Role Description The Chief Medical Officer (CMO) provides executive clinical leadership for Abilis Health’s Institutional Special Needs Plan (I-SNP) and Institutional-Equivalent Special Needs Plan (IE-SNP) Medicare Advantage products. The CMO is responsible for the strategic direction and oversight of clinical programs including: - Utilization management - Clinical operations - Quality - Population health - Pharmacy operations The CMO serves as the senior physician executive, partnering with the CEO and leadership team to drive clinical performance, regulatory compliance, and an integrated model of care for high-acuity, medically complex populations. - Provide overall clinical leadership for the plans products, including development and execution of the clinical strategy aligned with organizational goals. - Oversee utilization management, including prior authorization criteria, medical necessity determinations, concurrent review, and appeals, ensuring evidence based and compliant decision making. - Lead clinical operations, including care management, transitional care, and interdisciplinary team processes to improve outcomes and reduce preventable utilization. - Oversight and collaboration with the VP of Quality to develop the Stars strategy, quality improvement initiatives, clinical guidelines, performance monitoring, Model of Care and corrective action plans. - Provide clinical oversight of pharmacy strategy, including formulary design input, medication management programs, appropriate use initiatives, and coordination with Part D partners. - Review and interpret clinical, utilization, and quality data to identify trends, risk areas, and opportunities for improvement; implement interventions and track impact. - Collaborate with network physicians, facility medical directors, advanced practice clinicians, and facility leadership to support consistent, high quality care delivery. - Partner with compliance and regulatory teams to ensure adherence to CMS regulations, audit readiness, and timely response to regulatory changes. - Participate as a key member of the executive leadership team in strategic planning, product design, benefit strategy, and growth initiatives. - Represent the health plan with regulators, external partners, and professional organizations as the senior clinical spokesperson. Qualifications - Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) required. - Completion of an accredited residency program and board certification in an appropriate specialty. - Minimum of 7–10 years of clinical practice experience, with at least 3–5 years in health plan, managed care, or population health leadership roles. - Demonstrated experience leading utilization management, quality improvement, and care management functions in a payer, integrated delivery system, or large group practice. - Experience with Medicare Advantage, Special Needs Plans, or comparable government programs strongly preferred. - Prior leadership experience working with long term care, nursing facilities, assisted living, or other institutional/complex geriatric populations preferred. - Active, unrestricted medical license in at least one state in which the plan operates; eligibility for additional state licensure as needed. (KY, TN) - Current board certification in an appropriate medical specialty. - Ability to maintain all licenses, certifications, and professional memberships required by the organization and applicable regulatory bodies. - In depth knowledge of Medicare Advantage, Special Needs Plans (I-SNP/IE-SNP), CMS regulations, and related clinical and compliance requirements. - Strong understanding of utilization management, quality measurement (including Stars and HEDIS), care management models, and pharmacy management in a managed care environment. - Proven leadership skills, including ability to lead and influence physicians and multidisciplinary teams, drive accountability, and manage change. - Excellent analytical skills with the ability to interpret clinical, financial, and operational data and translate insights into actionable strategies. - Strong communication and presentation skills, with the ability to explain complex clinical and regulatory concepts to clinical and nonclinical stakeholders, executives, boards, and external partners. - Demonstrated ability to build collaborative relationships with providers, facilities, and community partners in a highly regulated, performance driven environment. - Strategic, systems level thinker with the ability to balance clinical quality, member experience, regulatory requirements, and financial stewardship. - High integrity, sound clinical judgment, and commitment to ethical decision making and member centered care. Company Description Abilis Health Plan, an affiliate of BrightSpring Health Services, is a Medicare Advantage Plan covering all the benefits of Original Medicare (Parts A and B) with prescription drug coverage (Part D). The Abilis Health Plan is a unique plan allowing members to enroll year-round. The plan focuses on members who meet residential requirements in participating nursing facilities. An interdisciplinary team of clinicians and innovative services allow us to meet each member’s clinical needs and provide preventive, coordinated, and quality healthcare. With a dedicated nurse practitioner leading a personalized care plan, we strive to improve the health of the communities in which we serve.

