Maven Clinic is the world’s largest virtual clinic for women and families on a mission to make healthcare work for all of us. Through Maven Enterprise, the company partners with more than 2,300 employers and health plans to provide end-to-end women’s and family health programs spanning fertility and family building, maternity and newborn care, parenting and pediatrics, and menopause and midlife — improving clinical outcomes, reducing healthcare costs, and expanding equitable access to high-quality care at scale. Through its consumer platform, Maven provides direct access to virtual care across 30+ specialties, as well as dedicated hormone and GLP-1 care programs purpose-built for women. Founded in 2014 by CEO Kate Ryder, Maven Clinic has raised more than $425 million from leading healthcare and technology investors including General Catalyst, Sequoia, Dragoneer Investment Group, Oak HC/FT, StepStone Group, Icon Ventures, and Lux Capital. Recognized for innovation and industry leadership, Maven has been named to the TIME100 Most Influential Companies, CNBC Disruptor 50, Fast Company’s Most Innovative Companies, and FORTUNE Best Places to Work. Learn more at mavenclinic.com

An award-winning culture working towards an important mission –  Maven Clinic is a recipient of over 30 workplace and innovation awards, including:

• TIME 100 Most Influential Companies (2023, 2026)
• Fortune Change the World (2024)
• CNBC Disruptor 50 List (2022, 2023, 2024)
• Fortune Best Workplaces for Millennials (2024)
• Fortune Best Workplaces in Health Care (2024)
• Fast Company Most Innovative Companies (2020, 2023)
• Fortune Best Workplaces NY (2020, 2021, 2022, 2023, 2024)

About the Role:

We are looking for a mission-driven health coach to join our team to provide world-class care delivery services to Maven members. Our Care Delivery team consists of care coaches and care advocates who help our members navigate digital care and access the tools to unlock their best experience and outcomes. Our team works to continuously learn more about members and ourselves, and you’ll move fast to adapt and grow as we implement data-driven strategies for improving the lives of our members through a shared coaching model. As a Care Coach, you’ll coordinate care for our members beyond the digital space. Through goal setting and program opt-in, you’ll drive behavior change and improved outcomes for higher risk members.

Our Care Delivery team works remotely and supports Maven members 24/7/365. We are currently hiring for the following shifts:

• Tuesday - Saturday: 7am - 3:30pm EST ; 11am-7:30pm EST; 3pm-11:30pm EST
• Sunday - Thursday: 11am-7:30pm EST

What You’ll Do:

• Drive program engagement by clearly communicating the value of Maven’s care coaching model, optimizing opt-in rates, and supporting long-term behavior change
• Co-create SMART goals with members and own their progress by tracking adherence, adjusting care plans, and course-correcting within Maven’s clinical program design
• Manage a caseload of members and engage with them through ongoing messaging, video appointments, and outreach
• Adhere to clinical program guidelines and protocols while utilizing motivational interviewing skills and behavior modification techniques to remove barriers, influence sustained behavior change, and promote optimal health outcomes for members
• Move fast to assess member knowledge and barriers and provide personalized health education to members across varying ages, backgrounds, cultures, and literacy levels
• Collaborate with providers on members’ care teams to translate clinical recommendations into actionable next steps
• Lead with data by remotely monitoring member health data and platform activity to identify risks early and follow established protocols and procedures to take appropriate action
• Remove barriers to care by coordinating seamlessly across Maven’s digital network, in-person provider networks, and external partners as needed
• Embrace a continuous-learning mindset by participating in and leading efforts to improve quality of care and clinical outcomes
• Act as a team player by providing coverage to ensure that all members across the Maven platform receive appropriate care and timely responses when needed

What You’ll Bring:

• 1- 2+ years experience in health coaching or clinical work (e.g., nursing, behavioral health, or related field) with focus on patient education, motivational interviewing, and driving clinical outcomes
• Demonstrated experience working with the maternity population and/or individuals navigating family planning or fertility care (trying to conceive, undergoing fertility treatment)
• Training and experience coaching individuals to achieve specific health outcomes (ie, medication management, nutrition and exercise goals, managing blood pressure)
• Ability to remain flexible with changes, work efficiently to meet member demand and have a growth mindset
• Ability to communicate with patients empathetically in writing and verbally, and passionate about creating a positive member experience with optimal outcomes
• Experience achieving KPIs relevant to patient outcomes, including but not limited to opt-in rates, follow-up adherence and member satisfaction
• Demonstrated ability to quickly learn and adapt to new digital health tools and platforms, with comfort operating in a fast-changing tech environment
• Embrace AI tools as part of daily workflows to enhance efficiency and improve member outcomes
• Strong telehealth competency, including comfort in conducting phone outreach and video calls. Reliable access to high-speed internet
• Health coaching certification (NBC-HWC or ICF) is preferred, not required
• Experience in a start-up or fast-paced environment with ability to navigate systems quickly and adapt to change is preferred, not required
• Experience coaching across multiple modalities such as video, text/chat, and phone; adapting communication style to fit member need is preferred, not required
• Comfort with technology tools like Google suite, CRM platforms, EHRs, and Zendesk is preferred, not required

The base salary range for this role is $62,000 - $73,000 per year. You will also be entitled to receive equity and benefits. Individual pay decisions are based on a number of factors, including qualifications for the role, experience level, and skillset.

