• Use your medical background, experience, and judgement to make determinations whether requested services, requested level of care, or requested site of service should be authorized, with all work occurring within a context of regulatory compliance and assisted by diverse resources • Learn Medicaid requirements and understand how to operationalize this knowledge in your daily work assigned cluster • Work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management • Conducts discussions with external physicians by phone to gather additional clinical information or discuss determinations through the peer-to-peer process • May speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities • Supports Humana values including working collaboratively on a team throughout all activities • Flows to work as needed within cluster as needed for vacations, weekends and holidays coverage.

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. - Participate in holiday and call coverage rotation. Qualifications - M.D or D.O. - Board certification in Internal Medicine and Pediatrics through the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA). - Active unrestricted medical license and ability to obtain additional state medical licenses as needed. - 5+ years of clinical practice experience after completing residency training. - Proven sound understanding of Evidence Based Medicine (EBM). - Proven solid PC skills, specifically using MS Word, Outlook, and Excel. - Ability to participate in rotational holiday and call coverage. Requirements - Experience in utilization and clinical coverage review. - Reside in Nebraska or Texas. - Licensure in TX, IN, KS, NE, AZ, WA, FL or a compact license. - Proven excellent oral, written, and interpersonal communication skills, facilitation skills. - Demonstrated data analysis and interpretation aptitude. - Proven innovative problem-solving skills. - Demonstrated presentation skills for both clinical and non-clinical audiences. Benefits - Compensation for this specialty generally ranges from $248,500 to $373,000. - Total cash compensation includes base pay and bonus based on several factors including local labor markets, education, work experience, and may increase over time based on productivity and performance in the role. - Comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 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.

Role Description The Market Chief Medical Officer (CMO) is the senior clinical executive for the designated Medicare & Retirement (M&R) market. The CMO is accountable for clinical strategy and performance across affordability, quality, population health, growth, member experience, and external clinical relationships within the market. The CMO serves as the senior market clinical leader responsible for aligning United Healthcare (UHC), United Clinical Services (UCS), and Optum clinical capabilities to advance clinical affordability, improve HEDIS and CMS Star performance, reduce unwarranted utilization, and strengthen provider partnership across the market. The CMO partners closely with the market CEO, the market Senior Leadership Team, UCS leadership, and matrixed partners across Network, Sales, and regional functions to translate enterprise priorities into market strategy, execution, and measurable results for the Medicare line of business. The CMO reports to the Regional Chief Medical Officer with dotted-line accountability to the local market CEO. If you are located in AL/GA/SC/TN, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: - Clinical Performance and Affordability – Provides executive leadership for clinical performance, utilization strategy, and affordability across the market. - Quality, Outcomes, and Clinical Performance – Drives market performance on key quality, experience, and clinical outcome measures. - External Affairs and Strategic Partnerships – Maintains solid working knowledge of government mandates and regulatory requirements. - Clinical Transformation and Innovation – Leads the clinical partnership with care providers and UHC network management colleagues. - Growth, Market Development, and Clinical Value – Articulates and advances the clinical value proposition in support of market growth. - Performance Management and Continuous Improvement – Identifies and prioritizes improvement opportunities through market and regional performance reviews. Qualifications - Active and unrestricted medical license in Georgia, Alabama, South Carolina, or Tennessee. - Active and unrestricted Board Certification in an ABMS or AOBMS specialty. - 5+ years clinical practice experience; solid knowledge of managed care industry. - Ability/experience in developing collaborative relationships with health system clinical leadership. - Familiarity with current medical issues and practices. - Solid knowledge of health care utilization data and analytics. - Proficiency with Microsoft Office applications (Outlook, Word, Excel, PowerPoint). - Proven excellent executive communication skills with the ability to influence senior leaders. - Proven solid analytical orientation with the ability to identify performance opportunities through data. - Demonstrated executive presence and enterprise mindset. - Proven partners closely with the market CEO and leadership team to achieve financial, quality, and market performance goals. - Proven superior presentation skills for both clinical and non-clinical audiences. - Proven ability to build and sustain solid relationships with network physicians and community providers. - Proven solid data analysis and interpretation skills. - Proven solid leadership and team-building capabilities. - Proven strategic thinking with the ability to communicate a vision and drive results. - Proven solid negotiation and conflict management skills. - Proven creative problem-solving skills. - Willing or ability to travel within the assigned markets. Preferred Qualifications - Advanced Business, Public Health, Medical Management degree. - Health plan experience. - Knowledge of health plan finance, CMS Star performance, and accurate coding. Benefits - Comprehensive benefits package. - Incentive and recognition programs. - Equity stock purchase and 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.

