Role Description The Medical Officer and Clinical Informatics Technologist will provide advanced clinical, medical informatics, and health data expertise to support the CMS Innovation Center (CMMI). This role plays a key part in helping CMMI evaluate, design, and improve innovation model tests and health care delivery approaches by leveraging expertise in: - Patient-led data sharing - Remote patient monitoring - Health data standards - Interoperability - Artificial intelligence - Clinical quality analysis The position supports engagements with clinicians, professional medical societies, informaticists, technologists, and additional stakeholders across government and the healthcare ecosystem. Qualifications - Deep expertise in clinical informatics, health data standards, interoperability, and quality assurance - Experience working with AI tools, remote patient monitoring data, and patient-generated health data - Ability to assess complex, vaguely defined problems and develop strategic solutions - Familiarity with CMS/CMMI health system transformation goals - Strong communication skills for cross-disciplinary collaboration - Ability to provide high level clinical interpretation of data, models, and policy proposals Requirements - Doctor of Medicine (M.D.), with a specialty in Pediatrics - 10+ years of relevant professional experience in clinical practice and medical/clinical informatics - Active, unrestricted medical license with State Board Certification in Pediatrics - American Board of Preventive Medicine (ABPM) Certification in Clinical Informatics Benefits - Hourly pay range: $130.00 to $158.00 - Competitive base salary commensurate with qualifications and experience - Comprehensive benefits package, including: - Medical, dental, and vision insurance - 401(k) plan with company matching - Tax-deferred savings options - Supplementary benefits - Paid time off - Professional development opportunities

• Develop and manage the Clinical Policy, Regulatory, and Compliance functions within the Office of Clinical Affairs. • Ensure clinical operations meet healthcare laws and standards. • Develop and maintain regulatory policies. • Manage compliance risks and guide policy-related submissions. • Advise senior leadership and work closely with teams across the organization.

Role Description The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: - Perform individual case review for appeals and grievances for various health plan and insurance products, which may include PPO, ASO, HMO, MAPD, and PDP. - Perform Department of Insurance/Department of Managed Healthcare, and CMS regulatory responses. - Communicate with UnitedHealthcare medical directors regarding appeals decision rationales, and benefit interpretations. - Communicate with UnitedHealthcare Regional and Plan medical directors and network management staff regarding access, availability, network, and quality issues. - Actively participate in team meetings focused on communication, feedback, problem solving, process improvement, staff training and evaluation, and the sharing of program results. - Provide clinical and strategic input when participating in organizational committees, projects, and task forces. What makes your clinical career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You can work with an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Qualifications - MD or DO with an active, unrestricted license. - Board Certified in an ABMS or AOBMS specialty. - 5+ years clinical practice experience. - 2+ years Quality Management experience. - Intermediate or higher level of proficiency with managed care. - Basic computer skills, typing, word processing, presentation, and spreadsheet applications skills. Internet researching skills. - Proven excellent telephonic communication skills; excellent interpersonal communication skills. - Proven excellent project management skills. - Proven data analysis and interpretation skills. - Proven excellent presentation skills for both clinical and non-clinical audiences. Familiarity with current medical issues and practices. - Proven creative problem-solving skills. - Proven solid team player and team building skills. Requirements - All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy. Benefits - Compensation for this specialty generally ranges from $248,500 - $373,000. - Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. - We comply with all minimum wage laws as applicable. - In addition to your salary, we offer benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). - No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. 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.

Role Description Our client is seeking a highly organized, detail-oriented, and proactive Medical Assistant & Clinical Support Specialist to support a fast-paced wellness and aesthetic medical practice remotely. This role is ideal for someone with a healthcare background who thrives in a clinical support environment and enjoys helping improve patient care operations behind the scenes. You will work closely with the practice team to ensure smooth daily operations, timely patient support, and accurate clinical documentation. The ideal candidate is dependable, independent, tech-savvy, and comfortable handling medical administrative responsibilities with professionalism and confidentiality. Scope of Work & Responsibilities - Prepare patient charts for daily visits - Manage and process prescription refills - Enter and manage medical orders - Conduct patient callback follow-ups - Respond to patient messages in a timely manner - Provide medical documentation support - Assist with limited scheduling tasks when needed - Maintain accurate and organized patient records - Support daily clinical workflows and operations - Follow HIPAA guidelines and patient confidentiality standards at all times Top 3 Priorities - Chart preparation for daily patient visits - Refill management and order entry - Patient callbacks and follow-up support Preferred Candidate Profile - Has a medical or healthcare background - Has experience in integrative wellness, med spa, or aesthetic practices - Possesses strong clinical knowledge and understanding of medical workflows - Is highly organized and detail-oriented - Can work independently with minimal supervision - Is HIPAA trained and certified - Communicates professionally and compassionately with patients - Adapts quickly to systems and processes - Medical or healthcare education/background preferred but not required - Previous experience working in a healthcare or medical support role required - Previous virtual assistant experience preferred but not required - Medical license (RN, MD, PT, etc.) is not required, but clinical experience is highly valued - Experience with Elation or similar EHR systems is strongly preferred - Experience in aesthetic, wellness, or integrative medicine practices is a major advantage Basic Requirements - Must be proficient in speaking and writing English very clearly - Must have relevant work experience - Be able to submit an NBI clearance and/or Local Police Clearance background check before onboarding [mandatory] - Must be available for video meetings with your camera on (when needed) Technical Requirements - Device: Reliable laptop or desktop computer. - Internet: High-speed connection (minimum 10 Mbps). - Audio: Noise-canceling headset. - Video: Webcam for virtual meetings. - Workspace: Quiet, professional environment. Benefits - Dedicated HR & Contractor Support Team: Access to world-class support for questions, guidance, contract matters, and client communication. - Premium VPN Access (Optional): A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks. - HIPAA & Cybersecurity Training + Certification (Provided): Access to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. healthcare clients. - Top 1% VA Performance Training: Access to our proprietary training on communication, client management, productivity systems, and best practices to help you become a top-performing VA and increase long-term client retention. - Client-Approved U.S. Holidays: Contractors may take U.S. holidays off according to the client’s needs and schedule. - Client-Approved Paid or Unpaid Time Off: Time off may be granted by your client. Paid time off is optional and only if offered by the client. - Access to Tools & Resources: Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform at your best. - Optional Performance-Based Incentives: Some clients may offer bonuses, incentives, or increased hours based on your performance.