• Responsible for implementing a strategic engagement approach at defined accounts within the territory to assure product coverage and access for a first-in-class gene therapy for the treatment of recurrent respiratory papillomatosis (RRP) • Identify opportunities and evolving trends that create mutually beneficial collaborations, where patient access to care increases, ultimately improving the quality of care • Meet or exceed all defined objectives and expense plan goals and objectives, by developing and implementing strategies specific to the assigned account(s) • Co-Leads the development and execution of the Strategic Account Plans with Commercial Leadership • Responsible for pull through the payer account plan with Commercial Leadership through routine calls and meetings • Responsible for the deployment of value-based healthcare commercial resources that challenge account thinking, elevate care and increase utilization of comprehensive care measures in clinical practice leading to improved outcomes of patients with recurrent respiratory papillomatosis (RRP) • Participate/Co-Lead routine cross functional market meetings focusing on account/customer profiling, performance engagement and accountability • Customer targets include, but not limited to, PBMs, National Health Plans, Medicare MACs, Regional Health Plans, IDNs, Key Customer C-Suite, Directors, Dept. Heads, Administrations, Finance, Pharmacy, Billing, etc. • Understand role of cross-functional partners and work collaboratively with each function to achieve maximum results • Demonstrates peer leadership with local field teams, cross-functional partners and internal leadership • Accountable for the development of Strategic engagement opportunities with KOLs within assigned customers • Provides proactive communication to customer stakeholders (internal and external) • Gathers insights from aligned Centers and serves as a rapid conduit of information back Commercial Leadership and the broader organization • Aligns disease state /therapeutic activities to the most current sales and marketing direction • Conducts Quarterly Business Reviews • Proficiency with sales support technology – example Salesforce/Veeva • Strong problem solving and analytical skills • Demonstrates strong emotional intelligence, strategic focus, ability to build and leverage networks, healthcare business acumen, establish and maintain connections, knowledge of healthcare and managed care policies, knowledge of reimbursement process, and a good understanding of both the Client’s product(s) as well as the competition, strategic customer focus, planning, execution, able to effectively leverage data and information to prioritize business opportunities, balancing stakeholders, business development, impact & influence, decision making, identifying and understanding problems, problem-solving, and thorough understanding of the customer’s business environment, able to understand the needs and perspectives of key decision makers.

Role Description Lead the future of virtual care! We are seeking an experienced and dynamic clinical leader to join our Integrated Care Division as Head of Service - Virtual Care. This is a senior leadership role responsible for the strategic and operational delivery of Virtual Care services across 999 and 111 Integrated Urgent and Emergency Care. The post holder will provide visible clinical leadership across Emergency Operations Centres, 111 Contact Centres, and virtual clinical services, ensuring the delivery of safe, effective, and high-quality patient care. Accountable for national performance standards, the role will lead the continued development of innovative Virtual Care models, including the Clinical Assessment Service (CAS). This is a pivotal opportunity to influence system-wide urgent and emergency care delivery, working collaboratively with internal teams, system partners, and stakeholders to improve patient outcomes and experience. Qualifications - Registered healthcare professional with current professional registration - Educated to Master's level or equivalent experience in a senior clinical leadership role - Evidence of advanced clinical practice (or equivalent level of clinical expertise) - Leadership or management qualification (or equivalent experience) - Desirable: Independent non-medical prescriber qualification - Desirable: Formal qualification in leadership, organisational development, or service transformation - Desirable: Specialist training in urgent and emergency care systems or Clinical Decision Support Systems (e.g. NHS Pathways) Requirements - Extensive knowledge of urgent and emergency care systems, including 999 and 111 Integrated Urgent Care - In-depth understanding of clinical governance, patient safety, and regulatory frameworks (including CQC standards) - Knowledge of national policy, performance frameworks (e.g. ARP, IUC MDS), and NHS priorities - Desirable: Understanding of financial management within the NHS - Desirable: Knowledge of digital healthcare systems and virtual care models Benefits - Option to join NHS pension scheme - A minimum 27 days' holiday each year, increasing after 5 years' service - Personal and professional development and training opportunities - Salary Sacrifice schemes for cars or push bikes - Access to occupational health and counselling services - Award winning wellbeing hub - Access to NHS discounts, offering NHS employees a range of money-saving deals - Other than in exceptional circumstances, the starting salary for staff new to the NHS will be the bottom point of the band to which they have been appointed

Role Description This position supports the health plan’s Personal Care Pharmacy Team by addressing the medication needs of members with multiple chronic conditions and open clinical gaps. In collaboration with departments such as Quality Management, Customer Care, and Care Management, the Personal Care Pharmacist conducts telephonic outreach to optimize disease state management and drive gap closure. - Evaluate medication-related problems such as adverse events, therapeutic duplication, adherence issues, polypharmacy, and untreated conditions. - Utilize prescription and medical claims data to develop clinical recommendations that address member-specific barriers and gaps in care. - Document, analyze, and report outreach activities, interventions, and outcomes when available. - Provide member education and materials on the appropriate use of medications. - Resolve member-specific benefit issues and refer to appropriate teams as needed. - Apply formulary and benefit information to guide appropriate medication recommendations and reduce access barriers. - Provide disease-specific education and self-management resources based on established protocols. - Collaborate in a matrixed environment with departments including Health Care Improvement, Provider Relations, Customer Care, and Pharmacy Operations. - Maintain knowledge of regulatory and