This role requires active work authorization in the US.

Maven embraces a flexible and inclusive work environment. This role is open to candidate in: AZ, DC, DE, FL, GA, HI, IL, KS, MA, MD, ME, MI, MN, MO, NC, NJ, NM, NV, NY, OH, OR, PA, SC, TN, TX, VA, VT, WI. Maven is committed to supporting remote team members with the tools and collaborative culture needed to thrive regardless of location. This policy reflects our belief that great work can happen anywhere and that flexibility enables our team to do their best work.

At Maven we believe that a diverse set of backgrounds and experiences enrich our teams and allow us to achieve above and beyond our goals. If you do not have experience in all of the areas detailed above, we hope that you will share your unique background with us in your application and how it can be additive to our teams.

Benefits That Work For You

Our benefits are designed to support your health, well-being and career development, helping you thrive both personally and professionally. We remain focused on providing a competitive benefits package for our employees. On top of standards such as employer-covered health, dental, and insurance plan options, we offer an inclusive approach to benefits:

• Maven for Mavens: access to the full platform and specialists, including care for mental health, reproductive health, family planning and pediatrics.
• Whole-self care through wellness partnerships
• Hybrid work, in office meals, and work together days
• 16 weeks 100% paid parental leave and new parent stipend (for Mavens who’ve been with us for 1 year+)
• Annual professional development stipend and access to a personal career coach through Maven for Mavens
• 401K matching for US-based employees, with immediate vesting

These benefits are applicable to Maven Clinic Co., US-based, full-time employees only. 1099/Contract Providers are ineligible for these benefits.

Maven is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. Maven is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. Maven Clinic interview requests and job offers only originate from an @mavenclinic.com email address (e.g jsmith@mavenclinic.com). Maven Clinic will never ask for sensitive information to be delivered over email or phone. If you receive a scam issue or a security issue involving Maven Clinic please notify us at: security@mavenclinic.com. For general and additional inquiries, please contact us at careers@mavenclinic.com.

At Clover Health, we provide high-quality, affordable, and easy-to-understand healthcare for America’s seniors. Through the Clover Assistant, we combine data, technology, and preventive care to give physicians a more complete view of each member’s health—helping improve outcomes while lowering costs.

The Utilization Management (UM) team supports members throughout their care journey by combining clinical expertise with evidence-based decision-making. Working closely with providers and care partners, the team ensures timely, appropriate care while maintaining compliance with CMS guidelines.

The Registered Nurse (RN) Lead, Home Health Utilization Management, will split time between direct utilization management reviews (50%) and leading the Home Health UM nursing team (50%). You’ll ensure timely, high-quality medical necessity determinations while providing clinical leadership, mentoring reviewers, and partnering with UM leadership, Medical Directors, Quality, Operations, and Contracting to drive consistency, compliance, and continuous improvement.

As a Registered Nurse (RN) Lead, Home Health Utilization Management, you will:

Clinical Review Responsibilities (Approximately 50%)

• Review Home Health prior authorization requests using CMS regulations, Medicare Benefit Policy, NCD/LCD criteria, and Clover guidelines.
• Complete initial and concurrent medical necessity reviews for Home Health services.
• Maintain an active review workload while meeting quality, productivity, and turnaround expectations.
• Apply sound clinical judgment and escalate complex cases to Medical Directors as needed.
• Collaborate with providers, home health agencies, case managers, and internal teams to obtain clinical documentation.
• Accurately document determinations in UM systems and electronic medical records.
• Identify opportunities to optimize care and appropriate Home Health utilization.

Leadership Responsibilities (Approximately 50%)

• Provide day-to-day clinical leadership and support to the Home Health UM nursing team.
• Serve as the primary resource for complex cases, CMS policy interpretation, and clinical guidance.
• Conduct quality audits and reviewer calibration to ensure consistent, compliant decisions.
• Perform monthly quality reviews and maintain greater than 90% reviewer concordance.
• Monitor productivity, quality, turnaround times, and workload distribution.
• Identify utilization trends, perform root cause analyses, and implement process improvements.
• Mentor and coach reviewing nurses through case reviews and ongoing feedback.
• Train reviewers on episodic and per-visit Home Health authorization methodologies.
• Support onboarding, competency validation, and ongoing staff education.
• Partner with Home Health agencies to review utilization trends and strengthen collaboration.
• Work with Contracting to evaluate agency performance and support a high-quality provider network.
• Collaborate with cross-functional partners to improve workflows, consistency, and member outcomes.
• Support implementation of new CMS guidance, internal policies, and UM initiatives.
• Serve as the clinical escalation point before Medical Director review, when appropriate.
• Foster a collaborative, accountable, and high-performing team culture.

