We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Aetna, a CVS Health Company, a Fortune 6 company, is one of the oldest and largest national insurers. That experience gives us a unique opportunity to help transform health care. We believe that a better care system is more transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources. **This is a remote based (work at home) based anywhere in the US.** Responsibilities of this Medical Director role are related to Medicare Appeals: * Direct daily work on part C appeals (both provider and member/nonparticipating providers) * Provide direct support to appeal nurses; supervision and participation in the Second Look Review (SLR) process * Provide after hours and weekend coverage on a rotational basis to support 24/7 appeals work * IRE monitoring and tracking and Utilization Management Strategy support * Collaborative work with Medicare Quality and Compliance on an ongoing basis * Develop subject matter expertise on Medicare policy for the enterprise * Provide ongoing education regarding Medicare policy and appeals to the appeal nurses and territory Utilization Management Staff * Participate in ongoing initiatives to improve appeals team efficiency and clinical consistency Required Qualifications * Two (2) or more years of experience in
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We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Company: Oak Street Health (A CVS Health Company) Job Title: Medical Scribe - $1,500 Sign On Bonus Location: Center Point, AL Job Type: Full-Time (On-Site) About Oak Street Health & CVS Health At Oak Street Health, a CVS Health company, we are rebuilding healthcare as it should be. Our value-based care model places quality over volume, delivering personalized primary care to Medicare beneficiaries right in their communities. Supported by the reach and resources of CVS Health, we offer rich training and clear career progression for dedicated healthcare professionals. Role Description As a Clinical Informatics Specialist (CIS)—our internal title for Medical Scribes—you will serve as a core team member working side-by-side with primary care providers. You will handle real-time clinical documentation during patient encounters, allowing providers to give their full, uninterrupted attention to patient care. Beyond live charting, you will complete training in value-based medicine, chronic condition documentation, and ICD-10/CPT coding to actively support care-gap closure. Ideal for Pre-Health Pathways: This position provides paid, immersive clinical exposure and direct physician mentorship. It is an ideal launching pad for pre-med (MD/DO), PA, Public Health, Healthcare Admini
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary CVS Health Specialty Pharmacy, a mail service pharmacy in the Monroeville area has an opportunity for a full-time Medical Benefit Credit and Refund Specialist Coordinator to handle insurance credit balance follow up. The Medical Benefit Credit and Refund Specialist Coordinator will ensure timely and accurate credit balance resolution with third party payers while demonstrating excellent customer service to patients, healthcare professionals and insurance carriers. As part of this team, you will work in a fast paced and team focused environment. We will support you by offering all the tools and resources you need to be successful in a collaborative team environment. Located in the Monroeville facility, this opportunity also provides free parking. Key Responsibilities of the Medical Benefit Credit & Refund Specialist Coordinator: Third party insurance follow-up associated with the dispensing of prescription medication via telephone, Internet, and in writing. Review and validate the credit balance by verifying accurate billing and cash posting procedures. Resolve issues related to credit balances including identifying overpayments and validating appropriate revenue recognition. Perform analytical activities for the revenue cycle department managing healthcare accounts receivable. Initiate refunds, revers
This is where your work makes a difference. At Baxter, we believe every person—regardless of who they are or where they are from—deserves a chance to live a healthy life. It was our founding belief in 1931 and continues to be our guiding principle. We are redefining healthcare delivery to make a greater impact today, tomorrow, and beyond. Our Baxter colleagues are united by our Mission to Save and Sustain Lives. Together, our community is driven by a culture of courage, trust, and collaboration. Every individual is empowered to take ownership and make a meaningful impact. We strive for efficient and effective operations, and we hold each other accountable for delivering exceptional results. Here, you will find more than just a job—you will find purpose and pride. Role Summary: As the Medical Affairs Manager , you will be responsible for developing and executing the medical strategy and tactical plans across the Advanced Surgery and Anesthesia portfolios throughout the CEEMEA region . In this role, you will work closely with commercial and cross-functional teams to drive the development and implementation of medical initiatives aligned with business objectives. You will serve as a trusted scientific partner, providing medical expertise, strategic guidance, and evidence-based support to both internal stakeholders and external partners, including healthcare professionals, Key Opinion Leaders (KOLs), scientific societies, and regulatory authorities. The position plays a critical role in strengthening Baxter's scientific presence, supporting medical education, and ensuring the delivery of high-quality, compliant medical activiti
