Role Description We are seeking a Director Finance who will provide leadership, oversight and strategic support for the financial management functions of a school or large department with multiple functional areas and/or service lines. This position reports to an executive or administrative leader of the designated area and is an integral part of the management team. This position is responsible for all financial activity and oversight for the designated area and will provide senior management with financial reports and take actions to ensure good financial stewardship and achievement of budgeted financial performance. The position will ensure development of a strong finance team through the mentoring of key individuals. - Oversee the production and reconciliation of annual operating and capital budgets. - Maintain continuous involvement with leadership to ensure that all factors are considered for the annual budget. - Oversee the development of financial reporting systems for the assigned area. - Oversee the establishment and implementation of systems for forecasting, requesting and managing capital funds. - Create and maintain KPIs designed to maximize the financial performance. - Coordinate the creation and use of business intelligence tools. - Oversee and perform financial analyses of actual and budgeted performance as required to maintain control and address financial issues. - Responsible for production and maintenance of monthly financial statements and reports. - Oversee the accounting for income and expense budget projections and changes. - Conduct financial analysis for program/product development. - Participate in the development of financial models to support service lines. - Develop and/or monitor compliance with financial policies and internal controls. - Directly supervise exempt finance staff and provide oversight to department-based staff to ensure competencies and adequacy of work products. - Serve as a mentor to the department's financial staff to develop key career growth skills and opportunities. - Other duties as assigned. Qualifications - Bachelor's Degree in Finance, Accounting, Business or related field. - Ten years progressively responsible financial management experience. - Additional education may substitute for required experience, and additional related experience may substitute for required education beyond a high school diploma/graduation equivalent, to the extent permitted by the JHU equivalency formula. Requirements - Master's Degree in related field and/or Certified Public Accountant license. - Professional experience in higher education or an academic medical center. Benefits - This salary range does not include all components of the School of Medicine's compensation program. - This position may be eligible for a discretionary bonus. - Therefore, the actual compensation paid to the selected candidate may vary slightly from the salary range stated herein. - For more information, please contact the hiring department. Company Description - Classified Title: Director Finance - Role/Level/Range: L/05/LG - Starting Salary Range: $111,800 - $195,900 Annually ($174,900 targeted; Commensurate w/exp.) - Employee group: Full Time - Schedule: Monday-Friday, 8:00 am - 4:30 pm - FLSA Status: Exempt - Location: Remote - Department name: SOM Oph Finance - Personnel area: School of Medicine

Role Description The Medical Director will report to the Senior Medical Director of Utilization Management, Member Appeals & Grievances, and Medical Policy (Senior Medical Director of Utilization Management) and support the staff of the Office of Clinical Affairs in the areas of medical management daily medical necessity reviews, evaluation of medical policy, utilization trend management, quality, appeals and grievances, and pharmacy reviews. Key Functions/Responsibilities - Provides clinical case review, consultation and oversight for all utilization management activities in a fashion that is compliant with all federal, state, and NCQA requirements. - Conducts review of prior authorizations, concurrent reviews and retrospective medical necessity reviews that do not meet standard criteria and determines coverage. - Works with the Senior Medical Director of Utilization Management to identify appropriate use of InterQual criteria and Medical Policy. - Works with the Senior Medical Director to ensure consistent medical decision making for all physician reviewers, including the contracted physicians. - Conducts clinical review of appeals and grievances in a fashion that is compliant with all federal, state and NCQA requirements. - Develops and supports clinical initiatives to support department quality improvement and utilization management goals. - Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment. - Collaborates with hospital physicians, medical directors, primary care physicians and nurse case managers in daily activities and initiatives to improve the health of the population, the quality and experience of care our members receive, and lower the overall cost of care at the population level. - Participates in and chairs clinical committees as assigned by the Senior Medical Director of Utilization Management. - Supports quality, and pharmacy committees and activities. - Provides input to the strategic planning process for the Office of Clinical Affairs as requested. - Represents the Chief Medical Officer or Senior Medical Directors in Massachusetts, New Hampshire and other locations as requested. Supervision Exercised - Indirect technical direction is provided to the organization. Supervision Received - General direction is received weekly. Qualifications - Graduate as a Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) from an accredited allopathic or osteopathic medical school. - 8-10+ years of related experience is required including a minimum of 5 years direct clinical experience and a minimum of 3 years experience in medical management in a managed care setting. - Preference for those with Board Certification in the following: - Internal Medicine - Internal Medicine-Pediatrics (Med Peds) - Family Medicine - Emergency Medicine Certification or Conditions of Employment - Pre-employment background check. - Active or lifetime board certification in recognized medical specialty of the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA). - Current unrestricted licensure as an MD or DO in Massachusetts and New Hampshire is required, or ability to obtain in a reasonable timeframe. - Current unrestricted licensure as an MD in Massachusetts or New Hampshire is preferred. - No restriction on participation in Medicare or Medicaid programs. Competencies, Skills, and Attributes - Excellent demonstrated clinical skills and knowledge. - Excellent written and verbal communication skills. - Comprehensive knowledge of accrediting organizations such as NCQA. - Comprehensive knowledge of InterQual protocols, HEDIS, and other quality measures. - Knowledge of Medicare and state Medicaid regulations, guidelines, and standards. - Proven leadership skills and relationship building. - Knowledge of managed care principles and processes. - Ability to work independently with intermittent supervision. - Adhere to appropriate turn-around-times and deadlines while maintaining results of high quality and reliability. Working Conditions and Physical Effort - Work is normally performed in a typical remote interior/office work environment. - No or very limited physical effort required. No or very limited exposure to physical risk. - Ability to travel to locations within New Hampshire and Massachusetts. - Regular and reliable attendance is an essential function of the position. Compensation Range $173,000 - $250,000. This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensure as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, WellSense offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family wellbeing. Note: This range is based on Boston-area data, and is subject to modification based on geographic location.