Success in this role looks like:

First 30 Days

• Complete onboarding and become proficient in Clover’s UM systems, Home Health clinical guidelines, CMS regulations, and internal workflows. Begin independently reviewing Home Health authorizations, participate in quality reviews, and build strong relationships with reviewing nurses, Medical Directors, Contracting, and key cross-functional partners.

First 6 Months

• Confidently balance an active review caseload with leadership responsibilities while serving as a trusted resource for the Home Health UM team. Consistently deliver high-quality, timely reviews, conduct monthly quality audits and reviewer calibration, coach and mentor team members, identify utilization trends, and partner with internal stakeholders and Home Health agencies to improve consistency, compliance, and operational performance.

Future State

• Be recognized as the clinical leader for Home Health Utilization Management, driving best practices, reviewer development, and continuous process improvement. Lead initiatives that enhance quality, efficiency, and member outcomes while maintaining strong partnerships across Clinical, Medical Directors, Contracting, and provider organizations. Foster a high-performing, collaborative team culture and help shape the future direction of Clover’s Home Health UM program

You should get in touch if you:

• Hold a current Compact Registered Nurse (RN) license (required).
• Have 5+ years of clinical nursing experience in Home Health, Utilization Management, Case Management, or Medicare Advantage (required).
• Have 2+ years of Home Health medical necessity review experience using CMS criteria (required).
• Have experience leading, mentoring, coaching, or developing clinical staff (preferred).
• Demonstrate expertise in CMS regulations, the Medicare Benefit Policy Manual, and NCD/LCD criteria.
• Have experience with quality reviews, performance calibration, or clinical education (preferred).
• Are organized, analytical, and comfortable balancing leadership with direct clinical review responsibilities.
• Are proficient with electronic medical records and utilization management systems.
• Thrive in a collaborative, fast-paced environment focused on improving member outcomes.

Benefits Overview:

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location.
• Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.

Additional Perks:

• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
• Reimbursement for office setup expenses
• Monthly cell phone & internet stipend
• Remote-first culture, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more!

About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we’ve created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.

We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.

From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people’s lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone’s responsibility.

#LI-REMOTE

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

Final pay is based on several factors including but not limited to internal equity, market data, and the applicant’s education, work experience, certifications, etc.

A reasonable estimate of the base salary range for this role is:

$130,800—$170,000 USD

Who are we, and why should you join us? ADHDAdvisor.

Care Coordination RepresentativeSummary of Position:The Care Coordination Representative is responsible for completing tasks related to assigned Care Coordination services (CCS) / Health Information Management (HIM) service.

The Corporate Coder (“CC”) functions under the direction of the Health Information Corporate Coding Manager. The CC is responsible for accurate coding and abstracting of clinical information from the medical...

Job Title: Speech-Language Therapist (SLT)

Location: St. Stephens Indian School

Work Schedule: 4 days per week, 7 hours per day

Key Responsibilities:

• Conduct speech and language assessments to identify communication deficits in students, including articulation, fluency, voice, and language disorders.
• Provide direct speech/language therapy to students on a regular basis, adjusting interventions to meet evolving needs.
• Collaborate with special education and classroom teachers to advise on speech therapy strategies and carryover techniques for use in the classroom and home environments.
• Communicate effectively with parents, teachers, and outside professionals to support student progress and service coordination.
• Maintain detailed and accurate documentation including evaluations, progress notes, contact logs, and treatment plans.

Minimum Qualifications:

• Current, active, full, and unrestricted license as a Speech-Language Therapist issued by a U.S. state, DC, Puerto Rico, or U.S. territory.
• Master’s degree in Speech-Language Pathology from an accredited institution recognized by the U.S. Department of Education.
• Minimum of 5 years’ experience providing speech-language therapy services within a school setting, demonstrating ability to independently manage evaluations, testing, and report writing under IEP and IDEA guidelines.

Job Title: Speech-Language Therapist (SLT)

Location: Remote. St. Stephens Indian School

Work Schedule: Remote - 4 days per week, 7 hours per day

Key Responsibilities:

• Conduct speech and language assessments to identify communication deficits in students, including articulation, fluency, voice, and language disorders.
• Provide direct speech/language therapy to students on a regular basis, adjusting interventions to meet evolving needs.
• Collaborate with special education and classroom teachers to advise on speech therapy strategies and carryover techniques for use in the classroom and home environments.
• Communicate effectively with parents, teachers, and outside professionals to support student progress and service coordination.
• Maintain detailed and accurate documentation including evaluations, progress notes, contact logs, and treatment plans.

