplace and perform pre-employment substance abuse testing and detailed background verification.

• Support all care teams across the region in comprehensive and targeted chart reviews • Facilitate efficient and effective medical care for our patients • Partner with regional leaders, including the Population Health Director and Senior CIS • Prepare and lead monthly Rejected Suspect Reviews • Identify and analyze opportunities for improving patient quality outcomes and cost of care • Monitor clinical documentation efforts • Other duties, as assigned

Become a part of our caring community As a Utilization Management Nurse 2, you will use clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members. You will coordinate and communicate with providers, members, or other parties to facilitate optimal care and treatment. You will understand department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Use your skills to make an impact Required Qualifications - Active Registered Compact Nurse license (RN) with no disciplinary action and ability to obtain non compact licensure - 3+ years of Medical Surgery, Heart, Lung or Critical Care Nursing experience - Prior clinical experience in acute care, skilled or rehabilitation clinical settings - Comprehensive knowledge of Microsoft Word, Outlook and Excel) - Must have the ability to provide a high-speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 10x1 (10mbs download x 1mbs upload) is required - Must be passionate about contributing to an organization focused on continuously improving consumer experiences - Must be willing to be in weekend rotation and possible holiday coverage. Preferred Qualifications - 3+ years of experience working in a high-volume and fast paced environment - Previous experience in utilization management - Education: BSN or bachelor's degree in a related field - Health Plan experience - Previous Medicare/Medicaid Experience - Call center or triage experience - Bilingual English and Spanish (read/write/speak) Additional Information To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $71,100 - $97,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 05-06-2026 About us About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of Humana’s Primary Care Organization, which includes CenterWell Senior Primary Care, Conviva’s innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health – addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being. About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at CenterWell.com.​ Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.