Icon Health is breaking barriers as an orthopedic telehealth and care navigation company. We are a group of experienced healthcare professionals and clinicians passionate about improving the way orthopedic care is delivered. We are on a mission to transform value based care initiatives to align the patient experience, patient outcomes, and a top tier provider network. Job Title: Collaborating Sports Medicine Physician We are seeking a collaborating board certified Family Medicine: Sports Medicine Fellowship trained physician for our APP providers. This candidate must live and practice physically in the state of Nevada. This individual will be needed solely for licensing and credentialing and collaboration only as required by Nevada law. This individual must be willing to move quickly for our staff to update CAQH profiles in preparation for credentialing submissions REQUIREMENTS: - Education: MD or DO degree from an accredited medical school - Licensure: Florida (licensed and practice in) - Certifications: Board certification in Family Medicine: Sports Medicine - Credentialing CAN NOT be credentialed with Careplus in SE Florida Work Conditions: - Hours: 2/month - Location: Remote - Compensation: paid per APP Job Type: Contract Schedule: - Monday to Friday Work Location: Remote

Lyric is an AI-first, platform-based healthcare technology company, committed to simplifying the business of care by preventing inaccurate payments and reducing overall waste in the healthcare ecosystem, enabling more efficient use of resources to reduce the cost of care for payers, providers, and patients. Lyric, formerly ClaimsXten, is a market leader with 35 years of pre-pay editing expertise, dedicated teams, and top technology. Lyric is proud to be recognized as 2025 Best in KLAS for Pre-Payment Accuracy and Integrity and is HI-TRUST and SOC2 certified, and a recipient of the 2025 CandE Award for Candidate Experience. Interested in shaping the future of healthcare with AI? Explore opportunities at lyric.ai/careers and drive innovation with #YouToThePowerOfAI. The Senior Medical Director is a senior clinical leader who will represent Lyric in strategic engagements with payer clients. This individual will proactively map, establish, and strengthen relationships across payer clinical organizations — from operational leaders through to Chief Medical Officers (CMOs). ESSENTIAL JOB RESPONSIBILITIES & KEY PERFORMANCE OUTCOMES - Serve as Lyric’s clinical ambassador to payer clients, engaging directly with medical directors, clinical operations executives, and CMOs. - Build trusted advisory relationships that expand Lyric’s influence within payer organizations. [Excellent relationship-building skills are essential.] - Map client clinical leadership structures and proactively identify opportunities for strategic engagement. - Partner with go-to-market and sales teams to support new business development, renewal discussions, and client growth initiatives. - Provide expertise on health plan payment policies, claims editing methodologies, and their downstream impact on provider networks and cost-of-care strategies. - Communicate Lyric’s payment policy and editing content in ways that inform, advise, and influence adoption, ensuring clients strengthen their payment integrity programs while advancing Lyric’s market impact and value capture. - Offer deep subject matter expertise in payer affordability, medical and reimbursement policy, and primary and secondary code edits. - Represent Lyric at industry conferences, client forums, and thought leadership venues as a credible clinical and policy voice. - Act as a conduit of clinical and policy information from payer clients to Lyric’s content, product, and solution development teams. - Support development of go-to-market strategies, sales collateral, and solution positioning with a strong clinical and policy perspective. REQUIRED QUALIFICATIONS Required (quantifiable from resume/application): - M.D or D.O. required - 10+ years of experience in payer organizations, provider systems, or healthcare technology companies. - 4+ years experience with primary and secondary code edit frameworks. - Deep expertise in health plan payment policies and claims editing, with a strong understanding of their impact on provider networks and payer-provider relationships. - Insight into industry-standard payment policies and provider network management approaches in order to better consult with and inform Lyric’s clients. - Familiarity with affordability, claims operations, payment integrity, utilization management, medical policy and/or benefit policy development. PREFERRED QUALIFICATIONS - Active or prior state medical license (if retired from practice). - Outstanding presentation skills with the ability to simplify complex concepts for diverse audiences. - Familiarity with AI methodologies for claims anomaly detection and their applications in payment integrity programs. - Proven ability to translate complex clinical and payment policy content into actionable strategies for adoption. - Strategic mindset with ability to bridge clinical, operational, and business priorities. - Collaborative approach, with success working across sales, product, and client delivery teams. - Willingness and ability to travel up to 40% of the time. ***The US base salary range for this full-time position is: $216,417.00 - $324,625.00 The specific salary offered to a candidate may be influenced by a variety of factors including but not limited to the candidate’s relevant experience, education, and work location. Please note that the compensation details listed in US role postings reflect the base salary only, and does not reflect the value of the total rewards compensation. *** Lyric is an Equal Opportunity Employer that strives to create an inclusive environment, empower employees and embrace collaborative success.