Minimum Qualifications:

• Current, active, full, and unrestricted license as a Speech-Language Therapist issued by a U.S. state, DC, Puerto Rico, or U.S. territory.
• Master’s degree in Speech-Language Pathology from an accredited institution recognized by the U.S. Department of Education.
• Minimum of 5 years’ experience providing speech-language therapy services within a school setting, demonstrating ability to independently manage evaluations, testing, and report writing under IEP and IDEA guidelines.

Job Title: Speech-Language Therapist (SLT)

Location: St. Stephens Indian School

Work Schedule: 4 days per week, 7 hours per day

Key Responsibilities:

• Conduct speech and language assessments to identify communication deficits in students, including articulation, fluency, voice, and language disorders.
• Provide direct speech/language therapy to students on a regular basis, adjusting interventions to meet evolving needs.
• Collaborate with special education and classroom teachers to advise on speech therapy strategies and carryover techniques for use in the classroom and home environments.
• Communicate effectively with parents, teachers, and outside professionals to support student progress and service coordination.
• Maintain detailed and accurate documentation including evaluations, progress notes, contact logs, and treatment plans.

Minimum Qualifications:

• Current, active, full, and unrestricted license as a Speech-Language Therapist issued by a U.S. state, DC, Puerto Rico, or U.S. territory.
• Master’s degree in Speech-Language Pathology from an accredited institution recognized by the U.S. Department of Education.
• Minimum of 5 years’ experience providing speech-language therapy services within a school setting, demonstrating ability to independently manage evaluations, testing, and report writing under IEP and IDEA guidelines.

Job Title: Speech-Language Therapist (SLT)

Location: Remote. St. Stephens Indian School

Work Schedule: Remote - 4 days per week, 7 hours per day

Key Responsibilities:

• Conduct speech and language assessments to identify communication deficits in students, including articulation, fluency, voice, and language disorders.
• Provide direct speech/language therapy to students on a regular basis, adjusting interventions to meet evolving needs.
• Collaborate with special education and classroom teachers to advise on speech therapy strategies and carryover techniques for use in the classroom and home environments.
• Communicate effectively with parents, teachers, and outside professionals to support student progress and service coordination.
• Maintain detailed and accurate documentation including evaluations, progress notes, contact logs, and treatment plans.

Minimum Qualifications:

• Current, active, full, and unrestricted license as a Speech-Language Therapist issued by a U.S. state, DC, Puerto Rico, or U.S. territory.
• Master’s degree in Speech-Language Pathology from an accredited institution recognized by the U.S. Department of Education.
• Minimum of 5 years’ experience providing speech-language therapy services within a school setting, demonstrating ability to independently manage evaluations, testing, and report writing under IEP and IDEA guidelines.

About Us

One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn’t your average doctor’s office. We’re on a mission to transform healthcare, which means improving the experience for everyone involved - from patients and providers to employers and health networks. Our seamless in-office and 24⁄7 virtual care services, on-site labs, and programs for preventive care, chronic care management, common illnesses and mental health concerns have been delighting people for the past fifteen years.

In February 2023 we marked a milestone when One Medical joined Amazon. Together, we look to deliver exceptional health care to more consumers, employers, care team members, and health networks to achieve better health outcomes. As we continue to grow and seek to impact more lives, we’re building a diverse, driven and empathetic team, while working hard to cultivate an environment where everyone can thrive.

The Opportunity:

The One Medical Virtual Medical Team (VMT) is a leading provider of virtual clinical care, providing world-class, convenient, evidence-based virtual medical care to One Medical patients in concert with their primary care providers. Through advanced technology and a team-based approach, we care for patients 24 hours a day, 365 days a year. Our team is united by intellectual curiosity, inclusiveness, and a powerful mission: transforming healthcare and bringing world-class primary care to everyone.

Employment type:

• Full time 40 hours including evenings and weekends

What you’ll be working on:

• Treating patients via tele-health visits, including telephonic triage calls, video visit appointments, and email follow-ups
• Continuous learning during weekly Clinical Rounds and through other modalities
• Ongoing collaboration with both virtual and in-office teammates via daily huddles
• Utilization of your specific clinical training and opportunities to give exceptional care to patients virtually

Education, licenses, and experiences required for this role:

• Completion of Master’s Degree in a Physician Assistant program (MSPAS) and is maintaining active NCCPA certification OR completion of Master’s Degree in an accredited FNP program with a national certification.
• In the past 5 years, practiced as an Advanced Practitioner for at least:
  • 2 years in an outpatient primary care setting seeing patients of all ages (0+), OR 2 years in an urgent care or emergency medicine setting seeing patients of all ages (0+)
• Currently licensed in CA with ability to obtain additional state licenses
• Ability to work weekday and weekend shifts (every other Saturday AND or Sunday required)
• Current shifts range from (6am - 12am PST)
• Excellent clinical and communication skills

One Medical providers also demonstrate:

• A passion for human-centered primary care
• The ability to successfully communicate with and provide care to individuals of all backgrounds
• The ability to effectively use technology to deliver high quality care
• Clinical proficiency in evidence-based primary care
• The desire to be an integral part of a team dedicated to changing healthcare delivery
• An openness to feedback and reflection to gain productive insight into strengths and weaknesses
• The ability to confidently navigate uncertain situations with both patients and colleagues
• Readiness to adapt personal and interpersonal behavior to meet the needs of our patients

This is a full-time virtual role.