Title: Medical Director - Occupational Medicine Location: Lexington United States Job Description: Premise's mission is to help people get, stay, and be well. We hope you will join us in our mission and experience why amazing health starts with amazing healthcare. For more information, visit www.jobs.premisehealth.com. As a Remote Part time Medical Director-Occupational Medicine, you'll oversee the occupational health program for our client sites located across the country. The scheduled hours are 20 per week-flexible hours Monday-Friday. Candidates will preferably reside in Georgia, Massachusetts, Illinois or California. What You'll Do - Oversees the site(s) clinical practices and procedures - Provide remote occupational health services (i.e. medical reviews, consultation and guidance for medical surveillance exams) - Participates in the development of annual health center goals and objectives - Drives outcomes for site across clinical programs Participate in the development of policies and guidelines (clinical and administrative) to correct and improve service to the client/account - Demonstrates clinical subject matter expertise appropriate to the services rendered at the health center - Develops treatment plans in collaboration with patients; educates and advises on medical issues as needed - Provides referrals externally to appropriate medical resource or specialty - Evaluates the effectiveness of medical care and monitors progress of patients - Identifies emergency situations and provides care within legal scope of practice and as defined by Premise Health privileging process - Participates in the development of annual clinic goals and objectives - Maintains medical records (In some health centers it may be using Electronic Medical Record software) - May formulate and administer health programs as needed - Other duties as assigned to support the safe and effective operation and function of the heath center(s), business, and to ensure that services meet standards of of high-quality, cost-effective care What You'll Bring - Licensed to practice medicine in each state of practice/oversite - Federal DEA license (matching each state of practice/oversite) - State Narcotic/Controlled Substance license if required in your state - Current board certificate (ABMS, AMA or AOA) or board eligibility must sit for boards with 1 year of hire - CPR (BLS for the Healthcare Provider/Professional Rescuer or ACLS-the copy must include the front and back of card as applicable) Certification must include "hands on' evaluation of skills by the trainer/instructor. Total on-line courses will not be accepted. Course must also meet the American Heart Association (AHA) standards but need not be an AHA certificate - 3 - 5 years minimum in family practice, emergency room, ambulatory care, or occupational health settings - Minimum 3 years management/leadership experience within the healthcare industry may be preferred Work-life balance is at the foundation of how decisions are made and where Premise is headed. We can only help people get, stay, and be well if we do the same for ourselves. In addition to competitive pay, Premise offers our part-time (between 20 and 29 hours per week) team members a 401(k) program with company match, paid holidays and vacation time, a company-sponsored wellness program, EAP, access to virtual primary care and virtual behavioral health at no cost for team members and their dependents. Additional benefits will be discussed once you connect with our Talent Acquisition team. Premise is an equal opportunity employer; we value inclusion and do not discriminate based on race, color, religion, creed, national origin or ancestry, ethnicity, sex (including pregnancy and related conditions), gender identity or expression, sexual orientation, age, physical or mental disability, genetic information, past, current or prospective service in the uniformed services, or any other characteristic protected under applicable federal, state, or local law. Premise provides its reasonable and genuinely expected range of compensation for this job of $165,000.00 - $185,000.00 annually. A number of factors will influence the rate offered for this position, including your experience, qualifications, geographic location, and other factors. For individuals living in Washington or Colorado: Premise offers the following paid time off benefits. Employees will earn 0.0769 hours of paid time off per actual hours worked or based on standard schedule, per pay period, and will receive 10 paid holidays or an equivalent bank of hours aligned to schedule throughout the calendar year. Paid sick leave is satisfied by the paid time off accrual, detailed above. Should you have questions regarding this job posting, please contact askhr@premisehealth.com.

