Medical Director Jobs in Ponce, PR

Plasma Operations Provides operational initiatives with the goal of aligning center processes, improving operational efficiencies to ensure center development and ultimately to reduce process variation for consistencies within fleet. Plasma Multi Discipline Manages two or more sub-families or has responsibilities across multiple sub-families in the Plasma Operations Job family group. Our Benefits We encourage you to make your well-being a priority. It's important and so are you. Learn more about how we care at CSL. About CSL Plasma CSL Plasma is one of the world's largest collectors of human plasma. Our work helps to ensure that people with rare and serious diseases are able to live normal, healthy lives. We are committed to our work because lives depend on us. Learn more about CSL Plasma. We want CSL to reflect the world around us As a global organization with employees in 35+ countries, CSL embraces diversity and inclusion. Learn more about Diversity & Inclusion at CSL. Do work that matters at CSL Plasma!

Plasma Operations Provides operational initiatives with the goal of aligning center processes, improving operational efficiencies to ensure center development and ultimately to reduce process variation for consistencies within fleet. Plasma Multi Discipline Manages two or more sub-families or has responsibilities across multiple sub-families in the Plasma Operations Job family group. **Our Benefits** We encourage you to make your well-being a priority. It's important and so are you. Learn more about how we care (*********************************************************************** at CSL. **About CSL Plasma** CSL Plasma is one of the world's largest collectors of human plasma. Our work helps to ensure that people with rare and serious diseases are able to live normal, healthy lives. We are committed to our work because lives depend on us. Learn more about CSL Plasma (******************************************* . **We want CSL to reflect the world around us** As a global organization with employees in 35+ countries, CSL embraces diversity and inclusion. Learn more about Diversity & Inclusion (********************************************************** at CSL. **Do work that matters at CSL Plasma!** R-227537 CSL makes all employment decisions without regard to race, color, religion, national origin, ancestry, age, sex, gender, pregnancy, disability, marital status, sexual orientation, gender identity, genetic information, military status, protected veteran status (specifically status as a disabled veteran, recently separated veteran, armed forces service medal veteran, or active duty wartime or campaign badge veteran) or other classification protected by applicable US federal, state or local law. CSL complies with all applicable employment laws, including but not limited to Title VII of the Civil Rights Act of 1964, the Americans with Disabilities Act, the Fair Labor Standards Act, and the Immigration Reform and Control Act. ************************************************

**Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, level of care, and/or site of service should be authorized. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes reviewing of all submitted medical records, synthesizing complex hospital-based clinical scenarios, and providing expert decisioning on the requested services. They will have regular discussions with external providers by phone to gather additional clinical information and discuss determinations. Medical directors are expected to understand Humana processes with a focus on collaborative business relationships. The ideal candidate will have a high degree of integrity, professionalism, resourcefulness, and enjoy working in a team-based environment. Medical Directors support Humana value throughout all activities. **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are concordant with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts. The ideal candidate supports and collaborates with other team members, other departments, Humana colleagues and the Regional VP Health Services. After completion of structured and mentored training, daily work is performed with minimal direction, but with ready support from other team members. Enjoys working in a structured environment with expectations for consistency in thinking and authorship. Exercises independence in meeting departmental expectations and meets compliance timelines. **Use your skills to make an impact** **Required Qualifications** + MD or DO degree + 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age). + Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted license in at least one jurisdiction and willing to obtain additional license, if required. + No current sanction from Federal or State Governmental organizations, and able to pass credentialing requirements. + Excellent verbal and written communication skills . + Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with national guidelines such as MCG or InterQual + Experience in hospital-based clinical practice, including specialties of Internal Medicine, Family Practice, Geriatrics, Hospitalist, Emergency Medicine clinical specialists + Exposure to Public Health, Population Health, analytics, and use of business metrics. + Experience working with Case managers or Care managers on complex case management, including familiarity with social determinants of health. + The curiosity to learn and the flexibility to adapt to changes in order to enhance efficiency, productivity, and organizational goals. + Ability to thrive in a dynamic fast-paced, team-oriented environment. + Commitment to a culture of innovation, including being facile with using technology to improve workflows + Participate in educational activities by attending required conferences and also create content to lead/teach/present for individual subject matter contribution + Passionate about contributing to an organization's focus on consistency in outcomes, consumer experiences and a highly engaged team culture + Identify medical management operational improvements, including those within the medical director area + Participate in call rotation + Develop collaborative relationships with Team and key partners within the Medicare Line of Business. **Additional Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director, depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned market, member population, or condition type. May also engage in grievance and appeals reviews. May participate on project teams or organizational committees. \#physiciancareers \#B1 **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $223,800 - $313,100 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 02-27-2025 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************

By clicking the "Apply" button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda's Privacy Notice and Terms of Use . I further attest that all information I submit in my employment application is true to the best of my knowledge. **Job Description** **About the role:** **The Senior Medical Science Liaison is a field-based, external customer-facing member of the US therapeutic area medical unit team, responsible for analyzing, interpreting and disseminating scientific data, acquiring and translating customer insights, fostering external expert networks, and compliantly connecting customers to Takeda in order to advance medical strategy and improve patient outcomes. As part of the US Medical team, you will report to the Director, MSL.** **The territory includes the Western United States: California, Oregon, Washington, Arizona, Nevada, Idaho, Wyoming, Montana, Utah, Colorado, New Mexico, Alaska and Hawaii.** **How you will contribute:** + **Externally-focused KOL/HCP related activities are expected to comprise a minimum of 80% of responsibilities.** + **Build and maintain professional relationships with KOLs/HCPs per individual territory plans aligned to medical strategy.** + **Demonstrate advanced knowledge regarding Takeda disease areas and products as well as therapeutic area. competitor landscape; analyze and interpret complex scientific information and communicate to KOLs/HCPs in a compliant, fair-balanced, and non-misleading manner.** + **Support Takeda-sponsored research and appropriately assist with facilitation of strategically aligned medical collaborative studies and investigator-initiated research processes.** + **Display advanced knowledge of therapeutic area key intelligence topics/questions and effectively collect, interpret, and internally communicate medical insights from KOLs/HCPs to inform and refine medical strategies and/or tactics.** + **Identify and cultivate partnership opportunities between KOLs/HCPs and Takeda US Medical.** + **Participate in executing medical strategy at medical conferences (e.g., staff medical booth, internally communicate medical insights acquired through poster/session attendance and KOL/HCP interactions).** + **Within defined timelines and quality standards, respond to unsolicited HCP medical information inquiries referred by Medical Information** + **Complete all required customer activity documentation (e.g., CRM entries, insights capture, etc.), training, expense reporting, and other administrative responsibilities in a timely, accurate, and compliant manner.** **Minimum Requirements/Qualifications:** + Doctoral degree in life/health sciences is preferred (PharmD, MD, PhD, or equivalent), Master's degree in health sciences (MSN, NP or PA) is the minimum requirement. + Minimum of 2 years of experience post-doctorate as a field-based medical science liaison (MSL) in the pharmaceutical industry is required. + Excellent communication (written and verbal), organization and collaboration skills are required. + Execution of activities within legal, regulatory, and compliance requirements **Other desired experience and skills include:** + **Dissemination of complex scientific data to healthcare audiences.** + **Relevant therapeutic area knowledge and expertise.** + **Clinical, research, and/or teaching experience.** + **Ability to work effectively in virtual and cross-functional teams.** + **Execution of activities within legal, regulatory, and compliance requirements.** **Travel requirements:·** + **Frequent travel is required; must be available to travel up to 70% of time, including some overnight and weekend·** + **Ability to drive and/or fly to meetings is required·** + **Must have clean and valid driver's license.** **What Takeda can offer you:** + **Comprehensive Healthcare: Medical, Dental, and Vision** + **Financial Planning & Stability: 401(k) with company match and Annual Retirement Contribution Plan** + **Health & Wellness programs including onsite flu shots and health screenings** + **Generous time off for vacation and the option to purchase additional vacation days** + **Community Outreach Programs and company match of charitable contributions** + **Family Planning Support** + **Flexible Ways of Working** + **Tuition reimbursement.** **More about us:** **At Takeda, we are transforming patient care through the development of novel specialty pharmaceuticals and best in class patient support programs. Takeda is a patient-focused company that will inspire and empower you to grow through life-changing work.** **Certified as a Global Top Employer, Takeda offers stimulating careers, encourages innovation, and strives for excellence in everything we do. We foster an inclusive, collaborative workplace, in which our teams are united by an unwavering commitment to deliver Better Health and a Brighter Future to people around the world.** **This position is currently classified as "remote" in accordance with Takeda's Hybrid and Remote Work policy.** **Takeda Compensation and Benefits Summary** We understand compensation is an important factor as you consider the next step in your career. We are committed to equitable pay for all employees, and we strive to be more transparent with our pay practices. **For Location:** USA - CA - Virtual **U.S. Base Salary Range:** 133,000.00 - 209,000.00 The estimated salary range reflects an anticipated range for this position. The actual base salary offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. The actual base salary offered will be in accordance with state or local minimum wage requirements for the job location. U.S. based employees may be eligible for short-term and/ or long-term incentives. U.S. based employees may be eligible to participate in medical, dental, vision insurance, a 401(k) plan and company match, short-term and long-term disability coverage, basic life insurance, a tuition reimbursement program, paid volunteer time off, company holidays, and well-being benefits, among others. U.S. based employees are also eligible to receive, per calendar year, up to 80 hours of sick time, and new hires are eligible to accrue up to 120 hours of paid vacation. **EEO Statement** _Takeda is proud in its commitment to creating a diverse workforce and providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, parental status, national origin, age, disability, citizenship status, genetic information or characteristics, marital status, status as a Vietnam era veteran, special disabled veteran, or other protected veteran in accordance with applicable federal, state and local laws, and any other characteristic protected by law._ **Locations** USA - CA - VirtualUSA - AZ - Virtual **Worker Type** Employee **Worker Sub-Type** Regular **Time Type** Full time **Job Exempt** Yes \#LI-Remote

