Takeda is proud in its commitment to creating a diverse workforce and providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, parental status, national origin, age, disability, citizenship status, genetic information or characteristics, marital status, status as a Vietnam era veteran, special disabled veteran, or other protected veteran in accordance with applicable federal, state and local laws, and any other characteristic protected by law.
Senior Medical Science Liaison, Oncology Hematology (Carolinas)
Location
United States
Posted
74 days ago
Salary
$169K - $266K / year
Seniority
Senior
No structured requirement data.
Job Description
Senior Medical Science Liaison, Oncology Hematology (Carolinas)
Takeda
By clicking the “Apply” button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda’s Privacy Notice and Terms of Use. I further attest that all information I submit in my employment application is true to the best of my knowledge. Job Description The Senior MSL is an integral member of the medical affairs team. In this field-based role, the MSL will contribute to Takeda's mission by supporting the development and life-cycle management of Takeda Oncology medicines. The key objective of the MSL role is to engage scientifically with key opinion leaders in their assigned geography via accurate, scientific, and non-promotional information exchange. This territory will be responsible for covering NC and SC, excluding Wake Forest, NC. The preferred location for the successful candidate to reside would be the Raleigh or Charlotte metro area. In addition to all MSL responsibilities: - Sr. level MSLs will continue to maintain already established relationships with HCPs across the assigned geography and continuously add new thought leaders - Applies advanced field-based medical experience, subject matter knowledge, and skills in supporting medical strategies for Takeda Oncology products and in addressing unsolicited requests for medical information from healthcare professionals, as well as managed care organizations, payers and other formulary decision makers - Participates in and contributes to projects and initiatives within a matrix environment that increase the value and productivity of Medical Affairs (MA) - Provide and present relevant field observations and insights to internal stakeholders (as needed - if molecule or other lead MSL) - Actively participates in executing USMAO strategy at medical conferences by serving as congress lead. May include identifying relevant sessions, coordinating field coverage, and facilitating thought leader/HCP interactions at the congress. - Continue to develop and adapt regional territory plan that aligns to and supports defined Medical Affairs scientific imperatives and coaches MSLs as needed - Expands and leverages thought leader relationships by aligning thought leader expertise with Takeda needs. Successfully connects thought leaders internally to serve as advisors, expert guest speakers, investigators, and business development partners - Actively participates in and contributes to Medical Affairs and cross functional projects/initiatives. - Provides operational and scientific training within Field Medical Affairs as needed - Collaborates as-needed with internal partners to provide field input as well as scientific expertise, and coordinates delivery of medical support to sales training and speaker training initiatives - Regularly collects and interprets medical insights and intelligence gathered from scientific exchange with thought leaders and payers. Communicates relevant information to internal stakeholders in order to define, update, and support medical strategies - Assumes responsibility for supporting If molecule lead, act as the single point of contact with internal teams on company-sponsored clinical trial enrollment, identifying leading and lagging indicators, and liases with study teams to identify qualified sites for future pipeline studies - Mentors and coaches others within Field Medical Affairs as assigned - Experience supporting products that are distributed through a specialty pharmacy and requires extensive coordination with patient access services - Advanced scientific or healthcare degree required; doctoral degree preferred. (Health sciences advanced or doctoral degree, such as a PharmD, PhD, MD, RN, NP or DNP/APRN, etc) - Experience in Oncology is preferred - Minimum of 3 years field medical experience preferred, oncology experience preferred, pharmaceutical industry experience required - Thorough understanding of the FDA, OIG, HIPPA, PhRMA Code and other ethical guidelines relevant to the pharmaceutical industry, to ensure compliance with these external as well as internal guidelines and standard operating procedures. - Possesses superior communication skills, both oral and written, and able to engender trust and respect of peers, subordinates and superiors - Well-versed in technical and scientific practices in order to communicate with a variety of external stakeholders supporting clinical practice and research activities, internal Medical Affairs, Research and Development teams, Clinical Operations, and Payor groups - Firm understanding of the processes, techniques, and analyses that are involved in both the pre-clinical and clinical aspects of drug development. - Proven track record of teamwork, leadership, timely decision making and results orientation to meet objectives Takeda