Title: Study Physician, Oncology (Remote) Location: United States Requisition ID 33320 Experienced professionals - Full-Time - Remote Job Description: The Study Physician (SP) is a critical role within Clinical Development Oncology (CD Onc) to establish readily available medical support and consultancy for clinical trials within CD Onc by a qualified and clinically experienced physician. As an employee of Boehringer Ingelheim, you will actively contribute to the discovery, development, and delivery of our products to our patients and customers. Our global presence provides opportunity for all employees to collaborate internationally, offering visibility and opportunity to directly contribute to the companies' success. We realize that our strength and competitive advantage lie with our people. We support our employees in several ways to foster a healthy working environment, meaningful work, mobility, networking, and work-life balance. Our competitive compensation and benefit programs reflect Boehringer Ingelheim's high regard for our employees. Duties & Responsibilities - Responsible for medical content of Clinical Trial Protocols (CTPs), in line with TDO, in collaboration with CTL, CPL, Patient Safety Physician, Medical Writer and other trial and evidence team members to ensure high medical quality CTP. - Responsible for medical input into CTP updates. - Strong contribution to trial risk-based quality management from medical perspective, by defining medically relevant critical data/processes, related risks, and its mitigation/monitoring strategies in the Integrated Quality and Risk Management Plan (IQRMP) as well as in risk discussions during trial conduct. - Medical responsibility as co-author for development of a robust Clinical Quality Monitoring Plan (CQMP) in line with the critical data, medical quality risks and related monitoring/ mitigations identified in IQRMP. - Responsible for providing medical input into definition of important protocol deviations (iPD), providing input for compilation and review of trial iPD list from medical perspective, and support trial team in deciding on iPDs from identified potential iPDs. - Responsible for execution of relevant clinical quality monitoring for Study Physician using aggregated data outputs as per trial CQMP, timely mitigation & escalation of identified risks & quality issues. - Takes medical responsibility for agile & adaptive risk based Clinical Quality Monitoring of critical data. - Supports close to real time clinical data medical oversight by using advanced technologies and systems. - Proactively addresses/communicates clinical quality issues in a collaborative environment. - Contributes to the timely preparation of medically relevant core trial documents and timely milestones. - Responsible for medical input into Data Management documentation for the trial, such as eCRF design by efficient translation of medical questions into electronic data capturing. - Responsible for “Information for CRF completion” (ICC), Data Review Plan (e.g., propose items such as data screening rules for automated data queries, automated or manual data checks for clinical data consistency), laboratory parameters specifications for the project, Data Transfer Agreement, central laboratory alerts etc. - Responsible for the medical content of Patient Information and Informed Consent, Trial Level Monitoring Manual, Trial Communication Plan, Trial Training Plan, Trial Statistical Analysis Plan (TSAP) etc. - Responsible for medical contribution to Patient Narrative preparation, Clinical Trial Report planning and review of medical sections of Clinical Trial Report. - Contributes to the medical content of responses to questions from regulators and Ethic Committees/IRBs. - Responsible for medical input to study and site feasibility in planning and execution, patient recruitment, and retention plans. - Responds to medical queries from Investigators, CROs and/or Sponsor team representatives and contributes to maintenance of trial FAQ log/list. - Builds network with experts and active contribution to site engagement. - Supports Endpoint Adjudication (EA), Data Monitoring Committee (DMC), Data Safety Monitoring Boards (DSMB) and Steering Committees (SC) (as applicable), by presenting medical content of study to the respective committees, responding to medical questions and by ensuring good quality of data from CQM perspective. - Provision of medical training at Country feasibility training, Trial Investigators Meetings or to Sponsor staff. - Responsible for medical review of and contribution to the content of Trial Newsletters. - Contributes to the scientific publication of trial data (If applicable). - Requirements - Physician (MD) (ideally with medical thesis), trained in a clinical setting, and minimum of four (4) years of active clinical practice experience; specialization in internal medicine or general practice is desirable. MD in Oncology is preferred. - Experience specifically in Oncology Clinical Development is preferred. - Experience in pharma industry or CRO in medical or project management functions (ideally in Clinical Development) is desirable - Ability to communicate directly and concisely while collaborating with key stakeholders. - Pronounced analytical skills and systematic and well-structured working style. - Pronounced presentation and training skills. - Capability to work proactively and with team spirit in an international environment and team. - Displays the ability to use digital technologies to access information, be creative, innovative, solve problems, communicate, navigate, learn & apply in a digital environment. - Excellent interpersonal, active listening, influencing skills and fluency in English, both written and spoken. Eligibility Requirements: - Must be legally authorized to work in the United States without restriction. - Must be willing to take a drug test and post-offer physical (if required). - Must be 18 years of age or older. - Compensation This position offers a base salary typically between $250,000 and $394,000.  The position may be eligible for a role specific discretionary bonus, relocation, and/or other compensation elements. We continuously review market data and may adjust salary ranges as needed in the future. Actual compensation will be based on job-related factors such as skills, experience, and qualifications, and other factors permitted by law. For an overview of our benefits please click here.