**Specialty/Competency:** Data, Analytics & AI **Industry/Sector:** Not Applicable **Time Type:** Full time **Travel Requirements:** Up to 80% A career within Data and Analytics services will provide you with the opportunity to help organisations uncover enterprise insights and drive business results using smarter data analytics. We focus on a collection of organisational technology capabilities, including business intelligence, data management, and data assurance that help our clients drive innovation, growth, and change within their organisations in order to keep up with the changing nature of customers and technology. We make impactful decisions by mixing mind and machine to leverage data, understand and navigate risk, and help our clients gain a competitive edge. As part of our Analytics and Insights Consumption team, you'll analyze data to drive useful insights for clients to address core business issues or to drive strategic outcomes. You'll use visualization, statistical and analytics models, AI/ML techniques, Modelops and other techniques to develop these insights. To really stand out and make us fit for the future in a constantly changing world, each and every one of us at PwC needs to be a purpose-led and values-driven leader at every level. To help us achieve this we have the PwC Professional; our global leadership development framework. It gives us a single set of expectations across our lines, geographies and career paths, and provides transparency on the skills we need as individuals to be successful and progress in our careers, now and in the future. As a Director, you'll work as part of a team of problem solvers, helping to solve complex business issues from strategy to execution. PwC Professional skills and responsibilities for this management level include but are not limited to: + Support team to disrupt, improve and evolve ways of working when necessary. + Arrange and sponsor appropriate assignments and experiences to help people realise their potential and support their long-term aspirations. + Identify gaps in the market and spot opportunities to create value propositions. + Look for opportunities to scale efficiencies and new ways of working across multiple projects and environments. + Create an environment where people and technology thrive together to accomplish more than they could apart. + I promote and encourage others to value difference when working in diverse teams. + Drive and take ownership for developing connections that help deliver what is best for our people and stakeholders. + Influence and facilitate the creation of long-term relationships which add value to the firm. + Uphold the firm's code of ethics and business conduct. **Basic Qualifications** **Minimum Degree Required** Bachelor Degree **Minimum Year(s) of Experience** 12 year(s) **Preferred Knowledge/Skills** Demonstrates thought leader-level abilities with, and/or a proven record of success directing efforts in the majority of the following areas: + Leading the design and development of Contact Center AI and Technology solutions that improve customer engagement and satisfaction, reduce customer service costs, and increase operational efficiency; + Leading a team of Cloud Contact Center, IVR and Conversational AI consultants, designers and developers providing guidance, support, and mentoring to analyze that the team is aligned with the company's strategic goals; + Leading the end-to-end solution delivery lifecycle, from solution strategy, architecture and design to testing, deployment, and maintenance; + Developing and implementing Contact Center AI & Conversational AI strategies that drive user engagement and adoption, as well as business growth and revenue; + Working closely with stakeholders across the organization to assess that Contact Center and Conversational AI solutions are aligned with company goals and values, and meet regulatory requirements; + Working in Contact-Center-as-a-Service and/or Conversational AI full lifecycle programs, with a track record of delivering projects to production + Demonstrating technical product leadership experience with providers such as AWS Lex/Connect, Kore.ai, Nuance, NICE CXOne and overall modern contact center AI and tech architecture. + Leading and contributing to development of proof of concepts and/or pilots for clients while working in cross-functional teams; + Managing daily operations of a global data and analytics team on client engagements, review developed models, provide feedback and assist in analysis; + Structuring, writing, communicating, and facilitating client presentations; and + Directing staff through coaching, providing feedback, and guiding work performance. Demonstrates thought-leader abilities and/or a proven record of success learning and performing in functional and technical capacities, including the following areas: + Specific experience with conversational AI and CCaaS platforms, such as Nuance, MSFT DCCP, Amazon Lex/Connect, Kore.ai, Omilia, NICE, Google CCAI/Dialogflow; + Understanding and experience with Contact Center technology ecosystem, non functional capabilities such as High Availability, CI/CD, Security etc.; + Using AI, data and cloud in Contact Center solution optimization; and architecting standard integration architecture with CRM, Workforce & Quality management, Reporting apart from core backend systems; + Understanding of data privacy and security regulations and standard industry practices; + Working with client and PwC team to understand their strategic intent and selecting the appropriate solutions and architecture; + Using voice user interface (VUI) design and development; + Applying experience with cloud platforms, such as AWS, Google Cloud, or Microsoft Azure; + Using bot development and orchestration frameworks, such as RASA or Bot Framework; + Developing AI solutions for multilingual audiences; + Understanding or hands on experience with Lex/Connect, Nuance, CCAI etc.; + Leading and contributing to development of proof of concepts and/or pilots for clients while working in cross-functional teams; + Managing daily operations of a global data and analytics team on client engagements, review developed models, provide feedback and assist in analysis; + Structuring, writing, communicating and facilitating client presentations; and, + Directing associates / senior associates through coaching, providing feedback, and guiding work performance. Learn more about how we work: ************************** PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: *********************************** All qualified applicants will receive consideration for employment at PwC without regard to race; creed; color; religion; national origin; sex; age; disability; sexual orientation; gender identity or expression; genetic predisposition or carrier status; veteran, marital, or citizenship status; or any other status protected by law. PwC is proud to be an affirmative action and equal opportunity employer. For positions based in San Francisco, consideration of qualified candidates with arrest and conviction records will be in a manner consistent with the San Francisco Fair Chance Ordinance. Applications will be accepted until the position is filled or the posting is removed, unless otherwise set forth on the following webpage. Please visit this link for information about anticipated application deadlines: *************************************** The salary range for this position is: $148,000 - $317,000, plus individuals may be eligible for an annual discretionary bonus. For roles that are based in Maryland, this is the listed salary range for this position. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications and location, and applicable employment laws. PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation and more. To view our benefits at a glance, please visit the following link: *********************************** \#LI-Hybrid

