Title: Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Location: Oregon, Washington, Idaho or Utah United States Work Type: Remote, Part time Job ID: R-6603 Job Description: Hybrid role (3 days/week in office) at our Burlington, Renton, Spokane, Vancouver, Portland, Medford, Salt Lake City, Boise, Lewiston, or Fargo offices. Candidates must reside within commutable distance of that location or be willing to relocate. This is a part-time non-benefited position with a maximum of 12 hours per week. Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We Are Looking For: Every day, Cambia's dedicated team of physicians are living our mission to make health care easier and lives better. As a member of the Utilization Management (UM) team, our Associate Medical Director BH and UM Medical Directors provides leadership, and clinical oversight for behavioral health operations across all lines of business within the health plan, with a primary focus on behavioral health utilization management. Partners with leaders and staff across the organization to ensure policies, programs and strategies related to our members. Conducts case reviews requiring physician involvement and/or provides clinical expertise to others related to behavioral health case management, prior authorizations and appeals. Provides peer-to-peer consultations with providers - all in service of creating a person-focused health care experience. Are you a motivated and experienced medical professional looking for a new challenge? Do you have a passion for patient care and want to make a big difference in healthcare? Then this role may be the perfect fit. What You Bring to Cambia: Qualifications: - Licensed Physician with an MD or DO degree - Active, unrestricted license to practice medicine in one or more of our 4 states. - Board Certification in general psychiatry or child psychiatry required with preference for being board certified in both. - Qualification by training and experience to render clinical opinions about medical conditions, procedures, and treatments under review. - At least 3 years clinical experience. - Two years health plan medical utilization management and/or case management experience. - Equivalent combination of education and experience. - Must be located in one of our four states. Skills and Attributes: - In-depth knowledge of best practices related to medical care for a wide variety of behavioral health conditions. - Demonstrated competency working with hospitals, provider groups, or integrated delivery systems to effectively manage patient care to improve outcomes. - Passion for population health, healthcare transformation and improving the experience of people with mental health issues. - Strong communication and facilitation skills with internal staff and external stakeholders, including the ability to resolve issues and seek optimal outcomes. - Proven ability to develop and maintain positive working relationships with community and provider partners. - Knowledge of the health insurance industry, state and federal regulations (including Parity Legislation/Regulations), provider reimbursement methods and evolving accountable care and payment models is preferred. - Experience conducting medical case reviews for utilization and/or case management is strongly preferred. - Detail-oriented with orientation to the application of data and metrics in managing health, quality and program effectiveness. - Leadership experience with demonstrated ability to effectively build relationships, work with others and lead people and project teams. What You Will Do at Cambia: - Develops and Implements Behavioral Health Policies and Programs: Assists in developing high-quality, market-competitive behavioral health medical policies and programs, and provides leadership in developing short and long-range plans, goals, and objectives for integrated utilization management. - Operational Leadership and Oversight: Oversees the development of effective operational policies, procedures, and standards for an integrated behavioral health program, monitors utilization and results, and implements process or system changes as needed. - Subject Matter Expert and Clinical Leadership: Serves as a subject matter expert on behavioral health, provides medical advice, oversight, and leadership for staff, and ensures members receive safe, effective, and cost-efficient services. - Collaboration and Communication: Collaborates with the Executive Medical Director of Behavioral Health, leads/participates in teams for medical policy reviews and development, and discusses review determinations with providers to promote understanding of utilization management and quality improvement policies. - Industry Trends and Opportunities: Stays abreast of industry, medical, and technology trends, identifies and communicates new opportunities to enhance outcomes and the organization's reputation, and collaborates to implement actions to reduce medical cost trend. - Other roles as assigned. #LI-Hybrid Pay ranges vary based on the candidate's work location. The expected hiring range depends on skills, experience, education, and training; relevant licensure / certifications; and performance history. Associate Medical Director - Oregon, Washington, Utah, and Idaho: The expected hiring range is $217,600 - $294,400, the full salary range is $204,000 - $333,000 and the bonus target is 25%. - North Dakota: The expected hiring range is $217,171.97 - $293,820.91 and the full salary range is $192,827.15 - $318,165.72. Medical Director - Oregon, Washington, Utah, and Idaho: The expected hiring range is $238,850 - $323,150, the full salary range is $224,000 - $366,000 and the bonus target is 30%. - North Dakota: The expected hiring range is $252,506.91 - $341,626.99, the full salary range is $224,201.29 - $369,932.61 and the bonus target is 20%. About Cambia Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through. Why Join the Cambia Team? At Cambia, you can: - Work alongside diverse teams building cutting-edge solutions to transform health care. - Earn a competitive salary and enjoy generous benefits while doing work that changes lives. - Grow your career with a company committed to helping you succeed. - Give back to your community by participating in Cambia-supported outreach programs. - Connect with colleagues who share similar interests and backgrounds through our employee resource groups. We believe a career at Cambia is more than just a paycheck - and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more. In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include: - Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits. - Annual employer contribution to a health savings account. - Generous paid time off varying by role and tenure in addition to 10 company-paid holidays. - Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period). - Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave). - Award-winning wellness programs that reward you for participation. - Employee Assistance Fund for those in need. - Commute and parking benefits. Learn more about our benefits. We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.