At Lilly, we unite caring with discovery to make life better for people around the world. We are a global healthcare leader headquartered in Indianapolis, Indiana. Our employees around the world work to discover and bring life-changing medicines to those who need them, improve the understanding and management of disease, and give back to our communities through philanthropy and volunteerism. We give our best effort to our work, and we put people first. We’re looking for people who are determined to make life better for people around the world. Purpose: Scientific and Clinical Experts (SEs/CEs) are individuals who are noted for their expertise in a therapeutic area and as a result have special needs for in-depth and cutting-edge scientific information, because they treat patients, design and implement novel research, and educate colleagues and students. The Medical Science Liaison (MSL) program is specifically designed to meet these needs through a field-based group of medical professionals with deep content knowledge about specific disease states, Lilly and competitive compounds and landscape in their respective therapeutic areas. MSLs recognize and communicate feedback and insights of strategic importance from their interactions with SEs and CEs, to better inform Lilly’s strategic direction for research, development, and commercialization. By facilitating scientific exchange between industry and the scientific and clinical communities, MSLs shape the future of healthcare by providing the required information that addresses important clinical and scientific questions. This MSL position will be responsible for interactions with SEs and CEs primarily in Arizona. Primary Responsibilities: This job description is intended to provide a general overview of the job requirements at the time it was prepared. The job requirements of any position may change over time and may include additional responsibilities not specifically described in the job description. Consult with your supervisor regarding your actual job responsibilities and any related duties that may be required for the position. Scientific & Clinical Knowledge An MSL’s objective is to provide leading researchers and practitioners with the scientific and clinical knowledge that most meaningfully and precisely addresses their needs (e.g., addressing clinical care gaps for their patients, clarifying nuanced clinical or research questions). This role requires efficient and precise synthesis of the latest research on products, disease states and standard of care for specific indications and therapeutic areas (TAs). Such a skillset and the underlying depth of expertise is typically acquired through substantial research experience or clinical training and requires continuous learning to maintain the highest level of technical expertise within a given TA. This continuous learning will enable the MSL's engagement in scientific exchange to respond to the diverse medical information needs based on customer requests. As a result, the MSL will establish themself as a reliable, trusted resource of unbiased, accurate, up-to-date, medical and scientific information. Full Spectrum SE/CE Support Through the application of emotional intelligence, strategic thinking, and a deep understanding of HCP needs, MSLs will act as one of the primary interfaces between Lilly Medical and SEs/CEs to deliver a positive experience and utilize MSL capabilities to support HCPs in sharing evidence and addressing clinical care gaps for improved patient outcomes. Additionally, MSLs connect SEs/CEs with other Lilly resources or internal business partners as appropriate and facilitate collaborative research opportunities. MSLs partner with clinical development in support of studies and investigators to accelerate the pipeline and evidence generation by delivering disease state and other scientific information aligned with site identification, selection, and recruitment. Field Execution, Geo Management and Productivity MSLs effectively analyze customer data, plan, and prioritize to engage assigned SEs/CEs most effectively through a combination of face-to-face and virtual engagement with an enterprise mindset. They will implement a strategic territory plan prioritizing core MSL activities, leverage analytical and supporting tools to execute it, and assume personal accountability for meeting performance expectations. There is also an expectation for compliant partnerships across all Lilly field roles sharing customers to create an appropriately coordinated experience. MSLs will effectively utilize territory analytics for customer identification and routing prioritization. Strategic Vision and Leadership MSLs effectively synthesize and communicate actionable customer/clinical insights to internal Lilly Medical and cross functional teams. MSLs use good judgement in decision-making and escalate issues as appropriate. They cultivate internal networks and collaborate effectively across functions including working closely with other field-based colleagues. They embrace change, exercise strategic agility with evolving business needs and utilize innovative resources. MSLs should work collaboratively with peers and other Lilly colleagues. Within their own team, MSLs are expected to contribute to team goals and be an effective teammate. The MSL will execute the role compliantly, adhering to all governing internal and external requirements, procedures, and laws, demonstrating good judgment. Minimum Qualification Requirements: Scientific/Clinical Acumen: - Advanced degree in health sciences (e.g., PharmD, MD, PhD in a medically related field) with 2-3 years of clinically relevant experience - OR - Masters or bachelor's level degree in health sciences (e.g., BSN, RPh, PA, NP) considered if 5+ years clinical, research, or industry experience (medical or scientific role) in relevant therapeutic area. - **"Qualified applicants must be