Title: Senior Director, Medical Information & Patient Safety Locations: Newtown, PA or Morrisville, NC Hybrid Job ID: 15920-OTHLOC-Cc5wYfwv Job Description: Description We are seeking a visionary, clinically credentialed leader to revolutionize our Safety and Medical Information Engagement Center. This pivotal role sits at the intersection of Patient Services/Safety, Medical Information (MI), and cutting-edge technology. Our goal is to deliver a competitive advantage by driving AI augmentation, foster seamless cross-functional collaboration, and deliver an unparalleled, patient-centric experience. Why Work with Us? - Hybrid Work Schedule: Enjoy the flexibility to work remotely three days a week. (work the remaining 2 days in either our Newtown, PA or Morrisville, NC offices) - Casual Dress Code: Embrace a relaxed and comfortable dress code. - Collaborative Culture: Join a team that values open communication, teamwork, and the exchange of ideas. - Professional Growth: We offer ample opportunities for professional development and career advancement. Essential Duties and Responsibilities: - AI & Innovation: Implement and optimize AI-augmented workflows (e.g., intelligent triage, automated AE capture, generative drafting, and sentiment analysis) to drive efficiency, accuracy, and market competitiveness. - Cross-Functional Fluency: Serve as the strategic partner between Patient Safety/Services, MI, PV, Commercial, and IT teams. Translate complex clinical and operational capabilities into cohesive, winning strategies for biopharma clients. - Patient-Centricity: Leverage a deep understanding of patient support ecosystems to ensure our support center provides holistic, empathetic interactions that enhance the overall patient journey. - Client & Team Leadership: Act as the primary SME in client pitches, demonstrating our tech-enabled edge. Lead, mentor, and inspire a team of clinical specialists (PharmDs, RNs) and non-clinical agents to embrace innovation. Qualifications: - Education: Clinical degree or equivalent relevant work experience is required (e.g., Doctor of Pharmacy (PharmD), Bachelor of Science in Nursing (BSN), or similar). - Core Experience: 7+ years of leadership experience within Patient Safety, Medical Information, Pharmacovigilance, or clinical contact centers. Demonstrated track record leading large-scale operations with multiple levels of direct and indirect reports required. Proven track record of successfully leading teams and initiatives serving multiple clients. - Holistic Acumen: Strong, demonstrated understanding of Patient Safety/Services and how they strategically intersect with medical affairs and drug safety. - Tech Innovator: High fluency and practical application of AI technologies and next-generation platforms within a clinical call center environment. - Communication: Exceptional cross-functional leadership and client-facing presentation skills; ability to articulate the value of a tech-enabled clinical contact center to diverse stakeholders. At Syneos Health, we are dedicated to building a diverse, inclusive and authentic workplace. If your past experience doesn't align perfectly, we encourage you to apply anyway. At times, we will consider transferable skills from previous roles. We also encourage you to join our Talent Network to stay connected to additional career opportunities. Why Syneos Health? Here, the work is challenging, and the pace is exhilarating. By joining one of our commercial teams, you're empowered to succeed with the support, resources, and autonomy that you need. The diversification and breadth of our new and existing partnerships create a multitude of career paths and employment opportunities. Syneos Health has launched more sales teams in the last 5 years across all major therapeutic areas than the top 25 pharma companies combined. Join our game-changing, global company dedicated to creating better, smarter, faster ways to get biopharmaceutical therapies to patients. Experience the thrill of knowing that your everyday efforts are contributing to improving patients' lives around the world. Work Here Matters Everywhere | How are you inspired to change lives? Syneos Health companies are affirmative action/equal opportunity employers (Minorities/Females/Veterans/Disabled) At Syneos Health, we believe in providing an environment and culture in which Our People can thrive, develop and advance. We reward and recognize our people by providing valuable benefits and a quality-of-life balance. The benefits for this position will include a competitive compensation package, Health benefits to include Medical, Dental and Vision, Company match 401k, flexible paid time off (PTO) and sick time. Because certain states and municipalities have regulated paid sick time requirements, eligibility for paid sick time may vary depending on where you work. Syneos Health complies with all applicable federal, state, and municipal paid sick time requirements.