Compensation and Benefits Summary We understand compensation is an important factor as you consider the next step in your career. We are committed to equitable pay for all employees, and we strive to be more transparent with our pay practices. For Location: North Carolina - Virtual U.S. Base Salary Range: $169,400.00 - $266,200.00 The estimated salary range reflects an anticipated range for this position. The actual base salary offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. The actual base salary offered will be in accordance with state or local minimum wage requirements for the job location. U.S. based employees may be eligible for short-term and/ or long-term incentives. U.S. based employees may be eligible to participate in medical, dental, vision insurance, a 401(k) plan and company match, short-term and long-term disability coverage, basic life insurance, a tuition reimbursement program, paid volunteer time off, company holidays, and well-being benefits, among others. U.S. based employees are also eligible to receive, per calendar year, up to 80 hours of sick time, and new hires are eligible to accrue up to 120 hours of paid vacation. EEO Statement Takeda is proud in its commitment to creating a diverse workforce and providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, parental status, national origin, age, disability, citizenship status, genetic information or characteristics, marital status, status as a Vietnam era veteran, special disabled veteran, or other protected veteran in accordance with applicable federal, state and local laws, and any other characteristic protected by law. Locations North Carolina - VirtualSouth Carolina - Virtual Worker Type Employee Worker Sub-Type Regular Time Type Full time Job Exempt Yes
Related Guides
Related Categories
Related Job Pages
More Medical Director Jobs
Medical Science Liaison – Oncology (Community‑Based) - IQVIA in partnership with our client, Exelixis, are excited to announce that we are looking for Medical Science Liaisons to initiate scientific dialogue within the therapeutic area of oncology through scientific discussions with clinical physicians, staff and other stakeholders, on behalf of our client. The Oncology Medical Science Liaison (MSL) is a field‑based scientific professional responsible for engaging healthcare professionals (HCPs) and advanced practice providers (APPs) in compliant, non‑promotional scientific exchange. This role is community‑focused and supports pre‑launch and early launch medical activities through disease‑state education, insight generation, and scientific engagement within community oncology settings. RESPONSIBILITIES Essential Functions - Act as a scientific point of contact in the field for Exelixis Medical Affairs - Appropriately engage oncology HCPs and APPs in compliant, fair‑balanced scientific exchange - Deliver scientific education and disease‑state discussions using approved materials - Develop and maintain scientific relationships within assigned geographic territory - Report field intelligence, including insights on treatment landscape, scientific trends, and competitor activity - Provide support to clinical development and operations activities, including site recommendations, initiation visits, and facilitation of scientific communication - Participate in or support advisory boards in accordance with applicable guidelines and compliance standards - Represent Exelixis at medical congresses and scientific meetings; provide timely session summaries - Serve as a scientific resource for cross‑functional partners within defined and approved boundaries - Maintain up‑to‑date knowledge of relevant studies, compounds, disease states, and treatment pathways - Demonstrate consistent execution excellence within assigned territory while supporting team objectives - Contribute to business needs beyond assigned geography as required - Ensure timely reporting of adverse events and product complaints in line with company and regulatory processes - Project a professional image of the Company and act in accordance with applicable industry codes of conduct - Perform other duties as assigned SKILLS AND ABILITIES - Strong verbal and written communication skills - Ability to engage healthcare professionals in credible and compliant scientific discussions - Ability to work independently while collaborating effectively within a matrix team - Strong organisational and time‑management skills - Ability to manage travel demands and territory priorities - Demonstrated integrity and commitment to ethical and compliant conduct - Proficiency in standard office software and customer relationship management systems MINIMUM REQUIRED EDUCATION KNOWLEDGE AND EXPERIENCE Minimum Requirements: - Bachelor’s degree (Life Sciences, BSN) - 2 years of relevant clinical, scientific, or healthcare‑facing experience in oncology. - Relevant experience may include roles such as clinical practitioner, oncology nurse, clinical educator, clinical research, or other HCP‑facing scientific roles. - Understanding of compliant, non‑promotional scientific exchange or experience working within regulated healthcare environments. - Experience working within regulated, compliance‑driven healthcare or life sciences environments - Demonstrated ability to manage territory activity, prioritise workload, and operate effectively in a fast‑paced, matrix environment - Ability to work independently in a