authorized to work in the United States on a full-time basis. Lilly will not provide support for or sponsor work authorization or visas for this role, including but not limited to F-1 CPT, F-1 OPT, F-1 STEM OPT, J-1, H-1B, TN, O-1, E-3, H-1B1, or L-1." - Valid U.S. driver's license and acceptable driving record is required. Preferences: Interpersonal, Presentation, Planning, and Digital Skills: - Advanced presentation and computer skills with expertise in literature identification, with a preference for experience in servicing customer needs for complex information. - Excellent verbal and written communication skills. - Self-directed and able to work alone in the field effectively managing multiple priorities and projects. - Strong teamwork and interpersonal skills, including high emotional intelligence and the ability to engage in professional relationship building and networking. - Resiliency in managing complex challenges. - Intellectual curiosity about the field of science/medicine of specialization. - Ability and excitement to leverage field-based tools, adapting as technology advances to increasingly support engagement planning, communication, and many aspects of the job. - Learning agility to comprehend and effectively communicate large amounts of complex scientific content in a clear and concise fashion. - Demonstrated experience in effective strategic and critical thinking to analyze, assess, and evaluate information and interpret impact or relevance to future states. Location Requirements: - Position requires working from a home-base location in Phoenix, AZ area - Applicants should live within the geography and near a transport hub (airport/train station). - Field-based position requires ability to travel up to 80% and including weekend commitments. Other Information/Additional Preferences: - Experience in Dermatology is strongly preferred. - Experience in field-based working environment highly valued. - Familiarity with health systems, academic communities, medical research, and medical education process highly preferred. - Knowledge and experience of digital platform enablers to engage HCPs virtually (e.g., zoom) and excitement to leverage field-based tools highly valued. Lilly is dedicated to helping individuals with disabilities to actively engage in the workforce, ensuring equal opportunities when vying for positions. If you require accommodation to submit a resume for a position at Lilly, please complete the accommodation request form (https://careers.lilly.com/us/en/workplace-accommodation) for further assistance. Please note this is for individuals to request an accommodation as part of the application process and any other correspondence will not receive a response. Lilly is proud to be an EEO Employer and does not discriminate on the basis of age, race, color, religion, gender identity, sex, gender expression, sexual orientation, genetic information, ancestry, national origin, protected veteran status, disability, or any other legally protected status. Our employee resource groups (ERGs) offer strong support networks for their members and are open to all employees. Our current groups include: Africa, Middle East, Central Asia Network, Black Employees at Lilly, Chinese Culture Network, Japanese International Leadership Network (JILN), Lilly India Network, Organization of Latinx at Lilly (OLA), PRIDE (LGBTQ+ Allies), Veterans Leadership Network (VLN), Women’s Initiative for Leading at Lilly (WILL), enAble (for people with disabilities). Learn more about all of our groups. Actual compensation will depend on a candidate’s education, experience, skills, and geographic location. The anticipated wage for this position is $151,500 - $244,200 Full-time equivalent employees also will be eligible for a company bonus (depending, in part, on company and individual performance). In addition, Lilly offers a comprehensive benefit program to eligible employees, including eligibility to participate in a company-sponsored 401(k); pension; vacation benefits; eligibility for medical, dental, vision and prescription drug benefits; flexible benefits (e.g., healthcare and/or dependent day care flexible spending accounts); life insurance and death benefits; certain time off and leave of absence benefits; and well-being benefits (e.g., employee assistance program, fitness benefits, and employee clubs and activities).Lilly reserves the right to amend, modify, or terminate its compensation and benefit programs in its sole discretion and Lilly’s compensation practices and guidelines will apply regarding the details of any promotion or transfer of Lilly employees. #WeAreLilly

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit. - 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, ensuring timely and quality decision making. - 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. - Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes. - Collaborates effectively with clinical teams, network providers, appeals team, 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. - As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues. - Represents the business unit at appropriate state committees and other ad hoc committees. - May be required to work weekends and holidays in support of business operations, as needed. Education/Experience: - Medical Doctor or Doctor of Osteopathy. - Utilization Management experience and knowledge of quality accreditation standards preferred. - Actively practices medicine. - Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous. - Experience treating or managing care for a culturally diverse population preferred. License/Certifications: - Active Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services. - Certification in Internal or Family Medicine, preferred - Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs. Pay Range: $236,500.00 - $449,300.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act