Title: Associate Medical Director, Clinical Development Location: Boston, Massachusetts, United States Job Description: About Beeline Medicines: Beeline Medicines is a clinical‑stage biotechnology company focused on developing and delivering category-leading precision therapies to transform the lives of people living with autoimmune and inflammatory diseases. With a portfolio of potential best-in-class and first-in-disease therapeutic candidates that directly target key pathways governing dysregulated immunological and inflammatory responses, the Company is developing medicines that have the opportunity to provide durable, life-changing impact. Led by an established executive team and backed by world-class life science investors, each day Beeline Medicines is determined to bring the scientific rigor and operational excellence to get to what matters for patients – realizing a world where people with immune-mediated diseases can live life fully. Job Summary: The Associate Medical Director, Clinical Development – is a therapeutic and disease area specialist who will play a key role in advancing innovative therapies for patients with immunology diseases through high-quality design and execution of clinical trials. In this role, you will provide medical leadership across a range of clinical development activities, including but not limited to: study design, study execution, monitoring of patient safety, data interpretation, and contribution to regulatory and scientific deliverables. As an internal scientific leader in the field, you will provide input into the overall clinical development strategy for the asset and incorporate insights from key opinion leader interactions into both study design and development strategy. This role involves working closely with internal cross-functional partners across a range of disciplines to drive high-quality clinical programs in a fast-paced biotech environment Work Arrangement & Location: Hybrid - This position follows a hybrid work schedule, requiring a minimum of two (2) days on-site per week — currently designated as Tuesday and Wednesday. Additional on-site days may be required based on business needs, team priorities, or leadership direction. Essential Duties and Responsibilities: - Lead and provide medical oversight for assigned clinical trials including; protocol development, study conduct, medical monitoring, data review & interpretation, and clinical study reporting. - Contribute to clinical development strategy and program plans by integrating scientific rationale, regulatory requirements, safety considerations, operational feasibility, and business objectives. - Provide medical leadership on trial design, including endpoint selection, eligibility criteria, dose rationale, biomarker strategy, risk-based monitoring, and interim analysis frameworks. - Monitor real time data collection throughout study conduct ensuring robust study conduct and protocol adherence. - Support pharmacovigilance activities during trial conduct — monitor patient safety and benefit-risk throughout study conduct through review of adverse events, serious adverse events, laboratory data, safety narratives, and aggregate safety information, and contribute to related safety governance activities in coordination with the Global PV Medical Director - Serve as a key medical resource for investigative sites, external advisors, and clinical investigators, ensuring patients meet the appropriate eligibility criteria, responding to clinical and safety inquiries and supporting external interactions, advisory boards, and scientific communications as appropriate. - Lead and conduct peer-to-peer scientific exchange with KMEs, investigators, and HCPs — sharing clinical and emerging data, discussing unmet medical needs, and gathering external insights that inform overall development strategy. - Review, author, and contribute to key clinical and regulatory documents, including protocols, protocol amendments, investigator brochures, informed consent forms, clinical study reports, briefing materials, and health authority responses. - Perform other duties and responsibilities as assigned Qualifications: - Education: Advanced clinical degree (MD or DO) or MD/PhD required. Board certification or clinical training in rheumatology, nephrology, immunology, or a related specialty strongly preferred. Additional advanced degree (PhD, MPH, or MBA) is a plus. - Minimum of 3 years of pharmaceutical / biotech industry experience or research / hospital setting in clinical development, medical monitoring, or drug safety; clinical practice experience in relevant specialty is highly valued. - Direct experience treating, or managing lupus (SLE and/or CLE)and/or systemic sclerosis patients and clinical programs strongly preferred. - Deep scientific expertise in autoimmune disease — rheumatology, specifically lupus (SLE and/or CLE) or systemic sclerosis, preferred. - Deep clinical and scientific expertise in immunology and inflammation— including command of disease mechanisms, clinical trial landscapes, standard of care evolution, regulatory developments, and emerging therapeutic approaches - Ability to lead and influence cross-functional teams in a matrixed, fast-paced biotech or pharmaceutical environment without direct line authority - Ability to build alignment across diverse internal and external stakeholders, including senior leadership, clinical operations, regulatory, and commercial partners - Track record of driving program-level decisions with clarity and accountability, balancing scientific rigor with business urgency in resource-constrained settings - Experience fostering a culture of high performance, inclusion, and continuous learning - Exceptional scientific communication skills, both written and verbal with the ability to articulate complex medical and clinical data to a range of internal and external stakeholders - Occasional travel to medical congresses, KME meetings, advisory boards, and site engagements per business need Salary Range: The expected annual salary range for this position is listed below. Actual pay will be determined based on experience, qualifications, location, and other job-related factors permitted by law. A discretionary annual bonus and long-term incentive award (e.g., equity) may be available based on individual and Company performance. Salary Range $242,000 - $313,500 USD Benefits: We offer a comprehensive benefits package including: - Medical, Dental & Vision insurance (employee premiums 100% covered by company) - 20 accrued days combined time off (PTO/Sick), 12 company holidays, & winter recharge - Flexible work arrangements / hybrid schedule - Health Savings Account (HSA) *Benefits are subject to eligibility requirements and plan terms. Additional details provided during the offer process* Equal Employment Opportunity: Beeline Medicines is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, disability, age, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. Reasonable Accommodation: If you require a reasonable accommodation to participate in the application or interview process. Privacy Upon submission of this form I understand that Beeline Medicines is based in the United States and personal data submitted in the form will be transferred and accessed in the U.S., Information about Beeline Medicines privacy practices can be found at Privacy Policy - Beeline Medicines