field‑based, matrix organization. - Understanding of the non‑promotional Medical Science Liaison role is required - Valid driver’s license - Frequent domestic travel, up to 70%, including occasional evenings and weekends Preferred qualifications and experience: - Advanced scientific or clinical degree (e.g., PharmD, PhD, MD). - Oncology‑specific certification (e.g., OCN®). - Prior experience as a Medical Science Liaison or in a Medical Affairs role. - Experience supporting oncology practices, particularly in community settings. - Experience participating in scientific meetings, advisory boards, or investigator engagement. - Knowledge of healthcare systems, particularly community oncology settings. - Familiarity with applicable medical, legal, and regulatory requirements governing scientific exchange. #LI-CES IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more at https://jobs.iqvia.com IQVIA is proud to be 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, disability, status as a protected veteran, or any other status protected by applicable law. https://jobs.iqvia.com/eoe IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application must be truthful and complete. Any false statements, misrepresentations, or material omissions during the recruitment process will result in immediate disqualification of your application, or termination of employment if discovered later, in accordance with applicable law. We appreciate your honesty and professionalism. The potential base pay range for this role is 130,000-210,000 annually. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.
Chiesi USA Based in Parma, Italy, Chiesi is an international research-focused biopharmaceutical group with 90 years’ experience, operating in 31 countries. More than 8,000 employees across the group are united by a singular purpose: promoting a healthier world for our people, patients, and the planet. This is what drives us as we research, develop, and market innovative drugs across our main therapeutic areas. Discover more here. At Chiesi we are thinking generations ahead, driving sustainable innovation with purpose. This fosters a culture of reliability, transparency, and ethical behaviour at every level. As a Benefit Corporation and a certified B Corp, we have embedded sustainability in our bylaws and continuously measure our impact. Diversity, inclusion, and equal opportunity are at the heart of who we are. We believe our differences make us stronger. We are a vibrant ecosystem of passionate, talented individuals united by strong values, each bringing unique perspectives that help us to continuously challenge the status quo for the better. Chiesi Global Rare Diseases Chiesi Global Rare Diseases is a Chiesi Group’s business unit established in February 2020 and focused on research, development and commercialization of treatments and patient support services for rare and ultra-rare disorders, many of whom have limited or no treatments available. This unit is based in Boston, Massachusetts, with a strong synergy with the headquarters in Parma. Rare unit has a focus on research and product development for lysosomal storage diseases, rare hematology, ophthalmology disorders and rare immunodeficiencies. The unit is also a dedicated partner with global leaders in scientific research, patient advocacy and care. Discover more here. Who we are looking for This is what you will do The Senior Medical Science Liaison (Sr. MSL) has the primary responsibility of building key opinion leader (KOL) partnerships by engaging in the exchange of scientific data and other medical and/or scientific information with external stakeholders (HCPs, researchers, professional organization leadership, and formulary decision-makers) in Rare Dermatology across the West Coast. Scientific engagements include establishing and maintaining educational and research collaborations; delivery of clinical, scientific, and technical education; building long term peer to peer relationships with key stakeholders by establishing rapport, providing scientific education, including high level HEOR and RWE concepts, and listening with true curiosity to bring the customer’s voice into our organization in a robust manner. You’ll be responsible for: - Scientific Exchange, advice seeking and clinical development support: - Build external partnerships with recognized community and academic medical center KOLs to identify and address scientific needs and to stay abreast of current scientific trends in assigned Therapeutic Area. - Identify and develop key thought leaders (national, regional, and local) for medical education, clinical research and publication opportunities - Cultivate existing and identify new collaborative KOL relationships for advisory boards, company-sponsored, investigator-initiated research, and speaker development - Provide field insights gained to field managers and team for elevation within organization Identify opportunities and provide medical support including scientific education to healthcare professionals (HCPs) at key institutions - Foster professional relationships in key institutions for Chiesi USA within an assigned geography - Recognize opportunities to facilitate cross-functional engagement based on customer needs - High level awareness of HEOR and RWE concepts to be able to have dialogue and bring people with the correct level of expertise, if needed, to meet the customer’s needs. - Represent