Role Description Are you an accomplished Board Certified physician in one of the below specialties? Candidates must have a TX license. Emergency Medicine Telecommute Are you passionate about your work/life balance? We are seeking flexible and experienced physicians for our medical reviewstream division. This telecommute role provides the ability for you to customize your schedule and caseload within a Monday - Friday work week and within business hours. Create a flexible work schedule and be compensated on a per case basis as a 1099 independent contractor. JOB SUMMARY: Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations. Responsibilities - Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act (FMLA), Group health and workers’ compensation claims. - Meets (when required) with Concentra Physician Review Medical Director to discuss quality of care and credentialing and state licensure issues. - Maintain proper credentialing and state licenses and any special certifications or requirements necessary to perform the job. - Returns cases in a timely manner with clear concise and complete rationales and documented criteria. - Telephonically contacts providers and interacts with other health professionals in a professional manner. Discusses the appropriate disclaimers and appeal process with the providers. - Attends orientation and training. - Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits. - Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer reviewed literature that support sound and objective decision making and rationales in reviews. - Provides copies of any criteria utilized in a review to a requesting provider in a timely manner. Qualifications - Board certified MD, DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these services. - Current, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board). - Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer. - Must be in active medical practice to perform appeals. - Post-graduate experience in direct patient care. - Demonstrated computer skills, telephonic skills. - Demonstrated ability to perform review services. - Ability to work with various professionals including members of regulatory agencies, carriers, employers, nurses and health care professionals. - Medical direction shall also be provided consistent with the requirement that the physician advisor shall not have a financial conflict of interest. - Must present evidence of current error and omissions liability coverage for job duties and activities performed. - Managed care orientation. - Knowledge of current practice standards in specialty. - Good negotiation and communication skills. Requirements - Phone accessibility. - Access to a computer to complete reviews. - Ability to complete cases accompanied by a typed report in specified time frames. - Telephonic conferences. Company Description Concentra is an Equal Opportunity Employer M/F/Disability/Veteran. Concentra is committed to protect patient data and to ensure privacy of personal and medical information. - Every Concentra colleague has the responsibility to adhere to data protection principles. - If a colleague's role includes handling or processing sensitive data, role-specific policies and requirements apply to ensure the protection of patient information.

Role Description Are you an accomplished Board Certified Physical Medicine & Rehabilitation physician? Are you passionate about your work/life balance? We are seeking flexible and experienced physicians for our medical reviewstream division. This telecommute role provides the ability for you to customize your schedule and caseload within a Monday - Friday work week and within business hours. Create a flexible work schedule and be compensated on a per case basis as a 1099 independent contractor. Candidates must have a CA license. JOB SUMMARY: Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations. Responsibilities - Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act (FMLA), Group health and workers compensation claims. - Meets (when required) with Concentra Physician Review Medical Director to discuss quality of care and credentialing and state licensure issues. - Maintain proper credentialing and state licenses and any special certifications or requirements necessary to perform the job. - Returns cases in a timely manner with clear concise and complete rationales and documented criteria. - Telephonically contacts providers and interacts with other health professionals in a professional manner. - Discusses the appropriate disclaimers and appeal process with the providers. - Attends orientation and training. - Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits. - Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer reviewed literature that support sound and objective decision making and rationales in reviews. - Provides copies of any criteria utilized in a review to a requesting provider in a timely manner. Qualifications - Board certified MD, DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these services. - Current, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board). - Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer. - Must be in active medical practice to perform appeals. - Post-graduate experience in direct patient care. - Demonstrated computer skills, telephonic skills. - Demonstrated ability to perform review services. - Ability to work with various professionals including members of regulatory agencies, carriers, employers, nurses and health care professionals. - Medical direction shall also be provided consistent with the requirement that the physician advisor shall not have a financial conflict of interest. - Must present evidence of current error and omissions liability coverage for job duties and activities performed. - Managed care orientation. - Knowledge of current practice standards in specialty. - Good negotiation and communication skills. Requirements - Phone accessibility. - Access to a computer to complete reviews. - Ability to complete cases accompanied by a typed report in specified time frames. - Telephonic conferences. Company Description Concentra is an Equal Opportunity Employer M/F/Disability/Veteran. Concentra is committed to protect patient data and to ensure privacy of personal and medical information. Every Concentra colleague has the responsibility to adhere to data protection principles. If a colleague's role includes handling or processing sensitive data, role-specific policies and requirements apply to ensure the protection of patient information.

