• Lead enterprise compliance for a fast-growing healthcare organization operating at the center of value-based care, population health, Medicare Advantage, Medicaid, risk adjustment, and home-based clinical operations. • Lead and strengthen the enterprise compliance program across corporate and clinical compliance. • Maintain policies, standards, procedures, evidence, reporting, and governance aligned with OIG guidance and applicable federal and state healthcare requirements. • Conduct compliance risk assessments and help build annual compliance work plans. • Monitor regulatory changes and translate them into practical operating requirements. • Lead internal compliance investigations, root-cause analysis, corrective action plans, and follow-through. • Partner with Clinical Operations, Legal, HR, Information Security, Revenue Cycle, Quality, Credentialing, and Executive Leadership. • Support compliance with Medicare Advantage, Medicaid, CMS, telehealth, payer, and risk adjustment requirements. • Monitor clinical and provider compliance, including nurse practitioner scope of practice, collaboration agreements, supervision requirements, licensure, credentialing, privileging, and enrollment. • Support HIPAA Privacy and Security initiatives in partnership with Information Security. • Participate in CMS, Medicare Advantage, Medicaid, HIPAA, NCQA, URAC, payer, and related healthcare audits. • Develop compliance education and training for employees, providers, and leaders. • Build executive dashboards, compliance metrics, and Board-ready reporting. • Support M&A, integration, and expansion diligence from a compliance perspective when needed.

Role Description The Medical Affairs Lead is an individual contributor within the Medical Affairs department, responsible for leading, developing, and optimizing surgeon-driven engagement programs and Key Opinion Leader (KOL) strategies across all markets. This role integrates program management, KOL engagement, and cross-functional leadership, with the flexibility to focus on either Program Management or KOL Engagement and Relationship Management, depending on business needs and individual expertise. The Medical Affairs Lead contributes to both operational execution and strategic initiatives, partnering closely with internal and external stakeholders to ensure high-quality, compliant, and impactful Medical Affairs activities aligned with organizational priorities. Qualifications - Bachelor’s Degree in Life Sciences or related field (advanced degree preferred). - 3 years of relevant experience in Medical Affairs, life science event strategy, KOL management or medical program leadership. - Demonstrated experience managing and evolving complex, surgeon-driven medical programs. - Strong ability to influence and collaborate with senior internal and external stakeholders. - Excellent written and verbal communication skills with experience presenting to leadership. - Proven ability to manage multiple priorities in a fast-paced, matrixed environment. - Strong analytical capabilities with experience translating data into actionable insights. - Proficiency with MS Office and Medical Affairs reporting tools. - Willingness and ability to travel domestically up to 50% including weekends as needed. Requirements - Experience supporting Medical Advisory Boards (MABs) and Visiting Surgeon Programs (VSPs) at a strategic level. - Experience contributing to departmental planning, budget ownership, or program optimization initiatives. Responsibilities The specific duties of the Medical Affairs Lead include but are not limited to: Core Responsibilities - Serve as a primary Medical Affairs liaison for key opinion leaders, internal stakeholders, senior leadership, and external vendors. - Support program and engagement strategy aligned to Medical Affairs and organizational priorities. - Collaborate cross-functionally with Marketing, Clinical, Commercial, R&D, and other functions to ensure aligned execution. - Develop and deliver reports and executive-ready summaries related to Medical Affairs programs and engagement outcomes. - Support post-engagement analysis, including insight synthesis and 30/60/90-day follow-ups. - Identify gaps in processes or documentation and support continuous improvement initiatives. - Ensure all Medical Affairs activities comply with federal and state laws, AATB requirements, and company policies and SOPs. - Deliver work aligned with business objectives, timelines, and quality expectations. - Support strategic decision-making through financial, program, and engagement analysis. - Translate program outcomes and KOL insights into actionable recommendations. - Identify opportunities to improve engagement quality, metrics, and overall medical impact. - Contribute to the evolution of Thought Leadership processes and infrastructure. Program Management Focus - Lead the planning, execution, and evaluation of Medical Affairs-driven programs, including: - Medical Advisory Boards (MABs) - Expert Panels - Visiting Surgeon Programs (VSPs) - Educational and Thought Leader meetings - Oversee end-to-end program logistics, including: - Scheduling and coordination - Venue sourcing and vendor management - Contracting and compliance documentation - Travel coordination and on-site execution - Manage and track program budgets, supporting financial planning and reporting. - Ensure excellence in execution across both virtual and in-person programs. - Identify and implement opportunities to enhance program design, efficiency, and medical impact. KOL Engagement & Relationship Management Focus - Own the KOL engagement lifecycle, including: - Identification and segmentation - Onboarding and engagement planning - Ongoing relationship management - Support execution of the KOL engagement strategy and relationship management roadmap. - Maintain and optimize CRM systems and engagement tracking tools, ensuring accurate and compliant documentation. - Coordinate KOL interactions across internal teams to ensure consistency and alignment. - Gather and synthesize insights from KOL engagements to inform: - Clinical and medical strategy - Program development - Market understanding - Support speaker programs, training initiatives, and educational engagement activities. - Supports facilitation of the KOL contracting process by working closely with internal Axogen business partners (Compliance and Business Directors) and new KOL's. Directly involved in contract negotiation processes and overall contract management. - Support external representation activities by assisting with scientific meetings, advisory boards, and educational programming. Benefits - This position is eligible for an annual bonus. - Benefits offered for this position include: - Health, Dental, Vision - Matching 401K - Paid Time Off - 9 Paid Holidays + 3 Floating Holidays - Dependent Care Flexible Spending Accounts - Medical Flexible Spending Accounts - Tuition Reimbursement - Paid Parental Leave - Paid Caregiver Leave - Basic Life Insurance - Supplemental Life Insurance - Employee Stock Purchase Plan - Disability Insurance Location 111 W. Oak Ave., Tampa, FL or remote (Tampa preferred) Salary Range $76,537 — $95,670 USD

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.