Chiesi USA Medical Affairs at national, regional, and local scientific meetings - Provide field-based medical affairs assistance for clinical research initiatives supported by the Company, related to Investigator Initiated trials, or collaborative initiatives - Deliver high-caliber medical education presentations in a variety of settings - Gather and disseminate competitive intelligence from multiple sources in accordance with Company policies - Participate in internal therapeutic advisory groups - Partner and plan with business partners in assigned region, to ensure alignment and to optimize customer experience - Therapeutic Support, Internal Collaboration, and Project Work: - Lead and support internal medical projects aligned to individual development plan - Support cross-functional projects and streamline medical input - Participate in and contribute to clinical research, medical education material development, as well as internal training initiatives - Contribute to monthly medical meetings including journal clubs and team meetings - Support new team members through mentoring and onboarding partnership activities - Administrative Work: - Accurate and timely completion of documentation of field activities, expense reporting and administrative reports - Complete required training on time and in full including assessment with an acceptable score - Take personal responsibility to continue to learn to maintain high level expertise in the assigned therapeutic area(s) and maintain any professional licensing/certifications You will need to have - Completion of a graduate level degree (PharmD., M.D., D.O, DNP, PhD, MSN, MS or equivalent healthcare professional degree) along with relevant clinical experience - 5-7 years MSL experience in Rare Disease assigned to the prospective candidate (exception for PhD candidates with requisite experience) - Builds and leverages strategic internal and external relationships to identify potential opportunities and partnerships to provide value and improve quality of care for providers and patients - Work effectively on diverse, multi–disciplinary teams to achieve desired outcomes through emphasizing team over self. - Demonstrates discipline and resilience through skillful planning, prioritization, and an ability to execute multiple responsibilities with minimal supervision in a highly dynamic work environment - High self-awareness and good people sense, maintains a growth mindset, positive attitude, and demonstrates flexibility during challenging situations - Demonstration of scientific and clinical expertise in assigned therapeutic area, including exceptional clinical, pharmacoeconomic and real-world evidence knowledge and business acumen - Exceptional Written and Verbal Communication skills: - - Highly articulate and persuasive during formal and informal presentations; able to convey complex, scientific ideas fluently to any audience - Has the ability to tactfully provide scientifically sound information to national, regional, and local key opinion leaders, and HCPs - Actively listens to understand, with true curiosity, to others, rather than listening to respond - Able to ask insightful, “why” type, questions that enhance understanding of others’ point of view - Adept at confidently stating expert opinion while respecting the positions of others - can exert diplomacy while standing firmly on evidence-based positions and maintain credibility - Utilizes effective, professional communications to cultivate strong working relationships with internal stakeholders and colleagues and external customers Location Field-Based/Remote position, up to 75% travel as necessary to meet job requirements; Candidates must reside in Central US territory, relocation services will not be offered. #LI-Remote Compensation The annual base pay for this position ranges from $183,870 to $224,730. Hourly and salaried non-exempt employees will also be paid overtime pay when working qualifying overtime hours. Base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, and experience. If hired, the employee will be in an “at-will position” and the Company reserves the right to modify base pay (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors. What we offer No matter where your path starts at Chiesi, it leads to inspiring possibilities. Your future is our focus, and we are committed to nurturing your development in our dynamic, friendly environment with access to resources and training every step of the way. We provide top-class benefits, including comprehensive healthcare programs, work-life balance initiatives, and robust relocation support. Our salary package is competitive, comprising a basic salary, performance bonuses, and benefits benchmarked against the external market. Additionally, we offer flexible working arrangements, remote work options, and tax assistance services for foreign colleagues, all designed to help you thrive. Chiesi USA is an equal opportunity employer committed to hiring a diverse work force at all levels of our business. All qualified applicants receive consideration for employment without regard to race, national origin, age, sex, religion, disability, marital status, veteran status, or any other basis protected by local, state or federal law. This policy applies with regard to all aspects of one’s employment, including hiring, transfer, promotion, compensation, eligibility for benefits and termination.
