It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances. Job Summary: The Clinical Care Manager provides holistic medical care management services for members throughout the continuum of care by assessing the member clinically as well as member’s readiness to make behavioral changes and actively participate in a care plan, establish goals and meet those goals. Well Sense Health Plan members may include those who have chronic conditions and complex care needs, including those considered to be the highest risk members those who are homeless, undergoing organ transplantation, have multiple clinical and behavioral co-morbid conditions, and with special health care needs. The clinician works collaboratively with a multidisciplinary team (both internal and external) including providers, our clinical vendor partners (behavioral health, pharmacy, etc.) and community/ State agencies to increase patient knowledge, motivation, and compliance with treatment through targeted interventions that address the member’s holistic needs from a medical and psychosocial/socioeconomic standpoint. Following this approach, the goal is to improve member health outcomes and decrease overall cost while improving the member’s overall experience with the health care delivery system. Utilizing both telephonic outreach and face to face member visits and through the use of assessments, real-time data, motivational interviewing techniques and evidence-based practices, the Clinical Care Manager engages with the member and the multidisciplinary team to develop an Individual Care Plan (ICP) that emphasizes self-management goals, care coordination, psychosocial, socioeconomic, and community-based supports and on-going monitoring and appropriate follow up. The Clinical Care Manager identifies and addresses barriers to optimal self-management and works with the member, their support persons, and team to coordinate care throughout the health care continuum, assisting the member to access all available benefits and resources including family support and community resources, with a goal of promoting appropriate utilization of services at the appropriate level and site of care such as preventing ambulatory sensitive emergency department visits and inpatient admissions, avoiding readmissions, and encouraging the member to keep scheduled outpatient appointments to include preventive care visits. The clinical care manager may meet members in their homes, shelters, provider offices, medical facilities, and at locations agreed upon with the member. Our Investment in You: · Full-time remote work · Competitive salaries · Excellent benefits Key Functions/Responsibilities: · Completes a targeted general assessment and applicable condition specific assessments. · Evaluates members’ need for complex care management, disease management or chronic condition management. · Collaboratively develops an individual care plan with the member focusing on the member’s goals and objectives, identifying strategies, supports and/or services needed to achieve short and long term goals. · Identifies and addresses barriers to optimal self-management and works with the member and team to coordinate care throughout the health care continuum. · Assists the member to access all available benefits and resources including family support and community resources. · Utilizes motivational interviewing techniques to engage members in care management and to coach members regarding health promotion, disease management and preventive health strategies. · Uses real-time data from electronic medical records, where available. · Uses BMCHP reporting to access member medical and pharmacy utilization reports, sharing with PCP, to promote medication compliance and action plans. · Supports and enhances the member’s capacity to self-manage. · Evaluates the effectiveness of the care management provided to the member on an on-going basis and updates the ICP accordingly. · Utilizes evidence-based practices and guidelines to educate members on specific disease processes. · Provides or arranges for resources necessary to meet members’ psychosocial and socioeconomic needs. · Promotes and encourages member collaboration with the primary care provider and other health care providers. · Completes documentation in the medical management information system real-time during face-to-face meetings, by phone, and in a timely manner and in keeping with contractual requirements, internal policy and NCQA accreditation standards. Facilitates multidisciplinary consultation on members’ behalf through participation in rounds, team meetings and clinical reviews. · Conducts face-to-face visits with members and providers, community and state agencies, as appropriate. · Assists with staff training and mentoring. · Refers cases to Social Care Management, Behavioral Health Care Management, and Community Health Worker staff, as clinically indicated. · Consults with and refers members to the multidisciplinary team, as appropriate. · Coordinates member care transitions through pre-admission assessments, post-discharge assessment and follow-up to ensure appointment is made with the PCP or Specialist; assessing for home health services, DME needs, and transportation issues; performing medication reconciliation; ensuring compliance with discharge plan, appointments and medication regimen. · Uses available standardized educational materials in an appropriate reading level to educate members about their conditions. · Monitor members’ labs, tests results, appointments and other data in order to best coordinate care utilizing EMR (where available and appropriate) and the Plan’s care management software. · Maintains