• Conduct electronic review of escalated cases against medical policy criteria • Complete initial determination of cases, review of appeals and grievances, and other reviews as assigned • Compose clear and concise rationales for member and provider determination notifications • Participate as a member of the CMDM multidisciplinary team • Advise multidisciplinary team on cases that require physician expertise • Actively manage projects and/or participate on project teams that require a physician subject matter expert

• Serve as the lead clinical liaison for partner providers across multiple regions, representing Cadence’s care model with clinical authority and consistency • Partner with PRMs on clinic visits and ongoing relationship management to strengthen long-term program engagement • Communicate the clinical rationale behind Cadence’s care protocols, data practices, and service offerings • Lead onboarding and training for new clinic partners • Resolve provider concerns with empathy, clinical judgment, and structured follow-through to deepen partner relationships • Translate field insights into actionable intelligence for clinical, product, and engineering teams, directly informing service improvements and care model refinement

Title: Medical Director, Clinical Trial Physician - Neurology (Remote) - FSP Location: Remote United States of America Full time Remote Join Thermo Fisher Scientific as a Medical Director/Clinical Trial Physician(FSP) based in the United States and be part of a world-class organization conducting groundbreaking research. Ideal candidate location is Eastern or Central Time Zone. This position is fully remote, benefit eligible with travel in a 10-20% range(international maybe required). *Must be legally authorized to work in the United States or Canada without sponsorship. *Must be able to pass a comprehensive background check, which includes a drug screening(where applicable). *East coast time zone is preferred, or ability to work EST hours Client Dedicated Role: Our client, a global mid-sized biotech company, focuses on developing innovative treatments for patients with autoimmune diseases. This fast-growing, international organization has a strong scientific foundation. If you're looking for a place where your work, in partnership with others, can have real impact—and where you're encouraged to challenge yourself and contribute to breakthrough solutions , the Medical Director/Clinical Trial Physician could be a great fit. Discover Impactful Work: Provides clear medical leadership in the Study team, working in close collaboration with the other members of this cross functional team, in order to provide reliable, high quality study data within time and budget. A day in the Life: - Provide medical leadership to the study teams, including creating clinical trial protocols while implementing the latest scientific information, contribute to site selection, contribute to review and approval of study protocols and amendments, Clinical Study Reports (CSRs), Informed Consent Forms (ICFs), Case Report Forms (CRFs), protocol deviation decisions and other clinical documents as required for the conduct of clinical trials - Real time Medical Monitoring of clinical studies: ensure medical validity of each individual primary endpoint as well study subject safety, while ensuring medical issues are identified early. Pro-active escalation and correction of issues in consultation with the Global Medical Indication Lead - Interpret the clinical trial data for regulatory documents (e.g. CSR, INDs, Annual Reports, NDAs, MAAs, etc.), manuscripts, and other publications as required, in consultation with the Indication Lead - Medical point of contact for all internal and external stakeholders: Interact with the investigators as needed, answer questions of IRBs and Health Authorities, prepare and present material to the study executive and independent safety committee if applicable; medical training of site staff at Investigator meetings; CRA training in new indications - Ensure study compliance for all medical aspects by understanding and applying all relevant SOPs and GCP - Closely collaborate with the cross functional study team members in order for medical risks, issues, and results to be clear to all involved parties - In case more than 1 physician is working on the protocol, a primus inter pares will be appointed, and they will ensure that answers to questions from sites /IRBs RAs, eligibility and protocol deviation decisions will be harmonized across medics Keys to Success: Education - Medical Doctor or equivalent degree required. Board certification(s) are preferred - Specialty education(e.g. residency/fellowship) required in neurology. This should be accompanied by patient treatment and/or research experience - 1-3 years of industry experience required. Experience should be in clinical development in a Pharmaceutical, Biotech or CRO organization - Neurologists with expertise in Pediatric Neurology or Neuromuscular diseases are highly preferred. Knowledge, Skills, Abilities - Excellent English, both written and spoken is a must, as well as ability to travel - Shown understanding and experience with NDA submission process - Shown understanding of regulatory guidelines for adverse event reporting - Proven interpersonal skills enabling to lead a study team, while recognizing individual expert competencies, providing medical advice and evaluations exercising judgment in which issues need to be escalated immediately - Pro-active problem solver with negotiation skills, remaining sensitive to the different cultural needs in a global organization - Strong communication skills to ensure close collaboration with the cross functional team members so that study plans and status are transparent, and that risks, issues, and results are clear to all involved parties. A matrix structure requires additional skills in gathering decision information, negotiation and communicating decisions and actions Benefits We offer competitive remuneration, annual incentive plan bonus, healthcare, and a range of employee benefits. Thermo Fisher Scientific offers employment with an innovative, forward-thinking organization, and outstanding career and development prospects. We offer an exciting company culture that stands for integrity, intensity, involvement, and innovation!

Role Description The Medical Director provides physician support to Enterprise Clinical Services operations, the organization responsible for the initial clinical review of service requests for Enterprise Clinical Services. The Medical Director collaborates with Enterprise Clinical Services leadership and staff to establish, implement, support, and maintain clinical and operational processes related to benefit coverage determinations, quality improvement, and cost effectiveness of service for members. The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process with both network and non-network physicians, as well as other Enterprise Clinical Services. The Medical Director collaborates with a multidisciplinary team and is actively involved in the management of medical benefits. The collaboration often involves the member’s primary care provider or specialist physician. It is the primary responsibility of the Medical Director to ensure that the appropriate and most cost-effective quality medical care is provided to members. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: - Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage determinations. - Document clinical review findings, actions, and outcomes in accordance with policies, and regulatory and accreditation requirements. - Engage with requesting providers as needed in peer-to-peer discussions. - Be knowledgeable in interpreting existing benefit language and policies in the process of clinical coverage reviews. - Participate in daily clinical rounds as requested. - Communicate and collaborate with network and non-network providers in pursuit of accurate and timely benefit determinations for plan participants while educating providers on benefit plans and medical policy. - Communicate and collaborate with other internal partners. - Call coverage rotation. Qualifications - M.D or D.O. - Board certification in General Surgery. - Active unrestricted license to practice medicine. - 5+ years of clinical practice experience after completing residency training. - Sound understanding of Evidence Based Medicine (EBM). - Solid PC skills, specifically using MS Word, Outlook, and Excel. - Proven ability to participate in call coverage rotation. Requirements - Experience in utilization and clinical coverage review. - Proven excellent oral, written, and interpersonal communication skills, facilitation skills. - Proven data analysis and interpretation aptitude. - Proven innovative problem-solving skills. - Proven excellent skills for both clinical and non-clinical audiences. - Reside in either MST or PST zone or willing to work those hours. Benefits - Comprehensive benefits package. - Incentive and recognition programs. - Equity stock purchase. - 401k contribution (all benefits are subject to eligibility requirements). Application Deadline This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.