Medical Director   Must Live In Massachusetts Massachusetts WFH   Full time   Job Summary: The Medical Director is responsible for supporting staff by providing training, clinical consultation, and clinical case review for members.   Essential Functions: - Provide prior authorization medical reviews, consultation and clinical review services - Participate in peer-to-peer discussions - Provide provider education, training, data sharing, performance evaluations and orientation to the plan - Conduct clinical reviews for designated CareSource members as requested - Provide physician review for clinical appeals cases - Participate in the evaluation and investigations of cases suspected of fraud, abuse, and quality of care concerns - Participate in development of policies and procedures - Participates in quality improvement initiatives, case management activities and member safety activities (i.e. incident management - Provide cross-coverage for other Medical Directors and/or markets, as needed - Oversight and quality improvement activities associated with case management activities - Assist in the review of utilization data to identify variances in patterns, and provide feedback and education to MCP staff and providers as appropriate - Participate in the development, implementation and revision of the clinical care standards and practice guidelines ensuring compliance with nationally accepted quality standards - Participate in the development, implementation and revision of the Quality Improvement Plan and corporate level quality initiatives - Collaborate with market/product leaders to help define market strategy - Community collaborative participation - Support of regulatory and accreditation functions (eg. CMS, State, NCQA and URAC) and compliance for all programs  - Perform any other job related instructions, as requested   Education and Experience: - Completion of an accredited Medical Degree program as a medical doctor (MD) or Doctor of Osteopathic (DO) medicine is required - Successful completion of a residency training program, preferably in primary care is required - Minimum of five (5) years of clinical practice experience is required - Managed care medical review/medical director experience is preferred - Bachelor's or Master's degree in Business Administration, Operational Excellence, Healthcare Administration or Medical Management is preferred   Competencies, Knowledge and Skills: - Basic Microsoft Word skills - Excellent communication skills, both written and oral - Ability to work well independently and within a team environment - Ability to create strong relationships with Providers and Members - High ethical standards - Attention to detail - Critical listening and systematic thinking skills - Ability to maintain confidentiality and act in the company’s best interest - Ability to act with diplomacy and sensitivity to cultural diversity - Decision making/problem solving skills - Conflict resolution skills - Strong sense of mission and commitment of time, effort and resources to the betterment of the communities served   Licensure and Certification: - Current, unrestricted license to practice medicine in  state of practice as necessary to meet regulatory requirements is required - Board Certification, preferably in primary care specialty is required - Re-certification, as required by specialty board, must be maintained (exceptions may be granted by Chief Medical Officer) - MCG Certification is required or must be obtained within six (6) months of hire   Working Conditions: - General office environment; may be required to sit or stand for extended periods of time - May be required to work evenings/weekends - May be required to travel to fulfill duties of position   Compensation Range: $195,200.00 - $341,600.00 CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.   Compensation Type (hourly/salary): Salary   Organization Level Competencies - Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business   This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds. #LI-SW2

Location: Remote in England / Scotland Hello, we at AMBOSS are currently looking for a full-time medical doctor to support our B2B Sales Team. About AMBOSS AMBOSS is a dynamic learning and clinical decision support tool committed to empowering physicians globally to deliver optimal care. Since our inception in 2012, we've harnessed cutting-edge technology to transform the way physicians acquire and apply scientific knowledge. Each AMBOSSian is passionate about being the champion of clinicians today - this motivates and unites us each day towards success. And what does success look like? When a clinician or med student tells us, “AMBOSS makes practicing medicine easier and enjoyable. I love what I do, and a big part is because of AMBOSS.” Want to learn more about our culture? Watch our video to explore what makes us unique. Why can this position be exciting for you? Have you used AMBOSS? Then you already know how much time our solution can save and how much of a difference it makes. Even if you are not a user but have completed your medical degree and are keen to actively build long-term partnerships with hospitals, this could be the job for you! Your goal would be to promote the growth of AMBOSS and help bring it to hospitals and clinics. Your contributions will directly support our mission to equip trainee doctors and physicians in the UK with the best medical knowledge for delivering exceptional care. This dynamic role offers a mix of market strategy creation, business development, and marketing, providing opportunities to embrace your entrepreneurial spirit. Most importantly, you’ll see your impact firsthand—one