Title: Medical Bill Review II, Support Location: Dallas, TX United States Requisition ID JR1005868 Category Managed Care Position Type Regular Full-Time Hybrid Job Description: Overview The Medical Bill Review Support Analyst supports the Medical Management department's key goals of enhancing cost containment. Provides strategic and technical bill review to assist claim offices and adjusters. Accomplishes Managed Care objectives by working processes; planning and evaluating adjuster activities and Medical bill review activities. Technical abilities and industry-specific knowledge to review Workers Compensation medical bills. - This role is hybrid out of our Dallas, TX office* Responsibilities Plan, execute, and oversee bill audits related to state fee disputes. - Assist in the development of fee dispute processes, including overall management and monitoring programs. - Perform fee dispute reviews and submit relevant formwork related to re-pricing and network vendors. - Review and audit bills to verify correct billing practices and contractual rates. - Ongoing development of cost containment strategies in response to noted billing practices. - Responsible for all financial recovery and reporting of cost savings. - Track financial recovery and report cost savings. Perform a wide range of administrative duties related to the quality control and quality assurance of processes. - Develop or update procedures for capture, investigation, and documentation of product complaints. - Monitor risk-management procedures, maintain problem logs, and report issues to managers and product developers. - Prepare written communications such as letters, memos, and emails. Maintain and develop relationships with both internal claims staff and external bill pricing vendors to achieve goals - Develop and manage agendas for internal claim office meetings related to fee disputes. - Involvement in training material and deliver trainings. - Track and promptly investigate material issues, particularly those with a significant impact on the company's financial, operational, and reputational standing. Excellent analytical, problem-solving, and decision-making skills. - Review, tabulate, and enter data into a variety of systems. - Develop charts, graphs, and tables in Excel and PowerPoint. - Analyze and report new or recurring problems in workflows. - Manage trends across various areas and document issues to detail areas for workflow improvement. The expected salary range for this role is $61,500.00-$70,000/Yr. Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations. This job description is designed to provide a general overview of the requirements of the job and does not entail a comprehensive listing of all activities, duties, or responsibilities that will be required in this position. AmTrust has the right to revise this job description at any time. Qualifications - Bachelor's Degree or equivalent experience - 2 or more years of claims experience in positions of increasing responsibility - Knowledge of Workers Compensation Fee Schedule Guidelines, Medical Billing, and Medical Terminology - Experience in bill processing platforms and claim systems - Working knowledge of medical jargon and anatomy preferred - Excellent verbal and written communication skills - Excellent computer skills required including Excel, Access, Outlook, Word and other pertinent computer software packages. - Able to work independently - Commitment to a high level of customer service What We Offer AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off. AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities. AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.

Title: MSL/Sr. MSL, Lung Solid Tumor (Southern California and Las Vegas, NV) Location: Southern California and Las Vegas, NV Employees can work remotely Full-time Salary Min: 124500 Salary Max: 236500 Workday Global Grade: 19 Compensation: USD 124,500 - USD 236,500 - yearly Job Description: Company Description About AbbVie AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas including immunology, oncology and neuroscience - and products and services in our Allergan Aesthetics portfolio. Purpose The Medical Science Liaison (MSL) is a field based scientific expert that strategically supports the research and business objectives of a designated therapeutic area across the product life cycle. MSLs are the primary communicators of AbbVie science within a specific geography with healthcare professionals. MSLs are the field scientific experts on given disease states and treatment options within a designated therapeutic area. They combine strong business acumen, clinical expertise, market awareness, and serve as a conduit of information both externally and internally to a cross functional customer base internally within AbbVie. Based on therapeutic needs and product life cycles, teams may focus on certain responsibilities to a greater or lesser degree, including clinical development and pipeline support. Responsibilities This role is considered remote but requires the employee to work within a reasonable distance from the primary cities. - Supports research initiatives across development at the request of R&D to include, but not limited to, site evaluation and identification, recruitment, investigator meetings, external expert identification, and external collaboration management. - Identifies, gains access to, and develops professional relationships with external experts (EEs) in therapeutic areas within assigned geography. - Routinely communicates field insights to internal business partners. Provides education relative to disease state and AbbVie products across the product lifecycle to healthcare providers and researchers. - Continually educates self on market issues/trends and product knowledge as it pertains to specific business responsibilities in key therapeutic areas. - Works with in-field teams to develop and execute a territory plan designed to support and meet shared business objectives. Inputs and maintains internal database as it relates to HCP interactions in respective geography. - Marketplace preparation in new therapeutic areas of interest, which includes creating awareness and relationships for AbbVie in the Medical community. - Serves as a scientific resource to commercial partners as appropriate to support activities such as Medical Congress staffing, Advisory Boards, and training initiatives. - Efficient and responsible use of resources, including financial decisions. - The MSL is accountable for providing and supporting clinical information needs within an assigned geography and supporting the MSL team and corporate needs by meeting targeted goals relevant to specific EEs MSLs provide support for strategic clinical initiatives, executes a territory business plan and team tactical plan supporting business needs, meets assigned project deadlines, and achieves annual functional goals. - Responsible for compliance with applicable Corporate and Divisional Policies and Procedure. Qualifications Advanced degree required (i.e. Pharm D, MD/DO, PhD, PA or NP, BSN) in a relevant scientific discipline. Doctorate strongly preferred in a health science or clinical discipline. Significant industry experience in relevant therapeutic area may be accepted in lieu of education requirements. - Greater than or equal to 2 years of clinical, scientific/research, or industry related experience or equivalent required. - Lung Solid Tumor Experience preferred. - Previous pharmaceutical industry experience within relevant scientific discipline preferred. - The MSL must possess advanced problem solving and analytic skills to be able to identify, and translate specific territory and corporate needs, into an action that will achieve objectives. - Must be willing to travel up to 75% of the time. - An essential requirement of your position is to meet health care industry representative (HCIR) credentialing requirements to gain entry into facilities and organizations that are in your assigned territory. These HCIR credentialing requirements may include, but are not limited to, background checks, drug screens, and proof of immunization/vaccination for various diseases. The candidate must live in the territory or willing to self-relocate within the territory. The majority of the territory includes (Southern California and Las Vegas NV). Job grade, level, and title will be determined by the selected candidate's credentials, education, and experience. Additional Information Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law: - The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at the time of this posting based on the job grade for this position. Individual compensation paid within this range will depend on many factors including geographic location, and we may ultimately pay more or less than the posted range. This range may be modified in the future. - We offer a comprehensive package of benefits including paid time off (vacation, holidays, sick), medical/dental/vision insurance and 401(k) to eligible employees. - This job is eligible to participate in our long-term incentive programs. Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, incentive, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole and absolute discretion unless and until paid and may be modified at the Company's sole and absolute discretion, consistent with applicable law.