Labcorp is seeking a Sr. Medical Science Liaison – Precision Oncology (West Division) to join our team! Position Summary The Senior Medical Science Liaison (MSL) is a field-based scientific expert for Labcorp Oncology, dedicated to advancing the clinical understanding and appropriate use of tissue‑ and liquid‑based diagnostic solutions in precision oncology. This role builds strong, trusted relationships with key external experts; delivers impactful, evidence-based scientific exchange; and gathers strategic field insights that inform medical, clinical, and commercial decision‑making across the organization. Job Responsibilities: - Establish and maintain strategic relationships with Key Opinion Leaders (KOLs), academic institutions, community oncology practices, and health and hospital systems to enhance awareness of the company’s diagnostic solutions. - Develop, update, and deliver scientific and medical education (e.g., slide decks, abstracts, manuscripts, and clinical data presentations) to healthcare professionals and stakeholders, ensuring accurate and effective communication of emerging scientific evidence and clinical utility. - Lead and coordinate scientific engagement at academic and professional forums, including national and regional congresses, symposia, grand rounds, and continuing medical education (CME) programs, aligning content with unmet clinical needs and organizational priorities. - Serve as a subject matter expert for internal cross-functional partners (e.g., commercial, market access, clinical development, and marketing teams) by providing insights on clinical utility, biomarker strategies, competitive landscape, and evolving standards of care. - Provide regular scientific updates and educational briefings to internal stakeholders through internal presentations and cross-functional meetings to ensure alignment on emerging evidence and medical strategy. - Collaborate with cross-functional partners to identify opportunities for strategic KOL engagement, including educational initiatives, clinical research collaborations, and outreach to healthcare systems, academic institutions, health and hospital systems, and payer stakeholders to support appropriate product adoption. - Serve as Medical Affairs lead for Clinical Advisory Boards, including strategic planning, scientific agenda development, and facilitation of expert discussions. Ensure that insights generated from advisory boards are captured and translated into actionable medical and business strategies. - Identify opportunities to generate meaningful scientific insights through engagements with KOLs, focus groups, and advisory interactions, helping inform medical strategy, clinical development priorities, and product innovation. - Maintain deep scientific expertise in oncology care pathways, including cancer patient-management algorithms, molecular testing strategies, and the clinical utility of laboratory-developed tests (LDTs) and biomarker-driven diagnostics. - Respond to complex medical and scientific inquiries from healthcare providers and internal stakeholders in a timely, accurate, and compliant manner, ensuring appropriate documentation in customer relationship management (CRM) systems. - Support generation and dissemination of scientific evidence, including collaboration on research initiatives, abstract development, and manuscript preparation for peer-reviewed journals and scientific conferences. - Capture and communicate voice-of-customer (VOC) insights from the field to inform medical strategy, product development, and cross-functional decision-making. - Travel extensively within the assigned territory, with additional travel to national meetings and meetings as required (75%). - Perform other duties as assigned to support Medical Affairs objectives and organizational priorities. Minimum Qualifications: - 3 or more years of Medical Science Liaison (MSL) experience in biotechnology, diagnostics, or the pharmaceutical industry with PhD or PharmD Preferred Qualifications: - 5 or more years of work experience as a Medical Science Liaison in a diagnostic, biotech, pharmaceutical, or other life sciences company - PhD, PharmD in oncology, or precision oncology Additional Job Standards: - Demonstrated success in building champions of company's products - Applies advanced knowledge of the biotechnology, diagnostics and pharmaceutical industry to advance the medical and scientific objectives of our company - Subject matter expertise in cancer genomics. Knowledge of biomarker/therapeutic development - Excellent written and verbal communication skills. - Strong problem‑solving abilities, attention to detail, time‑management skills, and personal initiative. - Proficiency in Microsoft Office (PowerPoint, Excel, Word). - Demonstrated ability to work independently in a home‑based environment and manage multiple priorities. - Strong teamwork orientation. - Self‑directed, highly motivated, and adaptable within a dynamic, evolving environment. Travel Requirements: - Significant travel (up to 75%) to engage with KOLs and attend meetings, events, and conferences. Recognized as one of Forbes 2021 World’s Best Employers and named to Fast Company magazine’s list of 2021 Most Innovative Companies, Labcorp is seeking to hire a Medical Science Liaison to help identify and shape opportunities for our continued growth across our Labcorp Oncology segment. Labcorp Oncology believes in harnessing science