• Develop and maintain peer-to-peer scientific relationships with key opinion leaders, investigators, and multidisciplinary care teams. • Execute regional medical engagement plans aligned with Global Medical Affairs strategy. • Represent Solid at scientific congresses, advisory boards, investigator meetings, and other external forums. • Provide scientific education and exchange regarding Solid’s research and development programs. • Gather insights to inform protocol design, endpoint selection, and development strategy. • Support future launch preparedness through deep understanding of regional care pathways and treatment landscapes. • Capture, synthesize, and communicate actionable medical insights. • Identify opportunities for real-world evidence generation, natural history collaborations, and investigator-sponsored research. • Support scientific communication and publication priorities through stakeholder engagement. • Contribute to the development of Solid’s U.S. field medical organization. • Support recruitment, onboarding, and mentoring of future MSL team members. • Establish best practices for scientific engagement and insight gathering. • Transition into regional leadership responsibilities as the MSL organization expands.

• Reporting directly to the Chief Executive Officer, the Chief Medical Officer is a vital member of the Executive Leadership team. • Serve as the senior executive for all clinical and medical-related matters. • Champion the needs of end-users, including clinicians, nurses, and administrative staff. • Drive clinical innovation, oversee patient safety, and advance OP's overarching business strategy. • Collaborate with the Executive Leadership team to align clinical solutions with organizational goals. • Monitor healthcare industry trends and provide actionable competitive intelligence. • Identify macro-level strategic growth areas. • Serve as a thought leader in pediatric healthcare and advocate for OP at industry events. • Develop and maintain relationships with national pediatric organizations and industry leaders. • Lead and engage with the OP Clinical Advisory Board.

Role Description Responsible for clinical review of utilization requests and assessment and implementation of potential coordination of care opportunities for overall membership, institutionalized populations, high risk members, and other members identified with at risk or high utilization needs. Functions as an active team member of the Utilization Management Team. - Performs utilization review of outpatient and ancillary services as well as inpatient and post-acute services when indicated. - Determines medical necessity and appropriateness of services using clinical review criteria. - Accurately documents all review determinations and contacts providers and members according to established timeframes. - Appropriately identifies and refers cases that do not meet established clinical criteria to the Medical Director. - Appropriately identifies and refers quality issues to Medical Management leadership. - Appropriately identifies potential cases for Care Management programs. - Collaborates with physicians and other providers to facilitate provision of services throughout the health care continuum. - Performs accurate data entry. - Communicates appropriate information to other staff members as necessary/required. - Participates in continuing education initiatives. - Collaborates with other departments as needed. - Performs other duties as assigned. Qualifications - Knowledge of managed care and associated group benefit plans. - Possess strong oral and written communication skills. - Ability to reason logically and to use good judgment when interpreting materials or situations. - Knowledge of community-based resources. - Must have excellent organizational skills and be able to perform multiple tasks. - Proficient in Microsoft applications. - Excellent time management and documentation skills. - Successful completion of Health Care Sanctions background check. Requirements - Graduation from accredited School of Nursing. - Current, active, unrestrictive license to practice as a Registered Nurse in the State of Oklahoma. - Three years of acute care experience preferred. - Two years of experience working with population health preferred. - Previous discharge planning or case management experience preferred. - Managed care experience a plus. Company Description CommunityCare is an equal opportunity at will employer and does not discriminate against any employee or applicant for employment because of age, race, religion, color, disability, sex, sexual orientation or national origin.

Role Description The Medical Management Clinician Associate is responsible for ensuring appropriate, consistent administration of plan benefits by reviewing clinical information and assessing medical necessity under relevant guidelines and/or medical policies. Location: Virtual - This role enables associates to work virtually full-time, with the exception of required in-person training sessions (when indicated), providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law. How you will make an impact: - Confirms medical services are appropriate based on assigned benefit plan, medical policies, clinical guidelines, plan benefits, and/or scripted algorithms within scope of licensure. - Work may be facilitated, in part, by algorithmic or automated processes. - Handles less complex benefit plans and/or contracts. - Conducts and may approve precertification, concurrent, retrospective, out-of-network, and/or appropriateness of treatment setting reviews by assessing clinical information against appropriate medical policies, clinical guidelines, and the relevant benefit plan/contract. - May process a medical necessity denial determination made by a Medical Director. - Refers complex or non-routine reviews to more senior nurses and/or Medical Directors. Qualifications - Requires H.S. diploma or equivalent. - Requires a minimum of 2 years of clinical experience and/or utilization review experience. - Current active, valid and unrestricted LPN/LVN or RN license and/or certification to practice as a health professional within the scope of licensure in applicable state(s) or territory of the United States required. Multi-state licensure is required if this individual is providing services in multiple states. Requirements - For candidates working in person or virtually in the below locations, the salary range for this specific position is $28.44 - $42.67. - Locations: New York. Benefits - Comprehensive benefits package. - Incentive and recognition programs. - Equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).