HIPPA standards and confidentiality of protected health information. · Demonstrates strong knowledge of contractual requirements of all BMCHP/Well Sense products and provides cross coverage across product lines when needed. · Participates in after hours on call coverage rotation when requested. · Adheres to departmental/organizational policies and procedures. · Other duties as assigned. Supervision Received: · Weekly and on-going from Manager of Care Management Qualifications: Education: · Bachelor’s degree in nursing or Associate’s degree in Nursing and relevant work experience. Experience: · 3 years related experience in home health care or managed care organization · 3 years clinical experience with members who have multiple, chronic or complex health conditions · 2 years experience in care management, care coordination and/or discharge planning Preferred/Desirable: · Experience working with Medicaid recipients and community services · Experience with FACETS, CCMS, Interqual or other healthcare database Certification or Conditions of Employment: · Pre-employment background check · Current unrestricted, applicable, state license to practice as a Registered Nurse or state licensed independent clinical social worker preferred. · CCM certification preferred · Regular and reliable transportation and the ability to conduct face-to-face appointments with members, providers, community and state agencies Competencies, Skills, and Attributes: · Strong Motivational Interviewing skills · Strong oral and written communication skills · Ability to effectively collaborate with health care providers and all members of the multidisciplinary team · Strong technical skills and ability to document in the Plan’s care management documentation system in real-time when meeting with members and providers in-person or by phone. · Demonstrated organizational and time management skills · Able to work in a fast paced environment and multi task · Experience with Microsoft Office application, particularly MS Outlook and MS Word and other data entry processing applications · Strong analytical and clinical problem solving skills Working Conditions and Physical Effort: · Regular and reliable attendance is an essential function of the position. · Work may be performed in a typical interior/office work environment or in a home office except when conducting face-to-face visits. · Face-to-face visits may be conducted in a member’s home, shelters, physician practices, hospitals, or at a mutually agreed upon location between the member and the care manager and also with community and state agencies, as appropriate. · No or very limited physical effort required. No or very limited exposure to physical risk. Compensation Range: $74,000 - $107,000 This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensure as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, WellSense offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family wellbeing. Note: This range is based on Boston-area data, and is subject to modification based on geographic location. About WellSense WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances. WellSense is committed to the diversity and inclusion of staff and their members. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. WellSense participates in the E-Verify program to electronically verify the employment eligibility of newly hired employees

Role Description This is a fully remote position. Candidates from Canada will be considered. This junior level position will work closely with the entire clinical team in the US, Canada and UK and report to the Manager of U.S. Clinical Reservations. - Manage domestic and international travel requests received through our secure HIPAA/GDPR-compliant portal. - Book and coordinate all aspects of patient travel, including air, hotel, rental car, sedan service, ground ambulance, and other specialized medical arrangements. - Demonstrate empathy and compassion when interacting with patients, caregivers, and clients. - Liaise with pharmaceutical clients to ensure seamless communication and support for sponsored patients. - Collaborate with team members and participate in regular meetings to ensure alignment and consistency. - Resolve travel-related issues quickly and effectively with a focus on patient care. - Apply creative thinking to develop solutions for complex or urgent travel needs. - The candidate will go through training to become GCP certified (Good Clinical Practice). Qualifications - Bachelor’s degree in business, hospitality, or a related field, or an equivalent combination of education and relevant work experience. - 3+ years of experience as a Travel Advisor, with demonstrated expertise in client service and travel coordination. - Strong proficiency in Sabre GDS is required. - Excellent verbal and written communication skills. - Proficient in keyboarding and general computer use. - Strong time management skills with the ability to juggle multiple projects and priorities. - Fast learner with the ability to quickly adapt to new systems and processes. - Proven ability to handle sensitive patient information with discretion and professionalism. - Experience working in a collaborative, fast-paced, team-oriented environment. - Must have legal authorization to work in Canada without sponsorship. Requirements - Salary: $49,400 - $55,000/yr. Benefits - In addition to Medical, Dental, and Vision benefits, Direct Travel offers a Total Rewards Package which includes Retirement Plans, Wellness, Rewards and Recognition, Sustainability, DE&I initiatives, and Mental Health Support. - Direct Travel is an EOE/AA/Veteran/People with Disabilities employer.