Axsome Therapeutics is a biopharmaceutical company leading a new era in the treatment of central nervous system (CNS) conditions. We deliver scientific breakthroughs by identifying critical gaps in care and develop differentiated products with a focus on novel mechanisms of action that enable meaningful advancements in patient outcomes. Our industry-leading neuroscience portfolio includes FDA-approved treatments for major depressive disorder, agitation associated with dementia due to Alzheimer’s disease, excessive daytime sleepiness associated with narcolepsy and obstructive sleep apnea, and migraine, as well as multiple novel product candidates addressing a broad range of serious neurological and psychiatric conditions that impact over 150 million people in the United States. Together, we are on a mission to solve some of the brain’s biggest problems so patients and their loved ones can flourish. For more information, please visit us at www.axsome.com and follow us on LinkedIn and X. About This Role Axsome Therapeutics is seeking a Medical Science Liaison/Senior Medical Science Liaison to focus on developing the sleep franchise. The MSL/Senior MSL will be a key member of the Field Medical Affairs team at Axsome. This position will be the primary communicator of Axsome science and will be responsible for executing the national medical affairs plan within a specified territory. The MSL/Senior MSL will also provide support as needed for other pipeline programs. This is a field-based position covering the Great Lakes Region (IL, IN, MI, WI). Candidates must reside within the geography. Job Responsibilities and Duties include, but are not limited to, the following: Systematically identify and develop relationships with healthcare professionals (HCPs) to raise awareness of Axsome’s mission to accelerate the invention and adoption of life-changing medicines f
Position Summary Join K Health as a pioneering clinical leader and play a key role in transforming healthcare delivery. At the forefront of innovation, our AI-powered tools are redefining standards for high-quality, efficient care. In collaboration with leading hospital systems across the country, we are expanding access to healthcare through state-of-the-art Virtual Comprehensive Care Clinics. K Health is seeking an innovative, technology-forward Medical Director to serve as a senior member of the Medical Leadership Team and help lead the next generation of AI-enabled healthcare delivery. Reporting directly to the Chief Medical Officer, this executive physician leader will oversee clinical operations for a 24/7 virtual care platform that provides integrated primary care, behavioral health, and acute care services through text and video-based interactions. Join us in shaping the future of healthcare and making a meaningful impact on the lives of patients nationwide. Responsibilities and Essential Duties Become an expert in our AI based care delivery model, which uses data driven models to provide quality care efficiently Develop a comprehensive understanding of our clinical practice within our consumer and partnership clinics Owner of clinical policy and regulatory oversight within Virtual Clinic Collaborate with Practice Manager to assess opportunities for continued operational improvement Participate in the customization, development, design, standardization, implementation, and review of medical operations, protocols, and data to ensure operational accuracy and efficiency Lead a partnership clinic, from development to launch, be accountable for the oversight and management of clinic operations and practicing clinicians Provide clinical expertise to both internal teams (operations, product, medical, regulatory, non-clinical, marketing, and data science) and external teams to ensure that clinical needs and business strategies are met Share regular updates and
At Gilead, we’re creating a healthier world for all people. For more than 35 years, we’ve tackled diseases such as HIV, viral hepatitis, COVID-19 and cancer – working relentlessly to develop therapies that help improve lives and to ensure access to these therapies across the globe. We continue to fight against the world’s biggest health challenges, and our mission requires collaboration, determination and a relentless drive to make a difference. Every member of Gilead’s team plays a critical role in the discovery and development of life-changing scientific innovations. Our employees are our greatest asset as we work to achieve our bold ambitions, and we’re looking for the next wave of passionate and ambitious people ready to make a direct impact. We believe every employee deserves a great leader. People Leaders are the cornerstone to the employee experience at Gilead and Kite. As a people leader now or in the future, you are the key driver in evolving our culture and creating an environment where every employee feels included, developed and empowered to fulfil their aspirations. Join Gilead and help create possible, together. Job Description We have an exciting opportunity within our Medical Affairs team based in Saudi Arabia for Kite Middle East Medical Lead. The Middle East Medical Lead (Asso. Director /Director- dependent on experience) will have overall responsibility for building and overseeing the strategies and tactics for Cell Therapy within the Kite Middle East Medical Affairs Department, providing strategic leadership for all Medical Affairs activities and developing and executing Medical Affairs strategic initiatives in the Middle East. This position will report to the Kite International Region Head of Medical Affairs. Everyone at Kite is grounded by one common goal – curing cancer. We are at the forefront of immunotherapy and engineered T cell therapy. Our personalized