CMS program requirements, including the CMS STARs program. - Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies’ mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs. - Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures. - Regular and reliable attendance is expected and required. - Performs other functions as assigned by management. - Collaborate with cross-functional teams to design and implement strategies addressing complex chronic disease populations. - Monitor the drug pipeline and proactively identify potential affordability, access, or utilization barriers impacting care. - Partner with Quality Management to develop targeted outreach strategies for high-impact populations. - Partner with Clinical Strategy, Pharmacy Quality, Quality Improvement, and Analytics teams to improve outreach efficiency and effectiveness. - Develop and maintain desk-level procedures for outreach, documentation, and outcome measurement. - Present program outcomes and strategic recommendations to leadership. - Partner with stakeholders to define program metrics, quantify outcomes, and articulate program value. - Standardize tools, processes, and best practices to ensure consistency and scalability. - Provide mentorship and training to Personal Care Clinical Pharmacist I and II staff. - Represent the health plan, as appropriate, in regional or national quality improvement forums or collaborative initiatives. - Serve as a subject matter expert to leadership on pharmacy-related program performance, trends, risks, and opportunities. - Lead cross-functional initiatives to improve gap closure and align with enterprise programs. Qualifications - Current New York State Pharmacist license with a PharmD or Bachelor of Science in Pharmacy, plus at least two years of experience in a healthcare or retail setting, with a focus on clinical services, patient care, or care management activities or completion of a PGY-1 residency. - Strong interpersonal, consultative, and communication skills, including experience engaging members, patients, and healthcare professionals. - Ability to manage multiple priorities in a fast-paced environment while maintaining accuracy and attention to detail. - Demonstrated ability to perform comprehensive drug regimen reviews and maintain current clinical knowledge. - Maintains confidentiality and uses only the minimum necessary protected health information (PHI) to accomplish job responsibilities. - Strong computer skills, including proficiency in Microsoft Word, Excel, Outlook, and PowerPoint, and the ability to learn new systems. - Minimum of three years of experience in an organized healthcare setting with strong clinical pharmacy knowledge required; at least one year must include direct patient and provider outreach (in person or telephonic). - Demonstrated experience developing or supporting managed care pharmacy programs with measurable clinical impact. - Innovative thinking and effective communication related to clinical decision-making and pharmacy case management strategies. - Ability to analyze claims data and member trends to identify gaps and propose new initiatives. - Experience working with complex populations, including members with both physical and behavioral health needs. - Minimum of five years of experience in an organized healthcare setting with strong clinical pharmacy knowledge required. In lieu of experience, completion of a managed care or ambulatory care residency program with at least two additional years of experience is acceptable. - Demonstrated ability to quantify program outcomes, including clinical impact, utilization, cost, and member experience. - Advanced business acumen supporting strategic decision-making, program prioritization, and resource allocation. - Advanced understanding of organizational pharmacy and quality strategies, with the ability to identify and implement aligned improvement initiatives. - Advanced knowledge of CMS requirements and standards related to pharmacy and non-pharmacy quality measures. - Demonstrated leadership and ability to serve as a role model within the department. Requirements - Ability to work prolonged periods sitting and/or standing at a workstation and working on a computer. - Ability to lift, carry, push, or pull 15 pounds or less. - The ability to hear, understand, and speak clearly while using a phone, with or without a headset. Benefits - Participation in group health and/or dental insurance. - Retirement plan. - Wellness program. - Paid time away from work. - Paid holidays. Compensation Range(s) E7: $87,766 - $157,978 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position’s minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Please note: There may be opportunity for remote work within all jobs posted by the Excellus Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Role Description This job functions autonomously to deliver physical therapy treatment, either through referral or direct to consumer. Responsibilities include: - Evaluating patients and developing treatment plans. - Assessing patients and monitoring progress toward treatment goals. - Ensuring patient needs are met through access to care, patient experience, and quality of care metrics. - Assisting in program development and enhancement to meet patient and community needs. Qualifications - Required: Bachelor's degree in physical therapy. Requirements - Required: Current physical therapy license in the state of practice OR eligibility for licensure by examination OR reciprocity from another state. - Basic Life Support (BLS) from the American Heart Association. - Proficiency in using computers, software, and web-based applications. - Effective verbal and written communication skills. - Excellent judgment and decision-making skills. - Strong interpersonal skills. - Ability to remain flexible with fluctuating schedules based on patient demand. Job Duties - Perform evaluations and provide treatment programs to facilitate patient-specific goals. - Assess the patient’s response to treatment and recommend treatment plan changes as appropriate. - Maintain patient records according to documentation standards, policies, and procedures. - Attain established productivity levels set forth by administration. - Assist in program development and enhancement to meet patient and community needs. - Adapt behavior to the specific patient population. - Perform other related duties as assigned. - Remain knowledgeable on current federal, state, and local laws, accreditation standards, or regulatory agency requirements. Physical and Environmental Demands - Duties performed routinely require exposure to blood, body fluid, and tissue. - Work in a patient care area; exposure to communicable diseases. - Occupational risk for exposure to hazardous medications or hazardous waste. Equal Opportunity Employer This employer is 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, protected veteran status, or disability status.