One Medical is committed to fair and equitable compensation practices.

The base hourly range for this role is $59.10 to $65.50per hour (plus evening and weekend differential) based on a full-time schedule. Final determination of starting pay may vary based on factors such as practice experience and patient care schedule. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. For more information, visit https://www.onemedical.com/careers/.

One Medical offers a robust benefits package designed to aid your health and wellness.  All regular team members working 24+ hours per week and their dependents are eligible for benefits starting on the team member’s date of hire:

Taking care of you today

• Paid sabbatical for every five years of service
• Free One Medical memberships for yourself, your friends and family
• Employee Assistance Program - Free confidential services for team members who need help with stress, anxiety, financial planning, and legal issues
• Competitive Medical, Dental and Vision plans
• Pre-Tax commuter benefits
• PTO cash outs - Option to cash out up to 40 accrued hours per year

Protecting your future for you and your family

• 401K match
• Credit towards emergency childcare
• Company paid maternity and paternity leave
• Paid Life Insurance - One Medical pays 100% of the cost of Basic Life Insurance
• Disability insurance - One Medical pays 100% of the cost of Short Term and Long Term Disability Insurance

In addition to the comprehensive benefits package outlined above, practicing clinicians also receive

• Malpractice Insurance - Malpractice fees to insure your practice at One Medical is covered 100%.
• UpToDate Subscription - An evidence-based clinical research tool
• Continuing Medical Education (CME) - Receive an annual stipend for continuing medical education
• Rounds - Providers end patient care one hour early each week to participate in this shared learning experience
• Discounted rate to attend One Medical’s Annual REAL primary care conference

One Medical is an equal opportunity employer, and we encourage qualified applicants of every background, ability, and life experience to contact us about appropriate employment opportunities.

One Medical participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.  Please refer to the E-Verification Poster and Right to Work Poster for additional information.

POSITION SUMMARY 100% Remote: Body Imaging Radiologist (Oncology Focused).

Company Description

PSI is a leading Contract Research Organization with more than 30 years in the industry, offering a perfect balance between stability and innovation to both clients and employees.  We focus on delivering quality and on-time services across a variety of therapeutic indications.

Job Description

PSI Medical Monitors provide medical input to global clinical studies and advise the teams and business partners, while always focusing on patients’ safety and well-being.

Home-Based in United States

Responsibilities:

• Acts as the primary point of contact for all parties on all trial-specific medical and safety-related questions
• Provides input for responses to regulatory authorities and Institutional Review Boards (IRBs)/Independent Ethics Committees (IECs) on trial-specific medical and safety-related questions
• Monitors trial participant safety
• Participates in trial participant recruitment boost and retention activities
• Presents on medical matters at kick-off and investigator meetings
• Trains trial team in the therapeutic area and medical aspects of the protocol
• Develops and reviews trial-specific documents within the scope of medical monitoring
• Manages ongoing trial risks related to medical monitoring
• Performs ongoing medical review of the operational clinical trial database; provides support to Medical Reviewer(s) assigned to the trial
• Reviews protocol deviations
• Reviews RAE reports, writes and/or reviews SAE narratives, supports Pharmacovigilance team with outstanding safety queries, interacts with sponsor on site safety issues
• Reviews IND/SUSAR Safety Reports, updates/amendments to essential trial records, and annual IND reports with sponsor data (per sponsor request)
• Participates in management of trial-related committees (e.g., independent data monitoring committee (IDMC)/adjudication committees) as described in the corresponding trial-specific charter(s)
• Supports Pharmacovigilance, Medical Data Review and Data Management with reconciliation of safety and operational clinical trial databases
• Reviews clinical study reports (CSRs), including safety narratives and tables, figures, and listings (TFLs)
• Provides medical expertise on an as-needed basis in trials where medical monitoring is not a contract deliverable
• Prepares for and participates in trial audits, follows up on audit findings
• Participates in feasibility assessment of potential and ongoing trials in the country/region
• Participates in bid defense meetings and other interactions with clients
• Acts as a medical expert and provides therapeutic expertise to other PSI departments

Qualifications

• Medical Doctor degree required
• US Board Certification in psychiatry required
• Experience as a practicing psychiatrist (minimum of 10 years)
• Clinical Research experience preferred
• Proficiency with MS Office applications
• Communication, presentation and analytical skills
• Problem-solving, team and detail-oriented

For this position, PSI is not hiring individuals who require work visa sponsorship for employment now or in the future.