Role Description Are you an accomplished Psychologist? Candidates must have a New Jersey license. Are you passionate about your work/life balance? We are seeking flexible and experienced Psychologist for our medical reviewstream division. This telecommute role provides the ability for you to customize your schedule and caseload within a Monday - Friday work week and within business hours. Create a flexible work schedule and be compensated on a per case basis as a 1099 independent contractor. Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations. Responsibilities - Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act (FMLA), Group health and workers’ compensation claims. - Meets (when required) with Concentra Physician Review Medical Director to discuss quality of care and credentialing and state licensure issues. - Maintain proper credentialing and state licenses and any special certifications or requirements necessary to perform the job. - Returns cases in a timely manner with clear concise and complete rationales and documented criteria. - Telephonically contacts providers and interacts with other health professionals in a professional manner. Discusses the appropriate disclaimers and appeal process with the providers. - Attends orientation and training. - Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits. - Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer reviewed literature that support sound and objective decision making and rationales in reviews. - Provides copies of any criteria utilized in a review to a requesting provider in a timely manner. Qualifications - Board certified with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these services. - Current, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board). - Board certification by American Board of Medical specialties. - Must be in active medical practice to perform appeals. - Post-graduate experience in direct patient care. - Demonstrated computer skills, telephonic skills. - Demonstrated ability to perform review services. - Ability to work with various professionals including members of regulatory agencies, carriers, employers, nurses and health care professionals. - Medical direction shall also be provided consistent with the requirement that the physician advisor shall not have a financial conflict of interest. - Must present evidence of current error and omissions liability coverage for job duties and activities performed. - Managed care orientation. - Knowledge of current practice standards in specialty. - Good negotiation and communication skills. Requirements - Phone accessibility. - Access to a computer to complete reviews. - Ability to complete cases accompanied by a typed report in specified time frames. - Telephonic conferences. Benefits - This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management.

Role Description The Director, Medical Affairs Congress Strategy and Execution, plays a pivotal role in Otsuka's Global Medical Affairs (GMA) organization, spearheading our non-promotional scientific communication efforts across our CNS portfolio. This position is instrumental in developing and implementing cutting-edge congress strategies that align with and elevate our overall GMA objectives. Reporting to the Senior Director of Medical Communications, this role will orchestrate Otsuka's presence at major medical congresses, ensuring maximum impact and value from our scientific communications. The ideal candidate will be a visionary leader with a deep understanding of the medical congress landscape and the ability to leverage innovative approaches to enhance scientific exchange. Key Responsibilities - Congress Strategy and Execution - Develop a comprehensive, multi-year congress strategy aligned with Otsuka's CNS product portfolio based on defined objectives. - Create and lead the Congress Steering Committee in partnership with key GMA stakeholders. - Identify and prioritize key international and regional congresses across therapeutic areas. - Partner with cross-functional stakeholders to orchestrate Otsuka's scientific presence at congresses, including: - Abstract submissions and poster presentations - Oral presentations and late-breaking clinical trial sessions - Sponsored symposia and educational sessions - Investigator meetings and closed sessions - Booth design and scientific content - Press activities and media engagement - Implement innovative digital strategies to extend congress reach and engagement. - Develop and execute strategic plans for pre-congress, on-site, and post-congress activities. - Create and manage congress budgets, ensuring cost-effectiveness and ROI. - Scientific Content Development and Delivery - Collaborate with GMA Medical Strategy, Publications, and Scientific Communications to develop high-quality presentations and materials. - Ensure all congress materials adhere to compliance standards and data publication embargoes. - Implement best practices for data visualization and scientific storytelling. - Coordinate with publication planning to align congress activities with broader publication strategies. - KOL Engagement and Relationship Management - Develop and execute strategies for engaging key opinion leaders before, during, and after congresses. - Organize and facilitate investigator meetings and advisory boards in conjunction with congresses. - Create opportunities for scientific exchange between Otsuka medical personnel and external experts. - Metrics and Analytics - Establish KPIs for congress activities and implement systems to track and analyze performance. - Conduct post-congress analysis to assess impact and identify areas for improvement. - Benchmark Otsuka's congress presence against competitors and industry best practices. - Innovation and Best Practices - Stay abreast of evolving trends in medical congress strategy and scientific communications. - Pilot innovative approaches to enhance engagement and scientific exchange at congresses. - Develop and implement best practices for virtual and hybrid congress participation. Qualifications - Advanced degree in life sciences (Ph.D., PharmD, or M.D. preferred). - 10+ years of experience in Medical Affairs, with at least 5 years focused on congress strategy and execution. - Proven track record of successful congress planning and implementation on a global scale. - Deep understanding of the medical congress landscape and evolving trends in scientific communications. Requirements - Experience in the CNS therapeutic area strongly preferred. - Strong leadership skills with the ability to influence and align diverse stakeholders. - Excellent project management abilities, including budget management and vendor oversight. - Innovative mindset with experience in implementing digital and virtual congress solutions. - Strong analytical skills and ability to derive insights from congress metrics and feedback. - Exceptional communication skills, both written and verbal, with the ability to translate complex scientific concepts for various audiences. - Demonstrated ability to build and maintain relationships with key opinion leaders and scientific experts. Benefits - Comprehensive medical, dental, vision, prescription drug coverage. - Company provided basic life, accidental death & dismemberment, short-term and long-term disability insurance. - Tuition reimbursement and student loan assistance. - A generous 401(k) match. - Flexible time off, paid holidays, and paid leave programs. - Other company provided benefits.