When our values align, there's no limit to what we can achieve. At Parexel, we all share the same goal - to improve the world's health. From clinical trials to regulatory, consulting, and market access, every clinical development solution we provide is underpinned by something special - a deep conviction in what we do. Each of us, no matter what we do at Parexel, contributes to the development of a therapy that ultimately will benefit a patient. We take our work personally, we do it with empathy and we're committed to making a difference. If you want to be part of a leading CRO and transform scientific discoveries into new treatments, then Parexel FSP challenges you to live up to your potential by joining us at Global Site Start-Up II, home-based and sponsor dedicated, in Poland/Spain/Romania/Serbia/Ukraine. In this role you will be is accountable for the global execution of site activation for assigned clinical trials, performing responsibilities with moderate oversight. The Global SSU Lead is accountable for ensuring site start-up is efficient, timely and in accordance with sponsor Standard Operating Procedures (SOPs) and ICH/GCP. This role applies to internally sourced studies and studies outsourced to Clinical Research Organizations (CROs) and the balance of direct leadership versus oversight will vary accordingly. Contributes to ongoing process improvement initiatives. We are looking for hard-working, talented, high-caliber people. We know that employee satisfaction leads to customer satisfaction, which is the ultimate driver of long-term success. As the company that conducts vital clinical studies for sponsors, including the world's leading biotech’s and top 50 pharmaceutical companies, we offer you enormous security and long-term prospects. You will work from your home office base, supporting studies within their country or region. ‘Manageable sites, manageable protocols’ is our mantra. Expect exciting professional challenges in inspiring studies, but with time for your outside life. The most significant aspect of this position is Site Start-up Strategy - Develop the site start up strategy for each study, outlining all dependencies impacting site activation and actively mitigating and escalating risks. Oversee the tracking and analysis of study metrics, including risks and mitigation strategies and to evaluate CRO performance and implement corrective actions. - Advocate for optimized site selection strategies, leveraging data-driven insights to guide cross-functional teams toward effective decision-making. - Lead the development, assessment, and alignment of site activation projections, ensuring cross-functional and CRO collaboration to meet strategic objectives. - Ensure comprehensive and compliant documentation of site start-up materials in the Trial Master File (TMF) to maintain inspection readiness. Country Start-up - Partner with cross functional and CRO partners (where applicable) to develop a comprehensive global country start up strategy, outlining all dependencies impacting country start up and actively mitigating and escalating risks cross functionally. - Monitor and maintain country intelligence data to support informed decision-making and develop accurate startup projections and strategic plans. - Support regulatory submissions as needed, including activities such as providing required site documentation, coordinating submissions to Central Institutional Review Boards (CIRBs), supporting sites with Local Institutional Review Board (LIRB) submissions, and handling or supervising Clinical Research Organization (CRO) insurance requests, etc. - Ensure timely country submission deliverables (ensure task completion; all roles clarity, identification of critical path items, effective communication pathway). Site Start up Management - Lead and oversee all aspects of site start-up activities, including fast-track site initiation, site calls, document collection, and milestone tracking, ensuring timely and efficient completion of processes. - Serve as the subject matter expert for essential site documents, providing training, guidance, and support to teams and sites on regulatory requirements, document management, and TMF filing. - Oversee CRO site start up management or in house site facing regional SSU team, where applicable - Lead the collection and analysis of site intelligence to support strategic site selection and site start-up. - Oversee the preparation and approval of site regulatory package, ensuring compliance with country-specific requirements, TMF standards, and ICH-GCP guidelines, while supporting inspection readiness and maintaining high-quality site documentation. Team Interactions - Represent SSU on cross-functional teams, providing updates, escalating challenges, and proposing mitigation strategies for site start-up issues. - Act as the escalation point for CRO and internal team to ensure timely SSU issue resolution Process Improvement - Recommends and participates in cross functional and department process improvements. - May require up to 25% travel From you we expect - Bachelor degree - Minimum 4 - 6 years regulatory submission experience at global level, regulatory document management in Pharmaceutical /CRO industry , understanding of clinical study start up requirements and working knowledge of relevant documentation. - Project Management and Clinical Trial Management experience is a must. - Demonstrated interpersonal & leadership skills - Ability to understand and implement the operational strategic direction and guidance for respective clinical studies - A data driven approach to planning, executing, and problem solving - Effective communication skills via verbal, written and presentation abilities - Proactive and self-disciplined, ability to meet deadlines, effective use of time, and prioritization - Ability to influence and negotiate across key stakeholders - Ability to build productive study teams collaborations - Experience in the clinical drug development process, with expertise in study start-up - Demonstrated vendor management experience - Technical proficiency in trial management systems (CTMS, TMF) and MS applications including (but not limited to) Project, PowerPoint, Word, Excel - Knowledge of ICH/GCP and regulatory guidelines/directives - Effective project management skills, cross-functional team interaction and organizational skills For an immediate interview, please contact marta.kuniewicz@parexel.com