Job Family: Management Consulting Travel Required: None Clearance Required: None What You Will Do: This is a part time role that will be employed by one of our employment partners. It will require between 5 and 10 hours a week. Guidehouse is a leading management and digital consulting firm serving the public and commercial markets. Guidehouse combines deep commercial and public sector expertise to help clients solve the unique societal challenges of our time. We guide our clients forward towards new futures that build trust in society and your professional skills along the journey. Join us at Guidehouse. The primary purpose of the Financial Services team is to help our clients solve their most important and complex challenges, by bringing the clients to Guidehouse and the best of Guidehouse to our clients. This includes building long-term sustainable client relationships with account executives and understanding their business issues, that ultimately help generate new business opportunities. As one of the Client Relationship Executives, you are a key leader and executive on our team, responsible for working with our teams and our clients to drive new work that solves our clients' toughest challenges. This includes: Being in the market creating and maintaining key client relationships, key teaming partner relationships, and identifying net new opportunities Competitive Opportunities: Identifying and screening upcoming Requests for Proposal (RFPs), conducting research and analysis with our account teams, qualifying opportunities, developing and leading capture strategies, building client relationships to understand their needs, leading and driving win strategies with our teams, working with our account and solutions teams to develop and refine solutions, building teams of companies, influencing customers' expectations and requirements for success, and working with our teams to create winning proposals Demand Generation: Conducting effective discussions to understand client business issues and match them to service capabilities/revenue opportunities, developing solutions and white papers through collaboration with our account and solutions teams, and securing consulting engagements to solve their complex challenges Strategy and Plans: Supporting Account Strategy and Peak Account Planning with our account team through market and client analysis, Guidehouse capabilities analysis, client engagement strategies, and action plans What You Will Need: Minimum Year(s) of Experience: 15+ years of experience working within the local Financial Services market culminating in a senior leadership position Minimum Degree Required: Minimum of Bachelor's degree from an accredited higher educational institution Strong passion for Financial Services and experience as a market leader What Would Be Nice To Have: Preferred Experience: 20+ years in the local Financial Services market culminating in a senior leadership position Preferred Degree: Post graduate degree from an accredited US higher education Experience working for a Consulting Firm What We Offer: Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace. Benefits include: Medical, Rx & Dental Insurance Personal and Family Sick Time & Company Paid Holidays Position may be eligible for a discretionary variable incentive bonus Parental Leave and Adoption Assistance Basic Life & Supplemental Life Short-Term & Long-Term Disability Tuition Reimbursement, Personal Development & Learning Opportunities Skills Development & Certifications Employee Referral Program Corporate Sponsored Events & Community Outreach Mobility Stipend About Guidehouse Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation. Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco. If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at ************** or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation. Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

* Posted 2 months ago * Posted 2 months ago **Job title:** Clinical Director, Care Management **Company:** **Job description**: Clinical Director Care Management (Hybrid, Full or Part-Time) For more than 50 years, Wise & Healthy Aging has been serving older adults at all stages of their lives. Offering a wide range of services for older adults from pre-retirement through elder years, we also offer services for caregivers and their families and work closely with other senior services and community organizations who share our passion and commitment to making a difference in the lives of older adults. Wise & Healthy Aging has received numerous designations of excellence from Guide Star, GREATNONPROFITS, and is nationally certified as a Great Place to Work. We offer competitive salaries and benefits. For staff who regularly work 30 or more hours per week, benefits include 80% company-paid medical, 100% company-paid dental, 401(k) plan with employer match, Flexible Spending Account (FSA), optional life and vision insurance, 14 paid holidays plus paid time off (PTO). POSITION SUMMARY (Hybrid, full or Part-Time. Licensure Required, LCSW, LP, RN, LVN) The Director of Care Management is responsible for managing program services daily, supervising staff and interns, ensuring high-quality client service delivery, complying with program grants and contracts, recording fiscal and client data, and backing up for preparing and submitting invoices. In partnership with the Vice President, the Director will identify, implement, and evaluate program goals and objectives by designing plans and operations according to each program's contract and budget guidelines. This includes clinical oversight of the Enhanced Care Management (ECM) program. PRIMARY RESPONSIBILITIES Ensure clinical oversight and high-quality client service delivery.Enhance and maintain a sustainable ECM program. Prepare and oversee all necessary ECM components, including client's files, documents, protocols and procedures, measured deliverables, billing, and quarterly reports.Demonstrate strong clinical and diagnostic skills with mastery in bio-psycho-social assessments, care plans, and care coordination (e.g., needs related to dental, medical, and mental health, substance abuse, ADL, IADL, housing/living situation).Possess the ability to train and modify assessment protocols in accordance with best practices and health plan regulations.Review client case files for quality, timeliness, and accuracy; ensure all documentation (such as the required assessments, forms, care plan, progress notes, closing letters, etc.) is complete and signed; ensure the required internal and external program-specific and client-based portal systems match hard copy client files and files are maintained with current clinical standards. Serve as backup to monitor and ensure staff service recordings, including accurate billing, are entered promptly into designated software systems across all required programs.Oversee and monitor program compliance to Wise & Healthy Aging policies and procedures; maintain proper documentation of all program services delivered to participants.Serve as the initial point of contact for referrals from various entities, such as the City, County, and partnering healthcare organizations.Screen potential Care Management and Peer Counseling clients. Oversee and assign clients/intakes to Care Coordinators, interns, and volunteers.Evaluate that clients are being referred to the appropriate service modalities where they will receive various levels of case management (clinical and non-clinical) and access to essential benefits.Provide one-on-one clinical supervision of Care Coordinators, interns, and volunteers as needed.Facilitate biweekly staff meetings to review cases and coordinate training with staff, interns, and volunteers. Provide direct client service when there are challenging situations that require the support of a supervisor.Provide timely performance feedback formally (introductory reviews and annual performance evaluations) and informally to direct reports.Assist in biannual and quarterly Care Management reporting.Support the VP in coordinating and supporting the completion and submission of requests for proposals to maintain current contracts and to expand services as appropriate.Serve as backup support, as needed, for the Vice President, Care Management OTHER RESPONSIBILITIES Oversight of MSW year one and year two student interns Provide training, supervision, and problem-solving to Care Coordinators on complex client cases.Provide reporting and analytics to the Vice President, highlighting progress to reaching set goals.Other duties as directed to accomplish program goals. POSITION QUALIFICATIONS (Licensure is required) Education Minimum education requirement: A master's degree in social work, psychology, public health, or a related field.Licensure is required; a licensed clinical social worker and licensed psychologist are preferred. LVN & RN may be considered. Experience Experience supervising employees who conduct fieldwork.Respond professionally to clients, constituents, and the community at large.Prioritize and organize workload while responding promptly to clients, partnering entities, or agency departments.Demonstrate experience performing direct service in social services or a related field. Prior management responsibilities handling case management duties. Field work experience with ethnically and economically diverse populations. Bilingual language skills are a plus (e.g., Russian, Mandarin, Farsi, etc.) OTHER REQUIREMENTS Ability to measure and assess the impact of services and support and participate in critical elements of the program's success.Strong clinical, interpersonal, verbal, and written communication skills.Ability to effectively communicate expectations to team members and demonstrate team building.Ability to multitask effectively and prioritize work efficiently with competing deadlines.Ability to demonstrate sound judgment and decision-making skills.Proficient knowledge of Microsoft Office software programs.Valid driver's license, auto insurance, and satisfactory criminal background check are required. PHYSICAL REQUIREMENTS Ability to lift 25 pounds.Normal conditions for an office environment This position is in Santa Monica, California's Wise & Healthy Aging corporate office. **Expected salary**: **Location**: Bayamón, PR **Job posting date**: Sun, 06 Oct 2024 22:37:25 GMT ** To apply for the job** ** To apply for the job** **Contact us**