medical resident and one doctor at a time. You will: - First, you and your team plan which potential hospital and trusts partners in the UK and in other regions in Europe do not yet offer their doctors an AMBOSS license. - You will engage with active users and relevant decision-makers, building strong relationships while also extending our partnerships beyond universities into their affiliated hospitals so we can empower users throughout their medical journey. - Depending on the target group, you will conduct needs analyses or create effective presentations tailored to the needs and requirements of the respective hospital partner. - You are the interface between doctors and the various teams within AMBOSS, such as Customer Success, Sales Operations, and Marketing. - Due to your proximity to the hospital, you can plan projects and events on behalf of AMBOSS - there are always opportunities to get involved and implement your ideas! - You ensure being a reliable partner to clinics, from the initial approach to successful implementation. - You will work closely with our Data Team and Sales Operations to analyze and evaluate usage data. - You will represent AMBOSS at events and actively network to increase brand awareness. - You will drive product and commercial partnerships with other businesses in the field to drive awareness and revenue - You will test newly implemented concepts and newly developed products like AMBOSS AI Mode. - Assess product market - fit of AMBOSS for the UK. Needing knowledge of the practice guidelines and how the licensing works in the different trusts across the UK - You'll also have the chance to branch out and support our other European markets as we grow You bring: - Medical background: You have a licensed medical degree from a country in the UK, ideally complemented by clinical experience to ensure a deep understanding of the challenges in healthcare. - Strong communication skills: You can adapt your language to persuade diverse stakeholders and feel comfortable presenting ideas clearly and effectively. - Curious and open to new things: Ability to understand customer needs and stay informed about the current state of the art in the medical and EdTech sector in order to integrate solutions into your own work. - Enthusiasm for digitalization: Strong interest in digital solutions and their positive impact on medical education and everyday clinical practice. - Networking experience or strong interest in relationship building in the healthcare sector. - Willingness to travel: Enjoy traveling and getting to know different hospitals and clinics and physicians in the UK region. - Project management skills: Efficiently manage multiple parallel projects, especially in a dynamic environment such as healthcare. - Independent working style: Ability to work independently and in a structured manner, including excellent organizational and time management skills. *This is a full-time role, and we’re looking for someone who can dedicate their 40 hours per week and make a meaningful impact in medical education. Benefits: 🧠 Learning & Development (Internal & external trainings, workshops & hackathons, AI cross-talks & seminars, Blinkist access, and more..) ☀️ Work From Somewhere Sunny (Access to our offices in Cagliari and Cape Town, visit the HQs, Berlin in summer) Check out the full list of benefits below: https://go.amboss.com/the-amboss-prescription-remote We believe that diversity is a powerful driver of innovation and progress. That’s why we are committed to fostering an inclusive, respectful, and supportive environment where everyone—regardless of gender, age, ethnic or cultural background, religion, disability, sexual orientation, gender identity—is valued and given equal opportunity to thrive. We warmly welcome people of all backgrounds to help us fulfil our mission: empowering all medical professionals to provide the best possible care 🩺

Location: Remote in England / Scotland Hello, we at AMBOSS are currently looking for a full-time medical doctor to support our B2B Sales Team. About AMBOSS AMBOSS is a dynamic learning and clinical decision support tool committed to empowering physicians globally to deliver optimal care. Since our inception in 2012, we've harnessed cutting-edge technology to transform the way physicians acquire and apply scientific knowledge. Each AMBOSSian is passionate about being the champion of clinicians today - this motivates and unites us each day towards success. And what does success look like? When a clinician or med student tells us, “AMBOSS makes practicing medicine easier and enjoyable. I love what I do, and a big part is because of AMBOSS.” Want to learn more about our culture? Watch our video to explore what makes us unique. Why can this position be exciting for you? Have you used AMBOSS? Then you already know how much time our solution can save and how much of a difference it makes. Even if you are not a user but have completed your medical degree and are keen to actively build long-term partnerships with hospitals, this could be the job for you! Your goal would be to promote the growth of AMBOSS and help bring it to hospitals and clinics. Your contributions will directly support our mission to equip trainee doctors and physicians in the UK with the best medical knowledge for delivering exceptional care. This dynamic role offers a mix of market strategy creation, business development, and marketing, providing opportunities to embrace your entrepreneurial spirit. Most importantly, you’ll see your impact firsthand—one medical resident and one doctor at a time. You will: - First, you and your team plan which potential hospital and trusts