to improve health and the lives of people with cancer. Over the last 25 years, Labcorp has played a historic role in launching some of the hallmark diagnostic testing for the treatment of cancer, including HER2, PD-L1, EGFR, BRAF, ALK, RET, and others. Application Window: 3/13/26 – 4/30/26 Pay Range: $180k - $210k All job offers will be based on a candidate’s skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data. The position is also eligible for an annual bonus under the Labcorp Bonus Plan. Bonuses are payable based on corporate and/or business segment performance and are subject to individual performance modifiers. Benefits: Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Employees regularly scheduled to work less than 20 hours, Casual, Intern, and Temporary employees are only eligible to participate in the 401(k) Plan. For more detailed information, please click here. Labcorp is proud to be an Equal Opportunity Employer: Labcorp strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications and merit of the individual. Qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, all qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law. We encourage all to apply If you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site or contact us at Labcorp Accessibility. For more information about how we collect and store your personal data, please see our Privacy Statement.
Medical Director, Children's Behavioral Health
Excellus BlueCross BlueShieldUPSTARS – продуктова IT-компанія, з якою злітають і люди, і бренди. Наш основний фокус – технологічні рішення та B2B-послуги для міжнародних клієнтів.
Job Description: Summary: This position assists the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit. This role supports the HARP line of business. Essential Accountabilities: Level I - Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services. Supports effective implementation of performance improvement initiatives for capitated providers. - Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members. Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements. - Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership. Oversees the activities of physician advisors. Utilizes the services of medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. Participates in provider network development and new market expansion as appropriate. Assists in the development and implementation of physician education with respect to clinical issues and policies. - Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components. Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care. Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality. Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment. - Develops alliances with the provider community through the development and implementation of the medical management programs. May represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues, as needed. Represents the business unit at appropriate state committees and other ad hoc committees - Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies’ mission and values and adhering to the Corporate Code of Conduct. - Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures. - Conducts periodic staff meetings to include timely distribution and education related to departmental and Ethics/Compliance information. - Regular and reliable attendance is expected and required. - Performs other functions as assigned by management. Level II (in addition to Level I Accountabilities) - Reviews medical literature and applies evidence-based principles using high proficiency skills for a broad range of clinical services. - Reviews internal trend reports to assess present and future needs and opportunities. - Interacts with regulatory and accreditation agencies as assigned. - Provides clinical support to the Sales and Marketing divisions - Provides clinical leadership for the implementation of new utilization/case/quality management initiatives Minimum Qualifications: Level I - Current New York State licensed physician. - Minimum 5 years of experience in a BH managed care settings or BH clinical setting (at least 2 of which are in a clinical setting). - Board certification in general psychiatry or certification in addiction medicine or certification in the subspecialty of addiction psychiatry. - Appropriate training and expertise in general psychiatry and/or addiction disorders. - Ability to identify, analyze and resolve complex medical issues. - Skills in evidence-based medicine. - Strong interpersonal skills essential for communication to staff at all levels of the organization., - Basic skill sets in electronic communication systems such as e-mail and Word. Level II (in addition to Level I Minimum Qualifications) - Superior evidence-based medicine skill set - Strong interpersonal skills essential for communication to physicians in the community. - Strong verbal presentation skills to lead internal and external discussions at board levels - Advanced skill sets in electronic communication systems such as e-mail, Word, PowerPoint, and Excel. Physical Requirements: - Works from a desk most of the time. ************ In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): $202,000.00 - $303,000.00 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position’s minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the Excellus Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.