Additional Information

As part of PSI’s Medical Monitoring team, you will join our international group of medical professionals, build a career on the frontline of medical science and use your knowledge and expertise to help bring new medications to patients that need them.

Company Description

PSI is a leading Contract Research Organization with more than 30 years in the industry, offering a perfect balance between stability and innovation to both clients and employees.  We focus on delivering quality and on-time services across a variety of therapeutic indications.

Job Description

PSI Medical Monitors provide medical input to global clinical studies and advise the teams and business partners, while always focusing on patients’ safety and well-being.

Home-Based in United States

Responsibilities:

• Acts as the primary point of contact for all parties on all trial-specific medical and safety-related questions
• Provides input for responses to regulatory authorities and Institutional Review Boards (IRBs)/Independent Ethics Committees (IECs) on trial-specific medical and safety-related questions
• Monitors trial participant safety
• Participates in trial participant recruitment boost and retention activities
• Presents on medical matters at kick-off and investigator meetings
• Trains trial team in the therapeutic area and medical aspects of the protocol
• Develops and reviews trial-specific documents within the scope of medical monitoring
• Manages ongoing trial risks related to medical monitoring
• Performs ongoing medical review of the operational clinical trial database; provides support to Medical Reviewer(s) assigned to the trial
• Reviews protocol deviations
• Reviews RAE reports, writes and/or reviews SAE narratives, supports Pharmacovigilance team with outstanding safety queries, interacts with sponsor on site safety issues
• Reviews IND/SUSAR Safety Reports, updates/amendments to essential trial records, and annual IND reports with sponsor data (per sponsor request)
• Participates in management of trial-related committees (e.g., independent data monitoring committee (IDMC)/adjudication committees) as described in the corresponding trial-specific charter(s)
• Supports Pharmacovigilance, Medical Data Review and Data Management with reconciliation of safety and operational clinical trial databases
• Reviews clinical study reports (CSRs), including safety narratives and tables, figures, and listings (TFLs)
• Provides medical expertise on an as-needed basis in trials where medical monitoring is not a contract deliverable
• Prepares for and participates in trial audits, follows up on audit findings
• Participates in feasibility assessment of potential and ongoing trials in the country/region
• Participates in bid defense meetings and other interactions with clients
• Acts as a medical expert and provides therapeutic expertise to other PSI departments

Qualifications

• Medical Doctor degree required
• US Board Certification in Gastroenterology required
• Experience as a practicing Gastroenterology (minimum of 10 years)
• Clinical Research experience preferred
• Proficiency with MS Office applications
• Communication, presentation and analytical skills
• Problem-solving, team and detail-oriented

For this position, PSI is not hiring individuals who require work visa sponsorship for employment now or in the future.

Additional Information

As part of PSI’s Medical Monitoring team, you will join our international group of medical professionals, build a career on the frontline of medical science and use your knowledge and expertise to help bring new medications to patients that need them.

At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions.

At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions.

About MindCare Solutions MindCare Solutions is a premier provider of behavioral health services, supporting hospitals, emergency departments, inpatient behavioral health units, long-term care centers, correctional settings and various other clinical settings.

Job Title: Associate Director Clinical Development, Immunology Job Location: Remote, USA Job Location Type: Remote Job Contract Type: Full-time Job Seniority Level: About This Role: The Associate Director Clinical Development, Immunology, based within Biogen’s West Coast Hub (WCH), will contribute to the clinical trial design and execution of one or more Immunology programs, focus on early-phase (I-II) studies in autoantibody-driven disease such as myasthenia gravis and chronic inflammatory demyelinating polyneuropathy (CIDP).

Role overview

The Medical Director, Care Management leads the care, case, and utilization management programs, setting clinical direction and owning program performance for Included Health’s CCM and UM programs.

This physician leader is first a strong operator. The person owns outcomes, not just clinical standards, with success defined as the program hitting its performance and quality targets. This role owns a critical program that bends the cost curve: navigating members to high-quality care, educating members about their health, and supporting them during vulnerable moments.

Reporting to the Senior Medical Director, Complex Care, they bring a strong, evidence-based point of view, are comfortable operating under ambiguity, and translate organizational priorities into clinical operations that perform at scale. They are responsible for ensuring the programs contribute to clinical outcomes, client commitments, and third-party oversight. This physician leader leads an innovative, fast-moving team at the core of Included Health’s population health strategy.

Key Responsibilities:

Clinical and Operational Leadership:

• Serve as the clinical escalation point for care, case, and utilization management programs.

• Set and maintain clinical standards, evidence-based care pathways, and clinical quality expectations across the portfolio, using clinical judgment in collaboration with subject matter experts.

