• Provides medical oversight of assigned clinical studies in the duty as a medical monitor • Often serves as primary medical contact for customers for assigned clinical studies • Provides medical input and oversight in support of the Drug Safety and Pharmacovigilance department • Responsible for protocol design and development, upon request • Provides input into protocol amendments • Develops and delivers project-specific and therapeutic training to project team members and clinical site staff; provides training to customer staff as needed • Provides oversight to assigned Medical Scientist staff and Medical Director colleagues to review clinical data • Presents identified trends and issues, and mitigation strategies, to customers and project team members to minimize risks to subject safety or integrity of study data • Represents the Company at scientific and industry meetings • Mentors staff to ensure an appropriate level of understanding regarding sound treatment and research principles of specific therapeutic area

Role Description The Virtual ARNP provides psychiatric evaluation and medication management services to PHP/IOP clients via telehealth, working 2 to 3 days per week on a contract basis. This role partners closely with the clinical team to support each client's treatment plan and is well suited to a provider seeking a flexible, part-time telehealth schedule. - Conduct psychiatric evaluations and medication management appointments for PHP/IOP clients via telehealth. - Develop, adjust, and monitor medication regimens in collaboration with the clinical team and primary counselor. - Document evaluations, prescriptions, and follow-up plans in the EMR in a timely manner. - Coordinate with clinical staff on treatment planning, level-of-care recommendations, and clinical staffing as needed. - Respond to urgent clinical questions from the program's clinical or administrative team during scheduled clinic days. - Maintain compliance with Wisconsin telehealth, prescribing, and documentation requirements. Qualifications - Active, unrestricted Advanced Practice Registered Nurse (APRN/ARNP) license in Wisconsin, or eligibility for Wisconsin licensure. - Psychiatric Mental Health Nurse Practitioner (PMHNP) certification or equivalent psychiatric prescribing credential. - Active DEA registration and prescriptive authority in Wisconsin. - Comfort delivering care entirely via telehealth, with reliable technology and a private, HIPAA-compliant workspace. - Working knowledge of HIPAA and 42 CFR Part 2 confidentiality requirements. - Availability of 2 to 3 days per week for scheduled telehealth appointments. Requirements - Prior experience providing psychiatric care in a PHP, IOP, or other behavioral health treatment setting. - Experience with co-occurring substance use and mental health diagnoses. - Familiarity with the EMR platform used by the program (to be confirmed during onboarding). Benefits - This role is structured as a 1099 contract position at $100.00 per hour, 2 to 3 days per week. - This is a contract opportunity with Wisconsin Behavioral Health. Atlantic Health Strategies is recruiting on their behalf.

Role Description Aetna, a CVS Health Company, is hiring physicians that are board certified in Orthopedic Spine or Neurosurgery to expand Aetna's medical management program. This is an exciting opportunity to address member needs across the continuum of care and provide clinical expertise to the spine team. The Medical Director (Spine) will be a Subject Matter Expert (SME) with a background in Orthopedic Spine OR Neurosurgery, including post-graduate direct patient care experience specifically. - Expands Aetna's medical management programs to address member needs across the continuum of care. - Supports the Medical Management staff ensuring timely and consistent responses to members and providers. - Leads all aspects of utilization review/quality assurance, directing case management. - Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities. - Acts as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams. - Responsible for predetermination reviews and reviews of claim determinations, providing clinical, coding, and reimbursement expertise, using multiple computer-based applications. Qualifications - 2 or more years of experience in Health Care Delivery System e.g., Clinical Practice and Health Care Industry. - Active and current state medical license without encumbrances. - M.D. or D.O., Board Certification in Orthopedic Spine OR Neurosurgery, including post-graduate direct patient care experience specifically. Requirements - Previous healthcare insurance experience (preferred). Benefits - Comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. - Medical, dental, and vision coverage. - Paid time off. - Retirement savings options. - Wellness programs and other resources, based on eligibility. Pay Range The typical pay range for this role is: $174,070.00 - $374,920.00. This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography, and other relevant factors. This position is eligible for a CVS Health bonus, commission, or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program.

Role Description As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients’ lives, in a non-clinical environment. You can enjoy better work-life balance on a team that values collaboration and continuous learning while providing better health outcomes. Collaboration Opportunities: - Routinely interacts with leadership and management staff, other Physicians, and staff whenever a physician's input is needed or required. What You Will Be Doing: - Serve as the specialty match reviewer in Vascular cases that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter expert. - Discuss determinations (peer to peer phone calls) with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request. - Provides clinical rationale for standard and expedited appeals. - Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU's policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. - Aids and acts as a resource to Initial Clinical Reviewers. - Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and accurate manner. - Participates in on-going training per inter-rater reliability process. - May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. - On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. Qualifications - MD/DO/MBBS - Required - Minimum of five (5) years’ experience in the practice of Vascular Surgery - Preferred - Current, unrestricted clinical license in medicine or required specialty - Required - Obtaining and maintaining medical licenses in the state you reside - Required - Active Board Certification in Vascular Surgery or Active Board Certification in General Surgery with extensive experience in Vascular Surgery - Required - Strong clinical, management, communication, and organizational skills - Required - Energetic and curious with a passion for quality and value in health care - Required - Computer Proficiency - Required Requirements - To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. - We conduct identity verification during interviews, and final interviews may require onsite attendance. - All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. - The use of artificial intelligence tools during interviews is prohibited and monitored. - Misrepresentation will result in immediate disqualification from consideration. Benefits - The expected base salary/wage range for this position is $130-140/hr. - As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. - All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.