• Provide national medical oversight of all utilization management functions, ensuring alignment with organizational goals and compliance with regulatory and accreditation standards. • Serve as a clinical resource and subject matter expert to utilization management nurses, case managers, and other clinical staff. • Conduct peer reviews and clinical reviews for medical necessity determinations, complex cases, and high-cost claims. • Participate in inter-rater reliability assessments to ensure consistency and accuracy of medical review decisions. • Collaborate with Quality and Risk Adjustment teams on MRA and quality education initiatives to enhance outcomes and compliance. • Partner with leadership to develop and refine utilization management policies, protocols, and criteria based on nationally recognized standards (e.g., MCG, InterQual). • Contribute medical expertise to case management and care coordination processes, ensuring members transition to the appropriate level of care. • Support physician engagement, education, and alignment through clear communication and collaboration with internal and external providers. • Participate in ongoing evaluation and improvement of UM operations, including metrics monitoring and performance review. • Perform other duties as assigned to support clinical and operational initiatives.

• Initiate and maintain medical and consultative relationships with clients • Independently deliver all medical support required for successful delivery of the projects • Provide training of study teams on TA indication and protocol • Deliver medical monitoring activities according to MMP during the study conduct • Actively listen to, solicit and address client feedback and suggestions regarding medical study-related activities • Support Business Development as a core priority while adequately balancing time with billable tasks • Work with Section Head to develop expertise in therapeutic area; provide medical expertise/leadership in multiple channels and interactions • Create a culture of continuous improvement and lead team through change

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Our product is a second opinion-like treatment report for cancer patients. We’re seeking an oncologist to review and refine these reports, directly shaping how our AI models learn, reason, and deliver clinical insight at scale. Qualifications - MD or DO, board-certified or board-eligible in Medical Oncology (or Hematology/Oncology). - High intellectual curiosity about data, AI, and clinical decision-support systems—you don’t need to code, but you enjoy thinking about how models reason and where they fail. - Interest in working in a fast-moving, early-stage environment, collaborating closely with founders, researchers, and product teams. Requirements - MD or DO, board-certified or board-eligible in Medical Oncology (or Hematology/Oncology). - High intellectual curiosity about data, AI, and clinical decision-support systems—you don’t need to code, but you enjoy thinking about how models reason and where they fail. - Interest in working in a fast-moving, early-stage environment, collaborating closely with founders, researchers, and product teams. Benefits - Health, dental, and vision insurance. - Flexible PTO and hybrid work options. - Professional development and conference support. - The rare opportunity to redefine how cancer care is delivered.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Aware Recovery Care (ARC) offers a holistic approach to treatment and changes the way clients receive care throughout the country. ARC is a year-long, home-based, addiction treatment program that works collaboratively with a multidisciplinary team to assist clients in their first year of recovery. The Clinical Nurse Practitioner must possess excellent interpersonal communication skills, as they will interface with patients daily as their direct care provider for MAT, MMW, and Psychiatric Evaluation/follow-up medication management appointments. This is a direct care only patient role with approximately 95% of time spent in direct care patient appointments and 5% spent in care coordination meetings. Qualifications - PMHNP-BC required - Must have licensure in these 3 states: CT, MA, FL - Must be willing to work weekends (Friday included) - Starting pay is $70 an hour - Applicants must provide their CAQH credentials to the Credentialing and Licensing Manager as part of the onboarding process Requirements - Master’s Degree or Doctoral Degree or Active Registered Nursing license and relevant clinical licensure (APRN) - Unencumbered license to practice and DEA; Multi-state licensure/DEAs are required - Bilingual Spanish speaking skills are highly preferred but not required - Psychiatric NP (PMHNP) required - Minimum of 1-2 years' experience in the addiction treatment field, and one year experience with psychiatric medication management - Telehealth experience - Experience with Microsoft Office applications and EHR systems - Experience billing and coding with outpatient/therapy codes Benefits - Health, vision and dental through Anthem Blue Cross Blue Shield - FSA, HSA that comes with an employer match - STD, LTD, life insurance, EAP, and more - Competitive Paid Time Off (PTO) plan - 10 paid Holidays, 2 paid floating Holidays of your choice, and 7 Days of Sick Time - Certification/continuing education eligibility - Leadership development and 1 paid day off a year for personal professional development - 401(k) retirement plan with Voya - Great Place to Work certified #GPTW - Dedication to diversity, equity and inclusion - Growing working environment - *In order to be eligible for our full benefits package you must be employed full time at a minimum of 32 hours a week* Job Responsibilities - Complete 60-minute initial and 30-minute follow-up virtual clinical appointments for: - Psychiatric Evaluations - Psychiatric medication management follow-ups - Medically Managed Withdrawal (MMW) - Medication Assisted Treatment (MAT) - FMLA evaluations - Additional direct care clinical services as requested by leadership - Standardized schedule will include: - 60 min evaluations - 30-minute follow-ups - One 30-minute lunch break daily - Approximately 30 minutes of protected time daily for note writing - Reviewing incoming admissions and providing orders for new or returning clients - Review and sign treatment plans, assessments admissions/discharge/SOS orders and letters and other items in Aura as required - Provide cross coverage for above services across all locations as needed - Participates in an after-hours and weekend phone call coverage rotation for after hour admissions review and clinical needs across all locations - Performs miscellaneous job-related duties as assigned and/or requested by leadership Competency Statement(s) - Reliability – The trait of being dependable and trustworthy - Customer Oriented – The ability to take care of patient needs while following company procedures - Accountability – The ability to accept responsibility and account for his/her actions - Ethical – Ability to demonstrate conduct conforming to a set of values and accepted standards - Friendly – The ability to demonstrate a cheerful demeanor towards others - Responsibility – Ability to be held accountable or answerable for one’s conduct - Autonomy – Ability to work independently as a clinical direct care provider with minimal supervision - Initiative – Ability to make decisions or take actions to solve a problem or reach a goal - Judgment – Ability to form a sound clinical decision using the available information - Management Skills – Ability to direct oneself with effective time management skills - Motivation – Ability to inspire oneself and others to reach a goal and/or perform to the best of their ability - Adaptability – Ability to adapt to change in the workplace - Analytical Skills – Ability to use thinking and reasoning to solve a problem - Strategic Planning – Ability to develop a vision for the future and create a culture in which the long-range goals can be achieved - Self-Motivated – Ability to be internally inspired to perform a task to the best of one’s ability using his or her own drive or initiative