• Lead and develop a territory‑aligned team of remote Patient Care Coordinators (PCC‑Rs), ensuring strong performance, accountability, and engagement. • Manage and allocate PCC‑R coverage to support clinic volume demands, including PTO, vacancies, growth needs, and high‑volume periods. • Oversee and ensure consistent execution of patient access workflows, including referrals, scheduling, benefits verification, authorizations, and EMR documentation. • Monitor territory access metrics (e.g., referral aging, scheduling lag, arrival rates), identify performance trends, and implement corrective action plans when standards are not met. • Partner with Clinic Directors, Vice Presidents of Operations, and Regional VPs to support field PCC performance and improve access outcomes. • Serve as the territory subject matter expert for patient access operations, providing visibility into performance metrics and ensuring consistent service delivery across clinics. • Other projects and duties as assigned.

Role Description Join the Upstream Rehabilitation team as a Patient Access Manager, where you’ll play a key role in delivering meaningful patient experiences. This remote leadership role drives patient access performance across assigned clinics by leading a team of remote Patient Care Coordinators and partnering closely with Operations leadership to monitor access metrics and ensure consistent execution of referral management, scheduling support, insurance verification, and coverage. Your work will directly support Upstream’s mission, vision, and values. - Lead and develop a territory-aligned team of remote Patient Care Coordinators (PCC-Rs), ensuring strong performance, accountability, and engagement. - Manage and allocate PCC-R coverage to support clinic volume demands, including PTO, vacancies, growth needs, and high-volume periods. - Oversee and ensure consistent execution of patient access workflows, including referrals, scheduling, benefits verification, authorizations, and EMR documentation. - Monitor territory access metrics (e.g., referral aging, scheduling lag, arrival rates), identify performance trends, and implement corrective action plans when standards are not met. - Partner with Clinic Directors, Vice Presidents of Operations, and Regional VPs to support field PCC performance and improve access outcomes. - Serve as the territory subject matter expert for patient access operations, providing visibility into performance metrics and ensuring consistent service delivery across clinics. - Other projects and duties as assigned. Qualifications - High school diploma or equivalent. - 4+ years of experience in healthcare patient access or front-office operations. - 2+ years of direct people leadership experience. - Experience leading and coaching remote teams, with accountability for performance management and corrective action. - Ability to analyze performance metrics, identify operational issues, and develop actionable improvement plans. - Strong cross-functional communication skills, partnering effectively with field and operations leaders. - Proven ability to manage workforce allocation, coverage planning, and workflow compliance. - Skilled at translating territory-level priorities into clear, structured daily execution for teams. Requirements - 5+ years of experience in a healthcare/medical practice setting (Nice to Haves). - Multi-site or territory-level oversight experience (Nice to Haves). Benefits - Annual paid Charity Day to give back to a cause meaningful to you. - 100% employer paid medical health insurance premium option available. - Dental and Vision insurance. - 401(k) with company match. - Generous PTO and paid holidays. - Supportive team and leadership invested in your success.

• Lead negotiations and maintain strategic relationships with regional and BCBS commercial payers to secure optimal reimbursement, coverage, and contract performance. • Execute payer strategies that align to corporate strategies, while monitoring changes in reimbursement models, regulatory environments, and commercial insurance dynamics. • Oversee and optimize existing payer contracts to ensure alignment with payer policies, operational requirements, and internal workflows. • Serve as the primary point of contact with external stakeholders, monitoring updates to reimbursement methodologies, coverage criteria, and state‑specific policy changes and communicating impacts internally. • Build and strengthen multi‑level payer relationships across medical policy, contracting, network management, utilization management, government affairs, and legal teams to advance enterprise objectives. • Collaborate with Sales, Billing, Authorization, Medical Policy, Government Affairs, Legal, and senior leadership to resolve payer specific challenges, align on strategic priorities, and implement process improvements. • Identify and execute opportunities for coverage expansion, revenue growth, and operational enhancements using data, market intelligence, and payer insights, providing leadership with informed recommendations to guide decision-making. • Lead multiple payer focused initiatives simultaneously, applying strong project management discipline in a fast-paced environment while maintaining clear communication. • Monitor and communicate emerging trends across regional commercial markets to inform strategic decision‑making and maintain organizational alignment.