• Own clinical KPIs, including setting targets, evaluating performance gaps, and redesigning workflows to close them.

• Interrogate the data. Identify outliers or workflows that don’t make sense, and drive them to resolution and improvement.

• Run the program’s operating cadence, including weekly performance reviews, escalation triage, and action tracking, to the team accountable to committed targets and timelines.

Program Design and Strategy:

• Evolve the clinical operating model across adult, maternity, and pediatric populations to deliver on Included Health’s population health strategy.

• Partner with Product and Engineering to design, validate, and deploy AI and agentic tools into clinical workflows, and ensure AI-generated output is valid and actionable.

• Build new programs and models of care, and define how they scale across populations and clients.

People Management:

• Lead, manage, and develop leaders, setting clear clinical and operational expectations.

• Conduct performance reviews, coaching, and feedback for direct reports.

• Attract and retain a strong, diverse pool of clinicians and talent aligned with company vision and goals.

Cross-functional Collaboration:

• Partner with other clinical leaders and cross-functional stakeholders to coordinate care for members with multi-specialty needs.

• Represent care management in cross-functional initiatives, pilots, and strategic planning related to complex care.

• In partnership with the Quality team, implement quality assurance processes to ensure consistent, excellent service to members.

Qualifications:

Required:

• Education: Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO).

• Clinical Experience: Board certified in internal medicine, family medicine, med-peds, or a related specialty, with a minimum of 7 years of post-residency clinical experience, and the ability to apply that clinical lens to population health leadership.

• Leadership Experience: Minimum of 5 years in a healthcare leadership role with direct oversight of clinical teams or programs, including experience managing other clinical leaders (managing managers).

• Licensure: Active, unrestricted medical license in good standing in state of residence, plus active multi-state licensure or willingness to obtain it.

• Operations and Performance: Track record of delivering against operational KPIs, like productivity, clinical quality, engagement, in a scaled, performance-driven setting.

Preferred:

• Digital Health: Experience working in digital health or virtual care delivery models.

• Clinical AI: Comfort integrating clinical AI tools into day-to-day workflows and care delivery.

• Population Health: Knowledge of the medical, behavioral, and social factors that drive poor outcomes and avoidable cost across complex populations.

• Location: Lives in a physician compact-eligible state.

Compensation:

The United States new hire base salary target range for this full-time position is: $240,720-368,304+ bonus + equity + benefits

Starting base salary for you will depend on several job-related factors, unique to each candidate, which may include education; training; skills; years and depth of experience; certifications and licensure; our needs; internal peer equity; organizational considerations; and understanding of geographic and market data. Compensation structures and ranges are tailored to each zone’s unique market conditions to ensure that all employees receive fair and great compensation package based on their roles and locations. Your Recruiter can share your geographic zone upon inquiry.

Benefits & Perks:

In addition to receiving a great compensation package, the compensation package may include, depending on the role, the following and more:

-Remote-first culture

-401(k) savings plan through Fidelity

-Comprehensive medical, vision, and dental coverage through multiple medical plan options (including disability insurance)

-Paid Time Off (“PTO”) and Discretionary Time Off (“DTO”)

-12 weeks of 100% Paid Parental leave

-Family Building & Compassionate Leave: Fertility coverage, $25,000 for surrogacy/adoption, and paid leave for failed treatments, adoption or pregnancies.

-Work-From-Home reimbursement to support team collaboration home office work

Your recruiter will share more about the salary range and benefits package for your role during the hiring process.

About Included Health:

Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation. We’re on a mission to raise the standard of healthcare for everyone. We break down barriers to provide high-quality care for every person in every community — no matter where they are in their health journey or what type of care they need, from acute to chronic, behavioral to physical. We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care. It’s all included. Learn more at includedhealth.com .

Included Health is an Equal Opportunity Employer and considers applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics or any other basis forbidden under federal, state, or local law. Included Health considers all qualified applicants with arrest or conviction records in accordance with the San Francisco Fair Chance Ordinance, the Los Angeles County Fair Chance Ordinance, and California law.

#LI-Remote

About Included Health

Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation. We’re on a mission to raise the standard of healthcare for everyone. We break down barriers to provide high-quality care for every person in every community — no matter where they are in their health journey or what type of care they need, from acute to chronic, behavioral to physical. We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care. It’s all included. Learn more at includedhealth.com.

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Included Health is an Equal Opportunity Employer and considers applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics or any other basis forbidden under federal, state, or local law. Included Health considers all qualified applicants with arrest or conviction records in accordance with the San Francisco Fair Chance Ordinance, the Los Angeles County Fair Chance Ordinance, and California law.

Included Health uses AI-assisted tools at select stages of the hiring process to enhance efficiency, consistency, and communication. AI does not make hiring decisions—final decisions are made exclusively by our recruiting and hiring teams.