Title: Medical Supply Specialist (RN - California) Location: Any city, CA, US, 99999 Req ID: 36230 Work Mode: Virtual (Exception only) Job Description: It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you'll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development. Summary As a Medical Supply Specialist at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well‑being of the members they serve - a community's most vulnerable. Connect your passion with purpose by teaming with people who thrive on finding innovative solutions. Here are the details for this position. Your role in our mission - This position is a contractually required role for the Medi‑Cal MMIS account for the Department of Health Care Services. - The Medical Supply Specialist is responsible for responding to referrals from DHCS within 4 hours of notification. - Reviewing policy and attending meetings with DHCS. - Processing claims requiring medical review expertise and responding to referrals from internal departments. What were looking for - Active California RN license required. - Experience with medical supplies. - Experience in the healthcare industry, including insurance, provider support, and business analysis. - Attention to detail and strong organizational skills. - Ability to work independently, create and/or follow project schedules, and meet internal timelines, client deadlines, and delivery expectations. What you should expect in this role - Must be a resident of the state of California and within 35 miles of the state capitol. - Primarily remote work, with occasional onsite meetings, special training, or other business needs. The office is located in West Sacramento. - Reliable high‑speed internet connectivity is required. - Highly collaborative and interactive team environment. - Accountability for individual work assignments and projects. We will accept applications until July 10, 2026. The pay range for this position is $75,000.00 - $98,700.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings. Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

Title: Associate Medical Director, Rheumatology Therapeutic Area Location: United States Full time Job Description: At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity.  As guided by Our Credo, Johnson & Johnson is responsible to our employees who work with us throughout the world. We provide an inclusive work environment where each person is considered as an individual. At Johnson & Johnson, we respect the diversity and dignity of our employees and recognize their merit. Job Function: Medical Affairs Group Job Sub Function: Medical Affairs Job Category: Scientific/Technology All Job Posting Locations: Horsham, Pennsylvania, United States of America Job Description: We are searching for the best talent for an Associate Medical Director, Rheumatology TA, US Medical Affairs, located in Horsham, PA. About Immunology Our expertise in Innovative Medicine is informed and inspired by patients, whose insights fuel our science-based advancements. Visionaries like you work on teams that save lives by developing the medicines of tomorrow. Our Immunology team leads in the development of transformational medicines for immunological disorders and illnesses. You can influence where medicine is going by restoring health to millions of people living with immune diseases. Join us in developing treatments, finding cures, and pioneering the path from lab to life while championing patients every step of the way. Purpose: The Associate Medical Director, Rheumatology TA, US Medical Affairs will be an important part of the Rheumatology TA team, working closely with the other Rheumatology Medical Directors (and Associate Directors) as well as partners in US and Global Medical Affairs, Real World Value and Evidence (RWV&E), Population Health, Epidemiology, R&D, Biostatistics, and US and Global Commercial Team members supporting Immunology and Rheumatology within the Johnson & Johnson organization. The Associate Medical Director will be responsible for leading the development and execution of Medical Affairs sponsored and supported clinical programs for company products in Rheumatology. They will work with other team members and cross-functional partners to formulate and execute scientific strategy for marketed and pipeline products. They will also address medical questions and educational gaps that arise from field insights and from Rheumatology HCPs. The Associate Medical Director will also lead or contribute to development of abstracts and manuscripts as either an author or reviewer. This position resides in the Rheumatology TA Medical Affairs team which is responsible for developing, coordinating and executing the TA strategic plan for Medical Affairs, which seeks to identify and address key stakeholders' knowledge gaps through data generation, data dissemination and education. The TA Medical Affairs teams are also responsible for designing and executing Phase IIIb/IV trials and any post-marketing requirements within the areas of Immunology's current or emerging assets in both adult and pediatric US indications. You will be responsible for: - Contributes to US Rheumatology Medical Affairs strategy and will actively contribute to one or more integrated evidence teams (IETs) for approved and pipeline Rheumatology products/indications, working cross-functionally with partners within the IETs, including Medical Science Liaison (MSL) team leaders, RWV&E, Field V&E, SCG, Marketing brand teams, as well as potentially Rheumatology Disease Area Stronghold (DAS), R&D, Global Medical Affairs, (MSL) and Global Commercial partners to support execution of the TA Strategy for establishing access as well as plans for evidence generation and dissemination plans. - Contributes to and leads the cross-functional team to develop and maintain a current, strategically aligned and annually updated Integrated Evidence Generation Plan (IEGP) for approved and pipeline Rheumatology products/indications. - Supports payer-related materials and data needs to scientifically support market access efforts.