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. CVS Health, a Fortune 6 company, has an outstanding opportunity for a Medical Director (Medical Affairs). This is a full-time, remote based, work from home opportunity. The Medical Affairs department provides clinical business support to the entire enterprise and provides clinical oversight and mentorship for CVS Health clinical programs, PBM Clinical Quality activities, consultative support to the P&T process, formulary development, drug information services and pipeline activities, and clinical leadership to various internal departments (e.g., specialty pharmacy services, clinical product development, Enterprise Analytics, Compliance, Legal, Accreditation) and clients. Job Description Medical Directors at CVS Health are encouraged to model the highest levels of clinical integrity, knowledge and cross functional thinking, and decision making. Medical Directors represent the clinical decision making and professional thought process of the prescriber as a partner across the enterprise’s decisions and planning. Medical Directors are responsible for reviewing a broad range of clinical cases and coverage requests, including specialty medications, oncology therapies, biologics, and newly marketed drugs. Success in this role requires a strong clinical foundation, sound medical judgment, and the ability to efficiently identify, evaluate, and apply current medical
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Title: Medical Social Worker Company: Oak Street Health Role Description: The Medical Social Worker is a key member of Oak Street Health Centers, contributing a unique and valuable perspective to care teams to support the psychosocial needs of our patients. In collaboration with the interdisciplinary care team, they will provide assessments, advocacy, and comprehensive care coordination services to our highest-risk patients and their caregivers to help them improve their health status and avoid hospitalizations. Core Responsibilities: Proactively support our highest-need patients by providing comprehensive assessments, telephonic check-ins, and in-person visits. Partner with the patient and their support persons (if necessary) to identify goals, increase engagement in their healthcare, address barriers, and drive the execution of their care plan. Maintain extensive knowledge of community resources and make referrals, as appropriate, to help ensure the patient's healthcare and psychosocial needs are met. Navigate patient insurance benefits in collaboration with the Patient Relations Manager (PRM) to ensure mindful utilization and maximization of plan benefits Provide both longitudinal and episodic comprehensive care coordination with the ultimate goal of empowering patients to independently manage
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Title: Medical Social Worker Company: Oak Street Health Role Description: The Medical Social Worker is a key member of Oak Street Health Centers, contributing a unique and valuable perspective to care teams to support the psychosocial needs of our patients. In collaboration with the interdisciplinary care team, they will provide assessments, advocacy, and comprehensive care coordination services to our highest-risk patients and their caregivers to help them improve their health status and avoid hospitalizations. Core Responsibilities: Proactively support our highest-need patients by providing comprehensive assessments, telephonic check-ins, and in-person visits. Partner with the patient and their support persons (if necessary) to identify goals, increase engagement in their healthcare, address barriers, and drive the execution of their care plan. Maintain extensive knowledge of community resources and make referrals, as appropriate, to help ensure the patient's healthcare and psychosocial needs are met. Navigate patient insurance benefits in collaboration with the Patient Relations Manager (PRM) to ensure mindful utilization and maximization of plan benefits Provide both longitudinal and episodic comprehensive care coordination with the ultimate goal of empowering patients to independently manage
Medical Scientist, Saint-Peterburg — Russian Federation - St. Petersburg. Apply via Workday.
About Inspira Education Inspira Education Group is one of the fastest-growing edtech startups in the US. We started with a simple mission to democratize access to high-quality coaching so that every student in the world has an equal opportunity to access the best opportunities. As the world’s leading network of top admissions coaches in medical, legal, business, and college studies, we’re building software and services in one place—disrupting long-entrenched application processes with products and experiences that strive to provide an equal platform for candidates from diverse backgrounds worldwide. As one of the fastest-growing edtech firms in the world, we are backed by some of the leading venture capital firms and investors in the world, including Zeev Ventures, Quiet Capital, Craft Ventures and Jeff Fluhr (Founder of Stubhub). The Role We are looking for a Medical School Admissions Consultant ! If you are currently in residency and passionate about mentorship, coaching, and helping students reach their full potential in the medical school admissions process, this could be the role for you. You’ll work closely with pre-med and medical school applicants to track their progress, strengthen their applications, and guide them through every step of the med school admissions journey, including AMCAS and AACOMAS applications. This is a part-time, remote, 1099 contract role that can be based anywhere in the United States or Canada. Responsibilities Work with prospective medical school candidates and pre-med students, helping them identify opportunities to build their profile and draft compelling medical school application materials Manage relationships with applicants and families while providing strategic and tactical guidance on medical school selection, essays, resumes, letters of recommendation, interviews, and the overall medical school admissions process Identify optimal medical programs and medical schools for individual students; provide feedback