Role Description The Pharmacovigilance (PV) Manager – Benefit Risk is a senior safety professional responsible for leading and overseeing benefit-risk evaluation activities across assigned products and client portfolios. This role ensures the continuous assessment of product safety profiles through structured signal evaluation, safety data analysis, and integrated benefit-risk assessments in compliance with global regulatory requirements, including ICH E2E, ICH E2C(R2), EMA GVP Modules V and IX, and FDA guidance. The PV Manager – Benefit Risk acts as a subject matter expert in benefit-risk methodology, collaborating cross-functionally with signal management, aggregate reporting, medical review, clinical, and regulatory teams to support proactive safety surveillance and informed decision-making throughout the product lifecycle. Essential Functions - Lead and oversee benefit-risk assessments for assigned products, ensuring a proactive and continuous evaluation of safety and efficacy data. - Author and review benefit-risk sections for aggregate reports (PSURs/PBRERs, DSURs, PADERs), risk management plans (RMPs), and other regulatory documents. - Collaborate closely with Signal Management teams to evaluate and contextualize safety signals within the overall benefit-risk profile. - Perform structured benefit-risk evaluations using qualitative and quantitative methodologies (e.g., BRAT framework, weighted analyses, or similar approaches). - Integrate data from multiple sources, including clinical trials, post-marketing surveillance, literature, and real-world evidence, into comprehensive benefit-risk evaluations. - Support safety governance activities, including preparation of Safety Management Team (SMT) or Safety Review Committee (SRC) materials. - Provide strategic input into risk minimization measures and risk management strategies, including RMP development and updates. - Ensure alignment of benefit-risk conclusions across regulatory documents and submissions. - Review safety data outputs (line listings, summary tabulations, signal reports) to support benefit-risk decision-making. - Act as a key point of contact for clients and internal stakeholders on benefit-risk topics and safety strategy. - Lead, supervise, and mentor PV Specialists and Senior PV staff contributing to benefit-risk and signal evaluation activities. - Contribute to the development and continuous improvement of SOPs, work instructions, and templates related to benefit-risk evaluation. - Maintain current knowledge of global pharmacovigilance regulations, methodologies, and evolving best practices in benefit-risk assessment. - Support audits and inspections, ensuring readiness and appropriate documentation of benefit-risk decisions and processes. - Ensure compliance with all applicable guidelines, policies, legal, regulatory, and compliance requirements. Qualifications - Advanced degree in life sciences, pharmacy (PharmD), or medicine (MD) preferred. - Additional qualifications in pharmacoepidemiology, biostatistics, or regulatory affairs are an advantage. - Minimum 5 years of pharmacovigilance experience, with at least 2–3 years focused on signal management and/or benefit-risk evaluation. - Demonstrated experience in authoring or contributing to benefit-risk sections of aggregate reports (PSUR/PBRER required). - Experience with RMP development and signal evaluation processes strongly preferred. - Experience working within a CRO, PV vendor, or pharmaceutical company in a global environment. Computer Skills - Safety databases (e.g., Oracle Argus Safety, ArisGlobal LifeSphere, Veeva Safety, AB Cube SafetyEasy). - Microsoft Office Suite (Word, Excel, PowerPoint, Outlook). - Literature databases (e.g., Embase, PubMed). - Familiarity with signal detection tools (e.g., Empirica, PV Analytics tools) and data visualization platforms is an advantage. Competency Statements - Analytical Thinking – Ability to interpret complex datasets and translate them into meaningful benefit-risk insights. - Critical Thinking - Ability to evaluate multiple sources of information and make sound, evidence-based decisions. - Attention to Detail – Ensures accuracy and consistency across safety evaluations and documentation. - Leadership – Ability to guide, mentor, and support team members in benefit-risk activities. - Communication, Written – Ability to clearly articulate complex benefit-risk concepts in regulatory documents. - Communication, Oral – Ability to effectively present safety assessments to stakeholders and clients. - Problem Solving – Ability to proactively identify and resolve safety-related issues. - Collaboration – Ability to work effectively across cross-functional teams. - Customer Oriented – Ability to understand and meet client needs while maintaining compliance. - Technical Aptitude – Strong understanding of pharmacovigilance regulations and benefit-risk methodologies. - Accountability – Takes ownership of deliverables and ensures timely completion. - Adaptability – Ability to adjust to evolving regulatory requirements and client expectations. Work Environment Remote: Romania / Poland or Portugal To apply for this role: - Step 1: Proceed to follow the form instructions - Step 2: Our HR team will review your application with feedback - Step 3: If successful, HR will arrange your Introductory call - Step 4: A potential online language assessment - Step 5: 1st formal interview - Step 6: 2nd formal interview - Step 7: Offer Disclaimer By attaching your Curriculum Vitae (CV), resume, and/or completing an online application, you are consenting to the collection, processing, use, transfer (including but not limited to other countries/jurisdictions), storage, and disclosure of your personal data as described in the Med Communications, Inc. Privacy Policy. Please read this policy carefully for more information on your rights regarding personal data protection. 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