When our values align, there's no limit to what we can achieve. At Parexel, we all share the same goal - to improve the world's health. From clinical trials to regulatory, consulting, and market access, every clinical development solution we provide is underpinned by something special - a deep conviction in what we do. Each of us, no matter what we do at Parexel, contributes to the development of a therapy that ultimately will benefit a patient. We take our work personally, we do it with empathy and we're committed to making a difference. If you want to be part of a leading CRO and transform scientific discoveries into new treatments, then Parexel FSP challenges you to live up to your potential by joining us at Global Site Start-Up II, home-based and sponsor dedicated, in Poland/Spain/Romania/Serbia/Ukraine. In this role you will be is accountable for the global execution of site activation for assigned clinical trials, performing responsibilities with moderate oversight. The Global SSU Lead is accountable for ensuring site start-up is efficient, timely and in accordance with sponsor Standard Operating Procedures (SOPs) and ICH/GCP. This role applies to internally sourced studies and studies outsourced to Clinical Research Organizations (CROs) and the balance of direct leadership versus oversight will vary accordingly. Contributes to ongoing process improvement initiatives. We are looking for hard-working, talented, high-caliber people. We know that employee satisfaction leads to customer satisfaction, which is the ultimate driver of long-term success. As the company that conducts vital clinical studies for sponsors, including the world's leading biotech’s and top 50 pharmaceutical companies, we offer you enormous security and long-term prospects. You will work from your home office base, supporting studies within their country or region. ‘Manageable sites, manageable protocols’ is our mantra. Expect exciting professional challenges in inspiring studies, but with time for your outside life. The most significant aspect of this position is Site Start-up Strategy - Develop the site start up strategy for each study, outlining all dependencies impacting site activation and actively mitigating and escalating risks. Oversee the tracking and analysis of study metrics, including risks and mitigation strategies and to evaluate CRO performance and implement corrective actions. - Advocate for optimized site selection strategies, leveraging data-driven insights to guide cross-functional teams toward effective decision-making. - Lead the development, assessment, and alignment of site activation projections, ensuring cross-functional and CRO collaboration to meet strategic objectives. - Ensure comprehensive and compliant documentation of site start-up materials in the Trial Master File (TMF) to maintain inspection readiness. Country Start-up - Partner with cross functional and CRO partners (where applicable) to develop a comprehensive global country start up strategy, outlining all dependencies impacting country start up and actively mitigating and escalating risks cross functionally. - Monitor and maintain country intelligence data to support informed decision-making and develop accurate startup projections and strategic plans. - Support regulatory submissions as needed, including activities such as providing required site documentation, coordinating submissions to Central Institutional Review Boards (CIRBs), supporting sites with Local Institutional Review Board (LIRB) submissions, and handling or supervising Clinical Research Organization (CRO) insurance requests, etc. - Ensure timely country submission deliverables (ensure task completion; all roles clarity, identification of critical path items, effective communication pathway). Site Start up Management - Lead and oversee all aspects of site start-up activities, including fast-track site initiation, site calls, document collection, and milestone tracking, ensuring timely and efficient completion of processes. - Serve as the subject matter expert for essential site documents, providing training, guidance, and support to teams and sites on regulatory requirements, document management, and TMF filing. - Oversee CRO site start up management or in house site facing regional SSU team, where applicable - Lead the collection and analysis of site intelligence to support strategic site selection and site start-up. - Oversee the preparation and approval of site regulatory package, ensuring compliance with country-specific requirements, TMF standards, and ICH-GCP guidelines, while supporting inspection readiness and maintaining high-quality site documentation. Team Interactions - Represent SSU on cross-functional teams, providing updates, escalating challenges, and proposing mitigation strategies for site start-up issues. - Act as the escalation point for CRO and internal team to ensure timely SSU issue resolution Process Improvement - Recommends and participates in cross functional and department process improvements. - May require up to 25% travel From you we expect - Bachelor degree - Minimum 4 - 6 years regulatory submission experience at global level, regulatory document management in Pharmaceutical /CRO industry , understanding of clinical study start up requirements and working knowledge of relevant documentation. - Project Management and Clinical Trial Management experience is a must. - Demonstrated interpersonal & leadership skills - Ability to understand and implement the operational strategic direction and guidance for respective clinical studies - A data driven approach to planning, executing, and problem solving - Effective communication skills via verbal, written and presentation abilities - Proactive and self-disciplined, ability to meet deadlines, effective use of time, and prioritization - Ability to influence and negotiate across key stakeholders - Ability to build productive study teams collaborations - Experience in the clinical drug development process, with expertise in study start-up - Demonstrated vendor management experience - Technical proficiency in trial management systems (CTMS, TMF) and MS applications including (but not limited to) Project, PowerPoint, Word, Excel - Knowledge of ICH/GCP and regulatory guidelines/directives - Effective project management skills, cross-functional team interaction and organizational skills For an immediate interview, please contact marta.kuniewicz@parexel.com