_\*\*\*This role is based at our corporate office in McLean, VA\*\*\*_ **WHAT WILL I BE DOING?** The Director, Investor Relations works directly with the Senior Vice President, Investor Relations to manage the high\-profile and critical Investor Relations function at Hilton Worldwide\. Main responsibilities include messaging of our strategy and performance to the investment community, managing buy and sell\-side analysts to ensure accurate financial modeling, analyzing Hilton's performance against peers, conducting company and industry valuations, tracking market research, and managing internal stakeholders for preparing materials for investor presentations and quarterly earnings\. Additional responsibilities include leading the company's roadshow and conference calendars and collaborating with our third\-party targeting team as well as corporate access teams across various investment banks to optimize management's time and efficiency while marketing\. You will interact with senior leaders such as the CEO, and CFO as well as collaborate with partners in Legal, ESG, Communications, Corporate Strategy, Accounting, and Financial Planning & Analysis\. Given the high\-profile nature of the role, particularly the extensive interactions with internal and external constituents, you should possess excellent interpersonal skills and a strong work ethic\. Additionally, the position requires an ability to strictly follow and enforce our financial disclosure policies due to the confidential and proprietary nature of the information involved\. **HOW WE WILL SUPPORT YOU** Hilton is proud to support the mental and physical wellbeing of all Team Members so they can Thrive personally and professionally in a diverse and inclusive environment, thanks to programs and benefits such as: + Go Hilton travel program: 100 nights of discounted travel with room rates as low as $40/night + Hilton Shares: Our employee stock purchase program \(ESPP\) \- you can purchase Hilton shares at a 15 percent discount + Paid parental leave for eligible Team Members, including partners and adoptive parents + Mental health resources including free counseling through our Employee Assistance Program + Paid Time Off \(PTO\) + Learn more about the rest of our benefits \(****************************************** At Hilton, we believe every Team Member is a leader\. We are committed to offering leadership development opportunities and programs through every step of a Team Member's career journey and at every level, both in our hotels and across corporate\. \*\*Available benefits may vary depending upon terms and conditions of employment and are subject to the terms and conditions of the plans\. **HOW YOU WILL MAKE AN IMPACT** Your role is important and below are some of the fundamental job duties that make your work unique\. **What are we looking for?** We believe that success in this role will demonstrate itself through the following attributes and skills: **Data Management and Analysis \(45%\)** + Work collaboratively with others across the organization to gather required data from internal and external sources + Conduct financial analysis, individually and in partnership with other groups, around central metrics for competitors and industry, including financial statements, operational statistics, and valuation - able to synthesize and share findings from the analysis + Use a suite of IR tools to research, analyze, and report on stock ownership, investor base, and market activity of Hilton and its peers + Monitor, analyze, and summarize investment community research on our organization; including aggregating and reviewing sell\-side financial and valuation models + Maintain consensus database reflecting estimates from several third\-party providers; analyze and monitor changes in estimates and report movements to internal teams + Monitors macro and industry trends, particularly as they relate to our fundamental and stock performance and the potential for questions from external constituents **Communication \(35%\)** + Assist the Senior Vice President, IR in managing our sell\-side coverage community of approximately 25 research analysts, in addition to our buy\-side stakeholders, appropriately representing the Hilton Leadership Team and conveying our core messaging, while also promoting the Hilton Worldwide brand and the "brands" of our executive management team + Work collaboratively with the Senior Vice President and executive management to develop messaging around our financial, growth, and capital return strategies; report feedback, such as marketplace perception and frequently asked questions, from the investment community to the aforementioned internal constituents + Spearhead the development, design, writing, production, and coordination of investor relations communications including earnings documents \(press release, earnings script, appendices\), conference and non\-deal roadshow materials, investor relations website, and other investor materials + Lead internal teams on the production of the IR Question & Answer document, including aggregating contributions from various departments, researching and formulating talking points for anticipated questions + Respond to information requests from management as well as inbound investor and sell\-side inquiries; eventually evolving to include proactive outreach + Help produce various reports, including the Annual Report, Shareholder Letter, ESG Report, and management of the annual shareholders' meeting and proxy preparation process + Participate in non\-deal roadshows, conferences, property tours, investor HQ visits, investor days, and annual shareholder meetings **Other Support and Quarterly Reporting Activities \(20%\)** + Track quarterly calls of competitors + Handle database of IR contacts and interactions; create reports used in devising investor marketing strategies + Manage investor meetings, conferences, non\-deal roadshows, and company investor events\. Collaborating with corporate access teams across various investment banks, to enhance our investor interactions and efficiency while marketing\. + Own and maintain a library of analyst reports and provide summary content for management + Organize and facilitate earnings day logistics, particularly around the conference call **WHY YOU'LL BE A GREAT FIT** **You have these minimum qualifications:** + Five \(5\) years of relevant work experience + Seven \(7\) years of professional experience + Excellent written and verbal communication and comprehension skills\. Ability to clearly explain complex analytical topics\. + Exceptional critical and strategic thinking and strong analytical skills\. Ability to thoroughly analyze financial documents and review analyst models to identify trends and opportunities\. + Ability to perform well under pressure, using a sense of judgment to effectively handle multiple concurrent demands, and appropriately prioritize responsibilities\. + Proficient in Excel and PowerPoint\. + Flexible, adaptable, personable, works well with others, and takes direction\. + Strong organizational skills and attention to detail\. + Travel up to 50% of the time **It would be useful if you have:** + MS/MA/Master's Degree + Experience in investor relations function + Experience in sell side or buy side role **WHAT IT IS LIKE WORKING FOR HILTON** Hilton, the \#1 World's Best Workplace, is a leading global hospitality company with a diverse portfolio of world\-class brands \(**************************************** \. Dedicated to filling the earth with the light and warmth of hospitality, we have welcomed more than 3 billion guests in our more\-than 100\-year history\. Hilton is proud to have an award\-winning workplace culture and we are consistently named among one of the World's Best Workplaces\. Check out the Hilton Careers blog \(************************************** and Instagram \(******************************************** to learn more about what it's like to be on Team Hilton\! It is the policy of Hilton to employ qualified persons without regard to color, race, creed, religion, national origin, ancestry, citizenship status, age, sex or gender \(including pregnancy, childbirth and related medication conditions\), gender identity or gender expression, sexual orientation, marital status, military service, status as a protected veteran, disability, protected medical condition as defined by applicable law, genetic information, or any other protected group status as defined by and subject to applicable federal, state and local laws\. We provide reasonable accommodations to qualified persons with disabilities to perform the essential functions of the position and provide other benefits and privileges of employment in accordance with applicable law\. Please contact us \(https://cdn\.phenompeople\.com/CareerConnectResources/prod/HILTGLOBAL/documents/Applicant\_Accommodation\_and\_Accessibility\_Assistance\-English\-20************253430519\.pdf\) if you require an accommodation during the application process\. Hilton offers its eligible team members a comprehensive benefits package including medical and prescription drug coverage, dental coverage, vision coverage, life insurance, short\-and long\-term disability insurance, access to our employee stock purchase plan \(ESPP\) where you can purchase Hilton shares at a 15 percent discount, a 401\(k\) savings plan, 20 days of paid time off accruing over your first year of employment and increasing up to 25 days after completing one year of full employment, up to 12 weeks of paid leave for birth parents and 4 weeks for non\-birth parents, 10 paid holidays and 2 floating holidays throughout the year, up to 5 bereavement days, flexible spending accounts, a health savings account, an employee assistance program, access to a care coordination program \("Wellthy"\), a legal services program, an educational assistance program, adoption assistance, a backup childcare program, pre\-tax commuter benefit and our travel discount\. The annual salary range for this role is$120,000 \- $175,000and is determined based on applicable and specialized experience and location\. Subject to plan terms and conditions, you will be eligible to participate in the Hilton Annual Incentive \(Bonus\) Plan, and the Company's long\-term incentive plan, consistent with other team members at the same level and/or position within the Company\.\#LI\-REMOTE **Job:** _Finance and Accounting_ **Title:** _Director Investor Relations_ **Location:** _null_ **Requisition ID:** _COR0150A_ **EOE/AA/Disabled/Veterans**

