• Assist the Vice President of Medical Affairs to direct and coordinate the medical affairs functions for the business unit • Oversee the denials and appeals department • May manage other medical directors • Provide medical leadership for all utilization management, pharmacy, case management, disease management, cost containment, and medical quality improvement activities • Perform medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services • Support the effective implementation of performance improvement initiatives for capitated providers • Assist VPMA in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members • Utilize the services of medical and pharmacy consultants for reviewing complex cases and medical necessity appeals • Participate in provider network development and new market expansion as appropriate

Role Description The Health Systems Oncology Medical Affairs Director (HSO MAD) is a therapeutic and disease expert who develops ongoing professional relationships with healthcare decision makers across key payer and provider organizations. The HSO MAD provides accurate information across the full oncology product portfolio, clinical science, and quality management in a balanced and credible manner consistent with the regulatory environment and company’s ethical standards. This role also serves as a resource for the Medical Affairs (MA) management team on strategic planning and provides mentoring for other team members. Location: This is a REMOTE position, and the person must reside in the indicated territory (South/Southwest) with travel to Louisiana, Texas, and New Mexico. Must reside in geographic area. Up to 50% travel required with some overnight. Responsibilities and Primary Activities - Develops ongoing professional relationships with key decision makers in organized health systems to ensure access to medical and scientific information on the full oncology product portfolio and areas of therapeutic interest. - Develops strategic account plans in partnership with the Integrated Account Management (IAM) Account Executive teams and executes medical activities in alignment with agreed plan. - Serves as the primary resource for market dynamics within the territory to understand decision makers’ evolving information needs to feed into the ongoing value-proposition development process for oncology product and non-product offerings. - Effectively communicates and coordinates with Regional Medical Scientific Director regarding medical and scientific support needs in key health systems accounts. - Serves as a resource for the HSO MAD Team Lead, HSO Executive Director Medical Affairs, and other members of Country Medical Affairs on other relevant strategic planning. - Attends and supports scientific and medical meetings and prepares post-meeting deliverables. Qualifications - Minimum: MD, PhD, or PharmD. - 3 years of dedicated experience in a field-based MA role working with regional and/or national payers, integrated delivery systems, or scientific leaders OR 5 years of clinical oncology experience working within a health system OR the equivalent. - Experience with organized healthcare system(s) or payer organization(s), including ability to develop peer-to-peer relationships with key decision makers. - Thorough knowledge of clinical medicine, healthcare delivery system structure and function, pharmacoeconomics, disease management, quality management, value-based payment, and healthcare delivery policy and trends. - Excellent interpersonal communication skills, ability to network, strong personal integrity, collaborative mindset, and a strong customer focus. - Thorough understanding of ethical guidelines relevant to the pharmaceutical industry. - Ability to organize, prioritize, and work effectively in a constantly changing environment. - Demonstrable project leadership abilities. Requirements - Field-based medical experience working with regional and/or national payers, integrated delivery systems, or scientific leaders (Preferred). - Formal training in health economics and/or outcomes research (Preferred). Benefits - Comprehensive package of benefits including medical, dental, vision healthcare and other insurance benefits (for employee and family). - Retirement benefits, including 401(k). - Paid holidays, vacation, and compassionate and sick days. - Annual bonus and long-term incentive eligibility, if applicable.

Role Description Spectrum Healthcare Resources is excited to offer a potential career opportunity for a Behavioral Health Medical Director supporting the TriCare/Department of Defense and Community Care Network/Department of Veterans Affairs. This remote-based civilian position is an outstanding chance to make a meaningful contribution to the healthcare of veterans and military beneficiaries while benefiting from work-life flexibility, professional collaboration, and impactful leadership. Join us in leading high-quality care initiatives for those who have served our country, with a focus on system-wide clinical improvement, peer collaboration, and mission-driven support! Qualifications - Doctor of Medicine (MD) or Doctor of Osteopathy (DO) from an accredited medical school. - Active, unrestricted license to practice medicine in the United States. - Board certification or board eligibility through a recognized specialty board. - U.S. Citizenship. - Favorable background investigation through the Department of Defense (DoD). - Minimum of 5 years of medical practice experience. - 3+ years of experience in managed care environments. Requirements - Experience working with TRICARE, Veterans Affairs, or other federal health plans (preferred). - Advanced degree in management (MPA, MBA, MHA, MPH) (preferred). - Corporate-level leadership experience (preferred). - Experience using InterQual and/or similar evidence-based criteria to assess medical interventions, procedures, and treatments (preferred). Benefits - Remote position with standard weekday hours and occasional after-hours availability. - Extensive computer-based work; prolonged periods of sitting may be necessary. Company Description Spectrum Healthcare Resources (SHR) was established in 1988 to deliver systems and processes designed to meet the unique needs of Military and VA Health Systems. SHR is a leading organization that provides physician and clinical staffing and management services to United States Military Treatment Facilities, VA clinics, and other Federal Agencies through various contracting vehicles. - A Joint Commission Health Care Staffing Services firm. - SHR is the military staffing division of TeamHealth, a Nationwide organization that serves 850 civilian and military hospitals with a team of 9,600 affiliated health care professionals. - EOE/Disabled/Veterans.

Role Description The primary purpose of this position is to manage and support medical records across multiple facilities, ensuring that they are accurate, complete, and in compliance with legal and regulatory requirements. The Regional Medical Records Consultant will work closely with Medical Records Managers and various leadership roles throughout facilities within the region and staff to maintain the security and confidentiality of patient information. - Review and analyze medical records to ensure accuracy, completeness, and compliance with legal and regulatory requirements. - Implement and maintain record-keeping systems, and train staff on proper usage. - Ensure that medical records are kept confidential and secure, implementing and enforcing security measures. - Assist in organizing, planning, and directing the medical records department in accordance with established policies and procedures. - Maintain various registries, including the register for admission and discharge of residents. - Collect, assemble, and inspect charts for completion. - Retrieve medical records when requested by authorized personnel. - Develop and maintain a good working rapport with inter-department personnel to ensure proper maintenance of medical records. - Oversee and support medical records departments across multiple facilities within the region, ensuring consistency and compliance with company standards. - Conduct regular audits and assessments of medical records practices at each facility to identify areas for improvement and ensure adherence to policies. Qualifications - Bachelor's degree in Health Information Management or a related field. - Minimum of 3-5 years of experience in medical records management. - Strong knowledge of federal and state guidelines related to medical records. - Excellent organizational and communication skills. - Ability to maintain confidentiality and security of patient information. - Minimum 3 years of Point Click Care experience. Requirements - This position primarily involves sedentary work, requiring extended periods of sitting at a computer. - Occasional walking, standing, bending, and reaching. - Essential demands include manual dexterity for computer and office equipment use. - Clear verbal and written communication. - Ability to lift up to 25 pounds occasionally for handling files and office supplies. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually low to moderate. Additional Information Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position. Pay Range $75,000.00 - $80,000.00 Equal Opportunity Employer We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other legally protected status.