Hi, we’re Oscar. We’re hiring a Physician Reviewer to join our Utilization Management team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role:

You will determine the medical appropriateness of inpatient, outpatient, and pharmacy services by reviewing clinical information and applying evidence-based guidelines.

Hours: 8am - 5pm in your local time zone

Call rotation - 1 weekend every 16 weeks

You will report into the Associate Medical Director, Utilization Management.

Work Location: This is a remote position, open to candidates who reside in the United States. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote

Pay Transparency: The base pay for this role is: $219,000- $ 286,902 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation, and annual performance bonuses.

Responsibilities:

• Provide medical reviews that meet Oscar’s stringent quality parameters.
• Provide clinical determinations based on evidence-based criteria and Oscar internal guidelines and policies, while utilizing clinical acumen.
• Clearly and accurately document all communication and decision-making in Oscar workflow tools, ensuring a member could easily reference and understand your decision (Flesch-Kincaid grade level).
• Use correct templates for documenting decisions during case review.
• Meet the appropriate turn-around times for clinical reviews.
• Receive and review escalated reviews.
• Conduct timely peer-to-peer discussions with treating providers to clarify clinical information and to explain review outcome decisions, including feedback on alternate treatment based on medical necessity criteria and evidence-based research.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• Board certification as an MD or DO
• Licensed in one of these states: FL, NC, AZ OR possess an active Interstate Medical Licensure Compact (IMLC).
• 6+ years of clinical practice

Bonus points:

• Licensure in multiple Oscar states
• 1+ years of utilization review experience in a managed care plan (health care industry)
• BC in Cardiology, Radiation/Oncology, or Neurology
• Experience with care management within the health insurance industry.
• Willing and able to obtain additional state licensure as needed, with Oscar’s support

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraudhere.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We’re on a mission to change health care – an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Privacy Policy.

Hi, we’re Oscar. We’re hiring a Senior Analyst, Special Investigations Unit Clinical Investigator to join our SIU.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role:

The Senior Analyst, SIU Clinical Investigator detects and audits aberrant billing patterns within claims and clinical documentation, using forensic clinical expertise to protect the integrity of healthcare spend. You will perform comprehensive pre-payment and post-payment reviews of medical records to ensure billed services align with established clinical guidelines, CMS regulations, and contractual obligations. Beyond individual claim accuracy, you will analyze provider behavior to identify schemes such as record cloning, upcoding, and unbundling that may be invisible to automated systems. As a clinical subject matter expert, you will act to translate audit findings into relevant education. You will facilitate professional discussions with colleagues and providers to correct billing behaviors and promote long-term compliance. You will partner with clinical and non-clinical investigators to build evidentiary files for potential recovery, legal action, or referrals to appropriate outside agencies.

You will report into the Investigations Manager, SIU.

Work Location: This is a remote position, open to candidates who reside in: Arizona, Florida, Georgia, Illinois, Iowa, Kansas, Michigan, Missouri, Nebraska, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas and Virginia. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area.

If you live within commutable distance to our New York City office (in Hudson Square) or our Tempe office (off the 101 at University Ave), you will be expected to come into the office at least three days each week. Otherwise, this is a remote / work-from-home role.  Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule.

The base pay for this role in the states of New Jersey and New York is: $75,348 - $98,894 per year. The base pay for this role in all other locations is: $67,813 - $89,004 per year.  You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program and annual performance bonuses.

Responsibilities:

• Identify and conduct clinical audits into suspected FWA with high autonomy
• Document findings, to include formal reports, graphs, audit logs, and other supporting documentation.
• Metrics to align with unit goals.
• Participate in the development and presentation of FWA-related education for Oscar teams
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• Active, unrestricted Registered Nurse (RN) license
• 3+ years of direct patient care clinical experience. Case Management experience a bonus.
• 2+ years of experience in Medical Review, Utilization Management, or Clinical Documentation Improvement, featuring demonstrated expertise in the forensic application of complex clinical guidelines (e.g., MCG, CMS, and specialty-specific professional organizations) to multifaceted medical records.
• Experience conducting forensic medical audit with a focus on validating that clinical narrative supports the specificity and necessity of billed CPC, HCPCS, and ICD-10 codes.

Bonus points:

• Bachelor of Science in Nursing (BSN), Associate Degree in Nursing (ADN) with a Bachelor of Science in Health Administration, Clinical Informatics, or a related Medical Science field, or Associate Degree in Nursing (ADN) with 5+ years of specialized clinical audit experience.
• Experience working in health insurance with competency regarding claims processing, billing, reimbursement, or provider contracting.
• Experience delivering feedback or education to providers/physicians in a professional, non-confrontational, and persuasive manner.
• Identifying trends, for example “cloned documentation” or change in billing habits of a provider.
• Experience with HIPAA, data privacy, and/or data security processes
• Certified Case Manager (CCM), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI), or similar.

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraudhere.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We’re on a mission to change health care – an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Privacy Policy.