HOW WE CARE FOR YOU: At Rochester Regional Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community. Personal Time that includes Vacation Time, Sick Time & Holidays Health & Wellness Benefits starting Your First Day Medical, Dental & Vision Programs tailored to Your Needs Student Loan Repayment Program Tuition Assistance & Reimbursement Program Employee Referral Program Relocation Assistance SUMMARY As an Assistant Director of Nursing Services, your organization and leadership skills guide you in developing and maintaining the Nursing department philosophy and culture of care. Your ability to manage multiple programs, while delivering superior customer service makes you a valuable asset to our team. Park Ridge Living Center, also known as Wegman Cottages, is a five-star facility in Greece. The facility has won two national awards and has been named twice as Best Nursing Home. STATUS: Full Time LOCATION: Park Ridge Living Center DEPARTMENT: Long Term Care SCHEDULE: M-F Days ATTRIBUTES Minimum of five (5) years of progressive experience in chronic care nursing, including three (3) years of leadership experience in a nursing home setting One (1) year of experience in acute or post-acute care preferred Compassionate, kind and patient focused Excellent communication and interpersonal skills RESPONSIBILITIES Program & Budget Management. Maintain knowledge of Medicare eligibility requirements and provide assistance in the decision making of admission and continued coverage; develop the annual department budget; assists in monitoring and controlling budget variances; assure compliance with charting requirements in the electronic medical record Staffing. Provide direct oversight of the staff and Nursing Supervisors; maintain Master Nurse Staffing Plan; balance elder needs and nursing skill to assure compliance; oversee the hiring of new employees; facilitate the purchase of necessary equipment and supplies Policies & Procedures. Work on the development and dissemination of nursing policies and procedures; monitor incident reports and analyze patterns; collaborate to handle elder, patient, resident and family complaints Leadership. Oversee the development of the Nursing department goals; provide leadership in the development and implementation of processes for an interdisciplinary approach to elder care planning and service EDUCATION: AS: Nursing (Required) LICENSES / CERTIFICATIONS: BLS - Basic Life Support - American Heart Association (AHA), RN - Registered Nurse - New York State Education Department (NYSED) PHYSICAL REQUIREMENTS: M - Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects; Requires frequent walking, standing or squatting. For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements. Any physical requirements reported by a prospective employee and/or employee's physician or delegate will be considered for accommodations. PAY RANGE: $90,000.00 - $130,000.00 CITY: Rochester POSTAL CODE: 14626 The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts. Rochester Regional Health is an Equal Opportunity/Affirmative Action Employer. Minority/Female/Disability/Veterans by a prospective employee and/or employee's Physician or delegate will be considered for accommodations.

**Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All work occurs with a context of regulatory compliance, and work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes computer based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. Has discussions with external physicians by phone to gather additional clinical information or discuss determinations regularly, and in some instances these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value based care, population health, or disease or care management. **Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts. The ideal candidate supports and collaborates with other team members, other departments, Humana colleagues and the Regional VP Health Services. After completion of mentored training, daily work is performed with minimal direction. Enjoys working in a structured environment with expectations for consistency in thinking and authorship. Exercises independence in meeting departmental expectations, and meets compliance timelines. **WORK SCHEDULE IS MONDAY - FRIDAY. SOME WEEKENDS REQUIRED.** **Required Qualifications** + MD or DO degree + 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age). + Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted license in at least one jurisdiction and willing to obtain additional license, if required. + No current sanction from Federal or State Governmental organizations, and able to pass credentialing requirements. + Excellent verbal and written communication skills . + Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with national guidelines such as MCG or InterQual + Internal Medicine, Family Practice, Geriatrics, Hospitalist, Emergency Medicine clinical specialists + Advanced degree such as an MBA, MHA, MPH + Exposure to Public Health, Population Health, analytics, and use of business metrics. + Experience working with Case managers or Care managers on complex case management, including familiarity with social determinants of health. + The curiosity to learn, the flexibility to adapt and the courage to innovate **Additional Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director, depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned market, member population, or condition type. May also engage in grievance and appeals reviews. May participate on project teams or organizational committees. \#physiciancareers **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $223,800 - $313,100 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 02-27-2025 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************

**Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** **What You'll Be Doing:** Evolent is looking for a Managing Director of Value-Based Operations to join our Primary Care Leadership Team. This role will be a key member of the leadership team for Evolent Care Partners (ECP), Evolent's business unit focused on value-based care relationships with primary care practices. ECP launched as an internal start-up in 2020 with a wholly owned Medicare Shared Savings Program (MSSP) Accountable Care Organization (ACO) spanning four states. In 2024, ECP spans 10 states and is accountable for over $1B in medical expenses via risk-based relationships with payers and primary care providers in MSSP, Medicare Advantage, and Commercial products. In 2023, the most recent year of data available, ECP generated over $64M of savings for Medicare in the Shared Savings Program. The Managing Director will report to the SVP Primary Care / President of Evolent Care Partners and will play a key leadership role in both the strategy and operational aspects of ECP. This leader will own ECP's overall strategic planning efforts, as well as oversee several ECP functions core to clinical, quality, and financial outcomes. The leader will partner across cross-functional leaders within Evolent and ECP to develop a multi-year strategic roadmap for ECP, including plans for in-market growth and performance optimization. ECP's overall strategic roadmap will include a plan for growth to new markets, geographies, and/or products, and will be developed in close collaboration with the ECP Growth and Business Development teams. The strategic plan will also include a comprehensive plan for optimizing performance across Medicare and Commercial contracts, including plans related to medical expense management, quality improvement, appropriate risk adjustment, and patient and provider engagement. Members of the ECP leadership team in clinical, performance, finance, policy and network will be close collaborators and contributors to the overall strategic plan development and implementation. The Managing Director (MD) will have operational oversight for several key performance levers for ECP, with operational teams for each reporting in. The MD will lead our Quality program, with accountability for ECP's Quality performance across contracts. The MD will partner with our Payor Operations and Analytics teams to ensure complete and comprehensive data and performance tracking. The MD will develop clinical and performance improvement strategies based on clinical guidelines, best practices, and provider input. Implementation of quality programs and interface with provider and payor partners will be done in close collaboration with ECP's Clinical, Performance and Network teams. Additionally, the MD will oversee ECP's Risk Adjustment program, with responsibility for developing our analytic and operational strategies that ensure ECP's risk profile appropriately matches the complexity of the patients we serve. The MD will partner with our risk analytics team to track and measure risk adjustment metrics, understand payor contracts and CMS policies impacting risk adjustment, and manage the suite of internal programs and external partnerships used to ensure appropriate risk adjustment and coding. **Qualifications** - **Bachelor's degree in business or related field -** **Minimum 10 years of progressive leadership and management experience** **Leadership role within a value based primary care organization (ACO or Managed Services Organization) -** **Experience with primary care risk models - shared savings and/or capitation -** **Demonstrated experience driving and managing performance and achieving key financial targets** **Comfort in ambiguity: you've worked in a startup environment or something similar where there wasn't always clarity about what you should do next -** **Excellent written, computer, and oral communication skills** **Experience with Medical Expense reporting and initiative development -** **A strategic thinker and tactical executor who can move an idea from concept to reality -** **Proven ability to interact with and influence clients and internal stakeholders - M.B.A. or equivalent graduate degree -** **An accomplished executive with superior management skills and a successful track record of leading, developing, and mentoring leaders and future leaders -** **Technical Requirements:** We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. **Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ************************** **for further assistance.** The expected base salary/wage range for this position is $160,000-170,000. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts. Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!