partners in the UK and in other regions in Europe do not yet offer their doctors an AMBOSS license. - You will engage with active users and relevant decision-makers, building strong relationships while also extending our partnerships beyond universities into their affiliated hospitals so we can empower users throughout their medical journey. - Depending on the target group, you will conduct needs analyses or create effective presentations tailored to the needs and requirements of the respective hospital partner. - You are the interface between doctors and the various teams within AMBOSS, such as Customer Success, Sales Operations, and Marketing. - Due to your proximity to the hospital, you can plan projects and events on behalf of AMBOSS - there are always opportunities to get involved and implement your ideas! - You ensure being a reliable partner to clinics, from the initial approach to successful implementation. - You will work closely with our Data Team and Sales Operations to analyze and evaluate usage data. - You will represent AMBOSS at events and actively network to increase brand awareness. - You will drive product and commercial partnerships with other businesses in the field to drive awareness and revenue - You will test newly implemented concepts and newly developed products like AMBOSS AI Mode. - Assess product market - fit of AMBOSS for the UK. Needing knowledge of the practice guidelines and how the licensing works in the different trusts across the UK - You'll also have the chance to branch out and support our other European markets as we grow You bring: - Medical background: You have a licensed medical degree from a country in the UK, ideally complemented by clinical experience to ensure a deep understanding of the challenges in healthcare. - Strong communication skills: You can adapt your language to persuade diverse stakeholders and feel comfortable presenting ideas clearly and effectively. - Curious and open to new things: Ability to understand customer needs and stay informed about the current state of the art in the medical and EdTech sector in order to integrate solutions into your own work. - Enthusiasm for digitalization: Strong interest in digital solutions and their positive impact on medical education and everyday clinical practice. - Networking experience or strong interest in relationship building in the healthcare sector. - Willingness to travel: Enjoy traveling and getting to know different hospitals and clinics and physicians in the UK region. - Project management skills: Efficiently manage multiple parallel projects, especially in a dynamic environment such as healthcare. - Independent working style: Ability to work independently and in a structured manner, including excellent organizational and time management skills. *This is a full-time role, and we’re looking for someone who can dedicate their 40 hours per week and make a meaningful impact in medical education. Benefits: 🧠 Learning & Development (Internal & external trainings, workshops & hackathons, AI cross-talks & seminars, Blinkist access, and more..) ☀️ Work From Somewhere Sunny (Access to our offices in Cagliari and Cape Town, visit the HQs, Berlin in summer) Check out the full list of benefits below: https://go.amboss.com/the-amboss-prescription-remote We believe that diversity is a powerful driver of innovation and progress. That’s why we are committed to fostering an inclusive, respectful, and supportive environment where everyone—regardless of gender, age, ethnic or cultural background, religion, disability, sexual orientation, gender identity—is valued and given equal opportunity to thrive. We warmly welcome people of all backgrounds to help us fulfil our mission: empowering all medical professionals to provide the best possible care 🩺

Job Type: Full-time, long-term contractor Workplace: Remote Schedule: Full-time, aligned with U.S. business hours (Pacific Time Zone) Compensation: $500 - $600 USD Join our dynamic personal injury law firm as a Medical Records Clerk, where you'll play a crucial role in supporting daily operations and client care. This associate-level position involves managing medical documentation, coordinating with healthcare providers, and maintaining clear communication with clients throughout their cases. You'll be responsible for analyzing medical records, handling billing processes, and ensuring all documentation is properly organized and itemized. The role requires strong attention to detail and the ability to work both independently and collaboratively within our legal team. This is an excellent opportunity to contribute to meaningful client outcomes in a fast-paced legal environment. A dedicated personal injury law firm committed to providing comprehensive legal support and achieving favorable outcomes for clients navigating complex medical and legal challenges. We seek a detail-oriented professional who maintains exceptional standards in all communications while consistently meeting deadlines and quotas. The ideal candidate excels at multitasking and adapts seamlessly between independent work and collaborative team environments, always upholding a professional demeanor in every interaction. • Maintain regular client communication and provide comprehensive status updates to healthcare providers • Draft professional request letters and obtain final medical balances for case resolution • Assemble, organize, and itemize client medical bills with precision and accuracy • Analyze medical records and bills to ensure completeness and accuracy for case proceedings • Process Health Insurance Subrogation Claims and confirm corresponding lien agreements are properly filed