• Conduct coverage reviews using critical thinking and clinical expertise. • Interpret benefit language and policies to guide clinical coverage determinations. • Document clinical review findings and outcomes in compliance with organizational standards. • Engage in peer-to-peer consultations with prescribing providers. • Collaborate and communicate effectively with fellow Medical Directors. • Schedule 40 hours per week, either 5 shifts of 8 hours or 4 shifts of 10 hours.

Role Description The gBDS / Med Data/AI, Boehringer Ingelheim is seeking a Postdoctoral Research Fellow to help advance the development of robust clinical trial simulation tools aimed at improving the probability of success for clinical trials by integrating multimodal datasets. This is an applied research and implementation role—focused on evaluating rigorous statistical methodology from the research stage into confirmatory, pivotal clinical studies. It is an exceptional opportunity for candidates looking to bridge academia and industry from a clinical statistical research perspective, working at the intersection of methodological rigor and real-world drug development impact. The fellow will focus on identifying, integrating, and applying fit-for-purpose methods and data to inform trial design and execution decisions—supporting faster, more reliable studies through improved feasibility assessment, operational risk forecasting, and robust inference under real-world trial constraints. This research role emphasizes reproducible methods, transparent assumptions, and publication-quality statistical work that can be translated into practical tools used by clinical development teams. The ideal candidate is self-driven and motivated—someone who works independently and takes initiative, while benefiting from scientific guidance and a collaborative team environment. Duties & Responsibilities - Integrate multimodal data sources across trial operations and clinical outcomes to parameterize and calibrate simulations (internal trial data + operational metrics + external benchmarks where appropriate). - Evaluate and validate clinical trial simulation frameworks that quantify how operational and clinical factors (e.g., recruitment pace, dropout, missing data, site heterogeneity, nonadherence, endpoint variability, protocol deviations) impact probability of success. - Build simulation models incorporating relevant data sources (clinical trial, real world evidence) for scenario basis planning, and integration via simulation. - Build scenario engines for trial execution planning (e.g., “what-if” analyses on site mix, monitoring intensity, recruitment strategies, data cleaning rules, visit schedules, or enrichment approaches) and translate results into actionable decision support. - Implement and compare statistical methods relevant to trial robustness under execution realities, including: - missing data mechanisms and sensitivity analyses (MAR/MNAR), - Bayesian models (meta analytic, hierarchical, etc.), - intercurrent events and estimands-aligned strategies, - site-level/random effects and cluster heterogeneity, - treatment effect attenuation due to nonadherence, - informative dropout and time-varying covariates. - Conduct simulation studies to evaluate design choices (sample size, randomization schemes, interim decision rules, adaptive elements, endpoint definitions) and make predictions using performance metrics such as power, type I error, bias, estimation bias, predictive probabilities, and other operating characteristics. - Create reusable, reproducible simulation pipelines (R/Python) for simulation, diagnostics, and reporting—version-controlled, well-tested, and well-documented for long-term sustainability. - Communicate results clearly to cross-functional stakeholders (biostatistics, clinical operations, clinical development, data science) via manuscripts, conference abstracts, internal whitepapers, and presentations. Qualifications - Ph.D. in Biostatistics or Statistics (or closely related quantitative discipline) from an accredited institution, awarded prior to start date. - Strong foundation in clinical trial methodology and inference (e.g., GLMs, mixed models, survival analysis, longitudinal models, causal/estimand thinking, multiplicity basics, Bayesian experience). - Demonstrated ability to program in R and/or Python for statistical modeling and simulation; experience with reproducible workflows (Git, unit testing, code review, literate reporting such as Quarto/RMarkdown/Jupyter) preferred. - Familiarity with Monte Carlo simulation, power/operating characteristic evaluation, and principled model checking/validation. - Interest or experience working with multimodal trial data including operational metrics (site performance, enrollment curves, deviations) and clinical outcomes data; experience with real-world or observational health data is a plus but not required. - Ability to work in a highly collaborative environment and communicate statistical results to non-statistical stakeholders with clarity and pragmatism. - Demonstrated capacity to work independently, manage your own research agenda, and roll forward on problems without waiting for constant direction—proactive initiative is a key expectation of this role. Eligibility Requirements - Must be legally authorized to work in the United States without restriction. - Must be willing to take a drug test and post-offer physical (if required). - Must be 18 years of age or older. Application Requirements - Curriculum vitae - Letter of intent - focusing on how a fellowship at Boehringer Ingelheim can help further your career growth. *Please upload under My Documents, Additional Attachments. Compensation This position offers a base salary of $80,000. The position may be eligible for a role specific variable or performance based bonus and or other compensation elements. For an overview of our benefits please click here. Duration Two years Location Remote (within US)