\ - Contributes as a subject matter expert on analysis of key data in support of US Immunology for approved or planned therapies and indications, partnering particularly with respective marketing brand teams (as well as other commercial and IET partners, including RWVE, SCG, V&E Field and Med Info and other CAC partners) - Contributes to or leads the development of abstracts and manuscripts related to J&J supported and sponsored studies, with a focus on efficacy, outcomes, and safety/adverse event analyses. - May serve as Study Responsible Physician (SRP) or Study Responsible Scientist (SRS) (depending on terminal degrees) for one or more clinical studies of company products and be responsible for their development and execution with mentorship and supervision. This will include study design, protocol development, regulatory communications, academic and community-based HCP and investigator interactions, support of execution, and supervision of clinical studies of all types, including Phase IIIb/IV, registries, real world evidence, and investigator-initiated studies and collaborations supported by US Medical Affairs within the TA. - Actively partners with individuals in TA team and other groups inside and outside Medical Affairs (e.g. Biostats, GCO, Regulatory Affairs, QA and QC) to create Analysis Plans, safety data review for database locks and ensure compliance with study monitoring and other SOP/GCP requirements (and support audits, as needed). - Contributes to the preparation of regulatory submissions and interactions with Health Authorities (and particularly the US FDA) and helps to ensure regulatory post-marketing commitments are efficiently satisfied with cost-effective, efficient, and scientifically rigorous methods. - Support the fulfillment of medical information requests from field medical and field commercial teams. Support/lead the development of medical education content for field medical team. Partner with medical communications and scientific exchange teams on content development, review, and approval. - Identify new key opinion leaders (KOLs) and develop strong KOL collaborations on clinical trial development and medical affairs activities. Establish and foster relations with medical societies and patient advocacy organizations. Qualifications / Requirements: - Advanced degree, such as PharmD, PhD, or MD/DO degree required; NP/PA will also be considered. - Rheumatology or Immunology therapeutic area expertise is highly preferred - At least 1.5 years of prior pharmaceutical industry experience strongly preferred and/or at least 5 years post-graduate clinical medical practice which may include research experience (clinical studies, registries, epidemiology or health outcomes) - Experience with clinical study, registry, or real-word evidence study and prior commercial/ medical launch experience are strongly preferred - Excellent interpersonal and public speaking skills, and experience interacting with health care professionals and other thought leaders is essential - Evidence of strong scientific writing skills and analytical thinking is essential - Strong leadership, teaming and collaboration skills are essential - Strong organizational, written, and verbal communication skills, including proficiency in effective and impactful oral presentations - Up 25% of travel (primarily domestic & limited international) is required - This position is located in Horsham, PA and follows a hybrid schedule of three days in the office and two days remotely per week Johnson & Johnson is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status or other characteristics protected by federal, state or local law. We actively seek qualified candidates who are protected veterans and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act. #LI-LGREEN3 #LI-Hybrid Required Skills: Preferred Skills: Clinical Research, Collaboration, Immunology, Medical Affairs, Rheumatology, Stakeholder Partnerships, Strategic Thinking

• Build and run our earned media program. • Work directly with the CEO and alongside our in-house marketing team. • Handle strategy, pitching, and media relationships. • Secure earned media placements in healthcare B2B trade outlets. • Ghostwrite bylines and commentary for the CEO. • Proactive pitching with tailored pitches tied to news hooks, regulatory changes, and proprietary data. • Monitor journalist source requests and turn around expert commentary. • Secure podcast appearances, speaking slots, and manage industry award submissions.