About Us At BGBx , we're driven by a simple idea: breakthrough thinking creates breakthrough impact. As an independent commercial solutions partner to pharmaceutical and life science companies, we bring together strategists, scientists, communicators, creatives, technologists, and data experts to tackle some of healthcare's most important challenges. Our teams work across consulting and communications to help clients shape strategy, launch innovations, engage stakeholders, and drive meaningful results throughout the product lifecycle. The work is complex, fast-moving, and deeply connected to improving lives, creating opportunities for curious minds to make a real difference every day. If you're energized by collaboration, inspired by innovation, and motivated by work that matters, you'll find a place to grow, contribute, and make a meaningful impact at BGBx. BGBx About Us At BGBx , we're driven by a simple idea: breakthrough thinking creates breakthrough impact. As an independent commercial solutions partner to pharmaceutical and life science companies, we bring together strategists, scientists, communicators, creatives, technologists, and data experts to tackle some of healthcare's most important challenges. Our teams work across consulting and communications to help clients shape strategy, launch innovations, engage stakeholders, and drive meaningful results throughout the product lifecycle. The work is complex, fast-moving, and deeply connected to improving lives, creating opportunities for curious minds to make a real difference every day. If you're energized by collaboration, inspired by innovation, and motivated by work that matters, you'll find a place to grow, contribute, and make a meaningful impact at BGBx. SVP, Medical Director, Medical Strategy & Scientific Affairs Position Overview The SVP, Medical Director is a dedicated, collaborative, innovative,
About Inspira Education Inspira Education Group is one of the fastest-growing edtech startups in the US. We started with a simple mission to democratize access to high-quality coaching so that every student in the world has an equal opportunity to access the best opportunities. As the world’s leading network of top admissions coaches in medical, legal, business, and college studies, we’re building software and services in one place—disrupting long-entrenched application processes with products and experiences that strive to provide an equal platform for candidates from diverse backgrounds worldwide. As one of the fastest-growing edtech firms in the world, we are backed by some of the leading venture capital firms and investors in the world, including Zeev Ventures, Quiet Capital, Craft Ventures and Jeff Fluhr (Founder of Stubhub). The Role We are looking for a Medical Research Mentor to support high-achieving pre-med students through the development and completion of original research projects across medicine, science, psychology, and related disciplines. If you hold an MD and/or PhD and are passionate about mentorship, this role is an excellent fit. This is a part-time, remote, 1099 contract role that can be based anywhere in the United States or Canada. Responsibilities Mentor undergraduate students through the full research process, from topic selection and study design to execution and final deliverables Guide students in developing feasible, high-quality research questions aligned with their academic and career goals Provide structured feedback on research plans, data interpretation, and written research drafts Help students understand research standards and discipline-specific expectations Support students pursuing outcomes such as academic papers, posters, or journal submissions, depending on program scope Track progress against defined milestones and timelines to ensure consistent forward momentum Qualifications PhD in a relevant field (e.g., med
Axsome Therapeutics is a biopharmaceutical company leading a new era in the treatment of central nervous system (CNS) conditions. We deliver scientific breakthroughs by identifying critical gaps in care and develop differentiated products with a focus on novel mechanisms of action that enable meaningful advancements in patient outcomes. Our industry-leading neuroscience portfolio includes FDA-approved treatments for major depressive disorder, agitation associated with dementia due to Alzheimer’s disease, excessive daytime sleepiness associated with narcolepsy and obstructive sleep apnea, and migraine, as well as multiple novel product candidates addressing a broad range of serious neurological and psychiatric conditions that impact over 150 million people in the United States. Together, we are on a mission to solve some of the brain’s biggest problems so patients and their loved ones can flourish. For more information, please visit us at www.axsome.com and follow us on LinkedIn and X. About This Role Axsome Therapeutics is seeking a Medical Science Liaison/Senior Medical Science Liaison to focus on developing the ADA franchise. The MSL/Senior MSL will be a key member of the Field Medical Affairs team at Axsome. This position will be the primary communicator of Axsome science and will be responsible for executing the national medical affairs plan within a specified territory. The MSL/Senior MSL will also provide support as needed for other pipeline programs. This is a field-based position covering CA, OR, WA, AK and HI. Candidates must reside within the geography. Job Responsibilities and Duties include, but are not limited to, the following: Systematically identify and develop relationships with healthcare professionals (HCPs) to raise awareness of Axsome’s mission to accelerate the invention and adoption of life-changing medicines for patients living with CNS disorders Develop and maintain a deep knowledge and understanding of neuropsychiatry and approved pipeline
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