By clicking the "Apply" button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda's Privacy Notice and Terms of Use . I further attest that all information I submit in my employment application is true to the best of my knowledge. **Job Description** **About the role:** **The Senior Medical Science Liaison is a field-based, external customer-facing member of the US therapeutic area medical unit team, responsible for analyzing, interpreting and disseminating scientific data, acquiring and translating customer insights, fostering external expert networks, and compliantly connecting customers to Takeda in order to advance medical strategy and improve patient outcomes. As part of the US Medical team, you will report to the Director, MSL.** **The territory includes the Northeastern United States:** **New York, New Jersey, Delaware, Maryland, Connecticut, Rhode Island, Massachusetts, Maine, New Hampshire, Vermont, Pennsylvania, West Virginia and Ohio.** **How you will contribute:** + **Externally-focused KOL/HCP related activities are expected to comprise a minimum of 80% of responsibilities.** + **Build and maintain professional relationships with KOLs/HCPs per individual territory plans aligned to medical strategy.** + **Demonstrate advanced knowledge regarding Takeda disease areas and products as well as therapeutic area. competitor landscape; analyze and interpret complex scientific information and communicate to KOLs/HCPs in a compliant, fair-balanced, and non-misleading manner.** + **Support Takeda-sponsored research and appropriately assist with facilitation of strategically aligned medical collaborative studies and investigator-initiated research processes.** + **Display advanced knowledge of therapeutic area key intelligence topics/questions and effectively collect, interpret, and internally communicate medical insights from KOLs/HCPs to inform and refine medical strategies and/or tactics.** + **Identify and cultivate partnership opportunities between KOLs/HCPs and Takeda US Medical.** + **Participate in executing medical strategy at medical conferences (e.g., staff medical booth, internally communicate medical insights acquired through poster/session attendance and KOL/HCP interactions).** + **Within defined timelines and quality standards, respond to unsolicited HCP medical information inquiries referred by Medical Information** + **Complete all required customer activity documentation (e.g., CRM entries, insights capture, etc.), training, expense reporting, and other administrative responsibilities in a timely, accurate, and compliant manner.** **Minimum Requirements/Qualifications:** + Doctoral degree in life/health sciences is preferred (PharmD, MD, PhD, or equivalent), Master's degree in health sciences (MSN, NP or PA) is the minimum requirement + Minimum of 2 years of experience post-doctorate as a field-based medical science liaison (MSL) in the pharmaceutical industry is required · + Excellent communication (written and verbal), organization and collaboration skills are required · + Execution of activities within legal, regulatory, and compliance requirement **Other desired experience and skills include:** + **Dissemination of complex scientific data to healthcare audiences.** + **Relevant therapeutic area knowledge and expertise.** + **Clinical, research, and/or teaching experience.** + **Ability to work effectively in virtual and cross-functional teams.** + **Execution of activities within legal, regulatory, and compliance requirements.** **Travel requirements:·** + **Frequent travel is required; must be available to travel up to 70% of time, including some overnight and weekend·** + **Ability to drive and/or fly to meetings is required·** + **Must have clean and valid driver's license.** **What Takeda can offer you:** + **Comprehensive Healthcare: Medical, Dental, and Vision** + **Financial Planning & Stability: 401(k) with company match and Annual Retirement Contribution Plan** + **Health & Wellness programs including onsite flu shots and health screenings** + **Generous time off for vacation and the option to purchase additional vacation days** + **Community Outreach Programs and company match of charitable contributions** + **Family Planning Support** + **Flexible Ways of Working** + **Tuition reimbursement.** **More about us:** **At Takeda, we are transforming patient care through the development of novel specialty pharmaceuticals and best in class patient support programs. Takeda is a patient-focused company that will inspire and empower you to grow through life-changing work.** **Certified as a Global Top Employer, Takeda offers stimulating careers, encourages innovation, and strives for excellence in everything we do. We foster an inclusive, collaborative workplace, in which our teams are united by an unwavering commitment to deliver Better Health and a Brighter Future to people around the world.** **This position is currently classified as "remote" in accordance with Takeda's Hybrid and Remote Work policy.** **Takeda Compensation and Benefits Summary** We understand compensation is an important factor as you consider the next step in your career. We are committed to equitable pay for all employees, and we strive to be more transparent with our pay practices. **For Location:** USA - NY - Virtual **U.S. Base Salary Range:** 133,000.00 - 209,000.00 The estimated salary range reflects an anticipated range for this position. The actual base salary offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. The actual base salary offered will be in accordance with state or local minimum wage requirements for the job location. U.S. based employees may be eligible for short-term and/ or long-term incentives. U.S. based employees may be eligible to participate in medical, dental, vision insurance, a 401(k) plan and company match, short-term and long-term disability coverage, basic life insurance, a tuition reimbursement program, paid volunteer time off, company holidays, and well-being benefits, among others. U.S. based employees are also eligible to receive, per calendar year, up to 80 hours of sick time, and new hires are eligible to accrue up to 120 hours of paid vacation. **EEO Statement** _Takeda is proud in its commitment to creating a diverse workforce and providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, parental status, national origin, age, disability, citizenship status, genetic information or characteristics, marital status, status as a Vietnam era veteran, special disabled veteran, or other protected veteran in accordance with applicable federal, state and local laws, and any other characteristic protected by law._ **Locations** USA - NY - Virtual **Worker Type** Employee **Worker Sub-Type** Regular **Time Type** Full time **Job Exempt** Yes \#LI-Remote

**Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Medical Director for the National Medicare Outpatient Team provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts. Primary work reviewing prior-authorization reviews as well as some claims and provider dispute cases for outpatient reviews. **Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, Humana policies and clinical standards. The ideal candidate supports and collaborates with other team members, other departments and Humana colleagues. After completion of mentored training, daily work is performed with minimal direction. Enjoys working in a structured environment with expectations for consistency in thinking and authorship. Exercises independence in meeting departmental expectations, and meets compliance timelines. Supports the assigned work with respect to market-wide objectives and community relations as directed. May participate on project teams or organizational committees. Reports to a Lead Medical Director. **Required Qualifications** + MD or DO degree + 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age). + Current and ongoing Board Certification in an approved ABMS Medical Specialty + A current and unrestricted license in at least one jurisdiction and willing to obtain additional license, if required. + No current sanction from Federal or State Governmental organizations, and able to pass credentialing requirements. + Excellent verbal and written communication skills. + Evidence of analytic and interpretation skills + The curiosity to learn, the flexibility to adapt and the courage to innovate. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Prefer Medical Oncology or Surgery specialties + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with national guidelines such as NCD/LCD, MCG or InterQual. + Advanced degree such as an MBA, MHA, MPH + Prior experience participating in teams focusing on quality management or utilization management. **Additional Information** Reports to a Lead Medical Director. The Medical Director conducts Utilization Management of the care received by members in an assigned market, member population, or condition type. May participate on project teams or organizational committees. Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field. \#physiciancareers **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $223,800 - $313,100 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 02-27-2025 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************

By clicking the "Apply" button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda's Privacy Notice and Terms of Use . I further attest that all information I submit in my employment application is true to the best of my knowledge. **Job Description** **About the role:** Join Takeda as a Senior Medical Science Liaison - Rare Immunology where you will be responsible for analyzing, interpreting and disseminating scientific data, acquiring and translating customer insights, fostering external expert networks, and compliantly connecting customers to Takeda to advance medical strategy and improve patient outcomes. As part of the US Medical team, you will report to the Director, Field Medical. This is a is a field-based, external customer-facing position. The territory includes MI, OH and PA. **How you will contribute:** + Externally-focused KOL/HCP related activities are expected to comprise a minimum of 80% of responsibilities + Build and maintain professional relationships with KOLs/HCPs per individual territory plans aligned to medical strategy + Demonstrate advanced knowledge regarding Takeda disease areas and products as well as therapeutic area competitor landscape; analyze and interpret complex scientific information and disseminate to KOLs/HCPs in a compliant, fair-balanced, and non-misleading manner + Support Takeda-sponsored research and appropriately assist with facilitation of strategically aligned medical collaborative studies and investigator-initiated research processes + Display advanced knowledge of therapeutic area key intelligence topics/questions and effectively collect, interpret, and internally communicate medical insights from KOLs/HCPs to inform and refine medical strategies and/or tactics + Identify and cultivate partnership opportunities between KOLs/HCPs and Takeda US Medical + Participate in executing medical strategy at medical conferences (e.g., staff medical booth, internally communicate medical insights acquired through poster/session attendance and KOL/HCP interactions) + Within defined timelines and quality standards, respond to unsolicited HCP medical information inquiries referred by Medical Information + Complete all required customer activity documentation (e.g., CRM entries, insights capture, etc.), training, expense reporting, and other administrative responsibilities in a timely, accurate, and compliant manner **Minimum Requirements/Qualifications:** + Doctoral degree in life/health sciences is preferred (PharmD, MD, PhD, or equivalent), Master's degree in health sciences (MSN, NP or PA) is the minimum requirement + Minimum of 2 years of experience as a field-based medical science liaison (MSL) in the pharmaceutical industry is required + Excellent communication (written and verbal), organization and collaboration skills are required Other desired experience and skills include: + Dissemination of complex scientific data to healthcare audiences + Relevant therapeutic area knowledge and expertise + Clinical, research, and/or teaching experience + Ability to work effectively in virtual and cross-functional teams + Execution of activities within legal, regulatory, and compliance requirements **Travel requirements:** + Frequent travel is required; must be available to travel up to 70% of time, including some overnight and weekend + Ability to drive and/or fly to meetings is required + Must have clean and valid driver's license More about us: At Takeda, we are transforming patient care through the development of novel specialty pharmaceuticals and best in class patient support programs. Takeda is a patient-focused company that will inspire and empower you to grow through life-changing work. Certified as a Global Top Employer, Takeda offers stimulating careers, encourages innovation, and strives for excellence in everything we do. We foster an inclusive, collaborative workplace, in which our teams are united by an unwavering commitment to deliver Better Health and a Brighter Future to people around the world. **Takeda Compensation and Benefits Summary** We understand compensation is an important factor as you consider the next step in your career. We are committed to equitable pay for all employees, and we strive to be more transparent with our pay practices. **For Location:** Ohio - Virtual **U.S. Base Salary Range:** 133,000.00 - 209,000.00 The estimated salary range reflects an anticipated range for this position. The actual base salary offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. The actual base salary offered will be in accordance with state or local minimum wage requirements for the job location. U.S. based employees may be eligible for short-term and/ or long-term incentives. U.S. based employees may be eligible to participate in medical, dental, vision insurance, a 401(k) plan and company match, short-term and long-term disability coverage, basic life insurance, a tuition reimbursement program, paid volunteer time off, company holidays, and well-being benefits, among others. U.S. based employees are also eligible to receive, per calendar year, up to 80 hours of sick time, and new hires are eligible to accrue up to 120 hours of paid vacation. **EEO Statement** _Takeda is proud in its commitment to creating a diverse workforce and providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, parental status, national origin, age, disability, citizenship status, genetic information or characteristics, marital status, status as a Vietnam era veteran, special disabled veteran, or other protected veteran in accordance with applicable federal, state and local laws, and any other characteristic protected by law._ **Locations** Ohio - VirtualMichigan - Virtual, Pennsylvania - Virtual **Worker Type** Employee **Worker Sub-Type** Regular **Time Type** Full time **Job Exempt** Yes \#LI-Remote

**Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director, Genetic Testing you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical environment. You can enjoy better work- life balance on a team that values collaboration and continuous learning while providing better health outcomes. **Collaboration Opportunities:** + Routinely interacts with leadership and management staff, other Physicians, and staff whenever a physician`s input is needed or required. **What You Will Be Doing:** + Serve as the Physician match reviewer for Genetic testing, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter expert. + Discusses determinations (peer to peer phone calls) with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request and provides clinical rationale for standard and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Aids and acts as a resource to Initial Clinical Reviewers. + Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + Participates in on-going training per inter-rater reliability process. **Qualifications:** + MD/DO/MBBS + Minimum of five (5) years' experience in the practice of Medicine, post residency and Active Clinical practice within the last 2 years in Genetics is preferred + Current, unrestricted clinical license in medicine or required specialty + Obtaining and maintaining medical licenses in the state you reside, as well as, any license required per business needs + Active Board Certification in Clinical Genetics or similar + Strong clinical, management, communication, and organizational skills + Energetic and curious with a passion for quality and value in health care + Computer Proficiency + Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the Office of Inspector General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare. + No history of a major disciplinary or legal action by a state medical board **Technical Requirements:** We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. **Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ************************** **for further assistance.** The expected base salary/wage range for this position is $125-140/hr. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts. Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!

**Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic, home health per diem, DME, and waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts. The Medical Director provides medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. All work occurs with a context of regulatory compliance, and work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to operationalize this knowledge in their daily work. The Medical Director works in a structured environment with expectations for consistency in thinking, authorship, meeting departmental expectations, and compliance timelines. **Use your skills to make an impact** Required Qualifications + MD or DO degree + Current and ongoing board certification in an approved ABMS Medical Specialty + A current and unrestricted license in at least one jurisdiction and willing to obtain license, as required, for various states in region of assignment + 5+ years of direct clinical patient care experience post residency or fellowship + No sanctions from Federal or State Governmental organizations + The ability to pass credentialing requirements + Excellent verbal and written communication skills with analytic and interpretative skills + Participate in educational activities by attending required conferences and also create content to lead/teach/present for individual subject matter contribution Preferred Qualifications + Experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age) + Internal Medicine, Family Practice, Geriatrics, or hospital based clinical specialists + Ability to function in a dynamic fast paced environment + Commitment to a culture of innovation + Passionate about contributing to an organization's focus on consistency in outcomes, consumer experiences, and a highly engaged team culture + Knowledge and experience with national guidelines such as NCD/LCD, MCG or InterQual The Medical Director conducts clinical case reviews of requests received by members of the Medicare population and reports to the Lead Medical Director. **Other duties:** + Identify medical management operational improvements, including those within the medical director area + Participate in call rotation + Develop collaborative relationships with Team and key partners within the Medicare Line of Business. + Support Home Solutions as needed + Other activities as assigned by the managing Medical Director \#physiciancareers **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $223,800 - $313,100 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 02-27-2025 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************

By clicking the "Apply" button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda's Privacy Notice and Terms of Use . I further attest that all information I submit in my employment application is true to the best of my knowledge. **Job Description** **About the role:** The Senior Medical Science Liaison is a field-based, external customer-facing member of the US therapeutic area medical unit team, responsible for analyzing, interpreting and disseminating scientific data, acquiring and translating customer insights, fostering external expert networks, and compliantly connecting customers to Takeda in order to advance medical strategy and improve patient outcomes. As part of the US Medical team, you will report to the Director, MSL. **This is field-based role, and the Northwest territory includes WA, OR, ID and MT.** **How you will contribute:** + Externally-focused KOL/HCP related activities are expected to comprise a minimum of 80% of responsibilities. + Build and maintain professional relationships with KOLs/HCPs per individual territory plans aligned to medical strategy. + Demonstrate advanced knowledge regarding Takeda disease areas and products as well as therapeutic area. competitor landscape; analyze and interpret complex scientific information and communicate to KOLs/HCPs in a compliant, fair-balanced, and non-misleading manner. + Support Takeda-sponsored research and appropriately assist with facilitation of strategically aligned medical collaborative studies and investigator-initiated research processes. + Display advanced knowledge of therapeutic area key intelligence topics/questions and effectively collect, interpret, and internally communicate medical insights from KOLs/HCPs to inform and refine medical strategies and/or tactics. + Identify and cultivate partnership opportunities between KOLs/HCPs and Takeda US Medical. + Participate in executing medical strategy at medical conferences (e.g., staff medical booth, internally communicate medical insights acquired through poster/session attendance and KOL/HCP interactions). + Within defined timelines and quality standards, respond to unsolicited HCP medical information inquiries referred by Medical Information + Complete all required customer activity documentation (e.g., CRM entries, insights capture, etc.), training, expense reporting, and other administrative responsibilities in a timely, accurate, and compliant manner. **Minimum Requirements/Qualifications:** + Doctoral degree in life/health sciences is preferred (PharmD, MD, PhD, or equivalent), Master's degree in health sciences (MSN, NP or PA) is the minimum requirement. + Minimum of 2 years of experience as a field-based medical science liaison (MSL) in the pharmaceutical industry is required. + Excellent communication (written and verbal), organization and collaboration skills are required. Other desired experience and skills include: + Dissemination of complex scientific data to healthcare audiences. + Relevant therapeutic area knowledge and expertise. + Clinical, research, and/or teaching experience. + Ability to work effectively in virtual and cross-functional teams. + Execution of activities within legal, regulatory, and compliance requirements. Travel requirements:· + Frequent travel is required; must be available to travel up to 70% of time, including some overnight and weekend· + Ability to drive and/or fly to meetings is required· + Must have clean and valid driver's license. **More about us:** At Takeda, we are transforming patient care through the development of novel specialty pharmaceuticals and best in class patient support programs. Takeda is a patient-focused company that will inspire and empower you to grow through life-changing work. Certified as a Global Top Employer, Takeda offers stimulating careers, encourages innovation, and strives for excellence in everything we do. We foster an inclusive, collaborative workplace, in which our teams are united by an unwavering commitment to deliver Better Health and a Brighter Future to people around the world. **Takeda Compensation and Benefits Summary** We understand compensation is an important factor as you consider the next step in your career. We are committed to equitable pay for all employees, and we strive to be more transparent with our pay practices. **For Location:** Washington - Virtual **U.S. Base Salary Range:** 133,000.00 - 209,000.00 The estimated salary range reflects an anticipated range for this position. The actual base salary offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. The actual base salary offered will be in accordance with state or local minimum wage requirements for the job location. U.S. based employees may be eligible for short-term and/ or long-term incentives. U.S. based employees may be eligible to participate in medical, dental, vision insurance, a 401(k) plan and company match, short-term and long-term disability coverage, basic life insurance, a tuition reimbursement program, paid volunteer time off, company holidays, and well-being benefits, among others. U.S. based employees are also eligible to receive, per calendar year, up to 80 hours of sick time, and new hires are eligible to accrue up to 120 hours of paid vacation. **EEO Statement** _Takeda is proud in its commitment to creating a diverse workforce and providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, parental status, national origin, age, disability, citizenship status, genetic information or characteristics, marital status, status as a Vietnam era veteran, special disabled veteran, or other protected veteran in accordance with applicable federal, state and local laws, and any other characteristic protected by law._ **Locations** Washington - VirtualOregon - Virtual **Worker Type** Employee **Worker Sub-Type** Regular **Time Type** Full time **Job Exempt** Yes \#LI-Remote

**Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** **Director, Service Excellence** Evolent is looking to hire a Director of Service Excellence. This individual will serve on a central team within the customer organization focused on ensuring that we deliver best-in-class service to our customers. The director will be a key connection point into cross-functional teams, representing the customer team on key issues and initiatives representing multiple partners. **Who You'll Be Working With:** The person in this role will be responsible for managing incident response, ensuring that we are addressing issues in a timely manner, monitoring outbound documents to facilitate clear and consistent messaging around our value and performance, leveraging internal SME's to educate customer-facing teams on key initiatives that drive value, and ensuring that we are providing transparent and proactive communication to our customers. **What You'll Be Doing:** + Manage voice of customer insight gathering through survey administration and customer specific primary research + Facilitate internal forums to promote alignment and accountability across internal teams (e.g., SLA timelines, product performance and value, data monitoring / platform issues, etc.) + Serve as the main customer point of contact for key initiatives with a focus on solutioning, streamlining processes and working cross-functionally to ensure timely execution + Coordinate customer communication (payer and provider) on key initiatives, projects, or issues/incidents that impact service delivery + Develop an "issue resolution" playbook, promoting consistent definitions of problem types and standardizing solutioning + Ensure SLA's are maintained via a central database, instilling best practices for monitoring and managing across the customer org + Monitor internal issue ticketing system / reporting to ensure key customer issues are being addressed in a timely manner **The Experience You'll Need (Required):** + 5+ years of experience in account management or client services role in digital health, healthcare, payer + Previous experience managing a team of direct reports + Strong track record of high client satisfaction, growth and retention + Strong verbal, written and presentation skills; ability to communicate clearly and influence internal and external stakeholders + Strong analytical skills; ability to understand data and present information accordingly + Experience working in a cross-functional capacity + Strong leadership and effective problem abilities; must be able to develop and grow relationships with executive leaders, and internal cross-functional teams **Technical Requirements:** We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. **Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ************************** **for further assistance.** The expected base salary/wage range for this position is $120,000-125,000. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts. Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!

By clicking the "Apply" button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda's Privacy Notice and Terms of Use . I further attest that all information I submit in my employment application is true to the best of my knowledge. **Job Description** **About the role:** The Senior Medical Science Liaison is a field-based, external customer-facing member of the US therapeutic area medical unit team, responsible for analyzing, interpreting and disseminating scientific data, acquiring and translating customer insights, fostering external expert networks, and compliantly connecting customers to Takeda in order to advance medical strategy and improve patient outcomes. As part of the US Medical team, you will report to the Director, MSL. **This is field-based role, and the Plains territory includes MN, IA, NE, ND and SD.** **How you will contribute:** + Externally-focused KOL/HCP related activities are expected to comprise a minimum of 80% of responsibilities. + Build and maintain professional relationships with KOLs/HCPs per individual territory plans aligned to medical strategy. + Demonstrate advanced knowledge regarding Takeda disease areas and products as well as therapeutic area. competitor landscape; analyze and interpret complex scientific information and communicate to KOLs/HCPs in a compliant, fair-balanced, and non-misleading manner. + Support Takeda-sponsored research and appropriately assist with facilitation of strategically aligned medical collaborative studies and investigator-initiated research processes. + Display advanced knowledge of therapeutic area key intelligence topics/questions and effectively collect, interpret, and internally communicate medical insights from KOLs/HCPs to inform and refine medical strategies and/or tactics. + Identify and cultivate partnership opportunities between KOLs/HCPs and Takeda US Medical. + Participate in executing medical strategy at medical conferences (e.g., staff medical booth, internally communicate medical insights acquired through poster/session attendance and KOL/HCP interactions). + Within defined timelines and quality standards, respond to unsolicited HCP medical information inquiries referred by Medical Information + Complete all required customer activity documentation (e.g., CRM entries, insights capture, etc.), training, expense reporting, and other administrative responsibilities in a timely, accurate, and compliant manner. **Minimum Requirements/Qualifications:** + Doctoral degree in life/health sciences is preferred (PharmD, MD, PhD, or equivalent), Master's degree in health sciences (MSN, NP or PA) is the minimum requirement. + Minimum of 2 years of experience as a field-based medical science liaison (MSL) in the pharmaceutical industry is required + Excellent communication (written and verbal), organization and collaboration skills are required. Other desired experience and skills include: + Dissemination of complex scientific data to healthcare audiences. + Relevant therapeutic area knowledge and expertise. + Clinical, research, and/or teaching experience. + Ability to work effectively in virtual and cross-functional teams. + Execution of activities within legal, regulatory, and compliance requirements. Travel requirements:· + Frequent travel is required; must be available to travel up to 70% of time, including some overnight and weekend· + Ability to drive and/or fly to meetings is required· + Must have clean and valid driver's license. **More about us:** At Takeda, we are transforming patient care through the development of novel specialty pharmaceuticals and best in class patient support programs. Takeda is a patient-focused company that will inspire and empower you to grow through life-changing work. Certified as a Global Top Employer, Takeda offers stimulating careers, encourages innovation, and strives for excellence in everything we do. We foster an inclusive, collaborative workplace, in which our teams are united by an unwavering commitment to deliver Better Health and a Brighter Future to people around the world. **Takeda Compensation and Benefits Summary** We understand compensation is an important factor as you consider the next step in your career. We are committed to equitable pay for all employees, and we strive to be more transparent with our pay practices. **For Location:** Minnesota - Virtual **U.S. Base Salary Range:** The estimated salary range reflects an anticipated range for this position. The actual base salary offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. The actual base salary offered will be in accordance with state or local minimum wage requirements for the job location. U.S. based employees may be eligible for short-term and/ or long-term incentives. U.S. based employees may be eligible to participate in medical, dental, vision insurance, a 401(k) plan and company match, short-term and long-term disability coverage, basic life insurance, a tuition reimbursement program, paid volunteer time off, company holidays, and well-being benefits, among others. U.S. based employees are also eligible to receive, per calendar year, up to 80 hours of sick time, and new hires are eligible to accrue up to 120 hours of paid vacation. **EEO Statement** _Takeda is proud in its commitment to creating a diverse workforce and providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, parental status, national origin, age, disability, citizenship status, genetic information or characteristics, marital status, status as a Vietnam era veteran, special disabled veteran, or other protected veteran in accordance with applicable federal, state and local laws, and any other characteristic protected by law._ **Locations** Minnesota - Virtual **Worker Type** Employee **Worker Sub-Type** Regular **Time Type** Full time **Job Exempt** Yes \#LI-Remote