Role Description The Prior Authorization Clinician is responsible for reviewing all proposed hospitalization, home care, and inpatient/outpatient services for medical necessity and efficiency to ensure members receive the appropriate and timely care to support members in achieving optimal health outcomes. - Determines medical appropriateness of inpatient and outpatient services following evaluation of medical guidelines applying evidenced-based InterQual® criteria, Medical Policy and benefit determination. - Performs utilization review activities, including pre-certification, concurrent and retrospective reviews according to guidelines. - Determines medical necessity of each request by applying appropriate medical criteria to first level reviews and utilizing approved evidenced based guidelines/criteria. - Utilizes decision-making and critical-thinking skills in the review and determination of coverage for medically necessary health care services. - Reviews, documents, and communicates all utilization review activities and outcomes including, but not limited to, all inquiries made and received regarding case communication. - Refers cases to Physician Reviewer when the treatment request does not meet medical necessity per guidelines, or when guidelines are not available. - Demonstrates strong interpersonal and communication skills when conducting reviews, interacting with physicians and staff, and ensures compliance with training on related policies and procedures. - Sends appropriate system-generated letters to provider and member. - Provides guidance and coaching to other utilization review nurses and participates in the orientation of newly hired utilization nurses. - Follows all departmental policies and workflows in end-to-end management of cases. - Participates in team meetings, education, discussions, and related activities. - Maintains compliance with Federal, State and accreditation organizations. - Identifies opportunities for improved communication or processes. - May participate in audit activities and meetings. - Documents rate negotiation accurately for proper claims adjudication. - Identifies and refers potential cases to Care Management. - Performs all other related duties as assigned. Qualifications - Nursing degree or diploma required. - Preferred/Desirable: Bachelor's degree. - Medicare and Medicaid knowledge. - 2+ years prior authorization experience and evidence-based guidelines (InterQual Guidelines). - Managed care experience. Requirements - Active RN License in the state of NH, or a compact eligible state that includes NH. - Pre-employment background check. - Ability to take after hours call, including evening/nights/weekends. Benefits - Full-time remote work. - Competitive salaries. - Excellent benefits. - Generous total compensation that includes benefits (medical, dental, vision, pharmacy), merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family wellbeing. Working Conditions and Physical Effort - Fully remote position with possible travel to the Charlestown, MA office for team meetings and training sessions. - Fast paced and dynamic work environment requiring adaptability and focus. - Minimal physical effort required; primarily desk-based tasks such as documentation and virtual meetings. - Regular and reliable attendance is essential. Compensation Range $35.58 - $51.44. This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer.

• Conduct buy-side and sell-side financial due diligence on behalf of private equity clients and corporate acquirers/sellers • Plan, manage, and lead multiple due diligence engagements and service teams • Act as primary client contact for the duration of the due diligence process • Conduct on-site and/or phone interviews with C-level personnel at acquisition targets • Analyze historical financial and operating results of target companies, explain business trends, and identify risks • Prepare due diligence reports and presentations to clients which compile analyses and highlight key findings and recommendations • Train, develop, and mentor lower-level staff • Apply TAS Best Practices to ensure consistent quality of service and work product and actively participate in the development of the group’s Best Practices • Generate new business opportunities for the group and the firm • Develop proposals, including budgets and scope of work, and present proposals to prospective clients