Medical Director

• Lead the Center for Geroscience & Healthy Aging (CGHA).
• Establish and scale the CGHA as a flagship enterprise for healthy aging—creating programs that advance research, clinical care, and innovation.
• Set the CGHA strategy and execution plan across discovery, translation, and implementation.
• Recruit, retain, and mentor basic, translational, clinical, and population scientists.
• Promote inclusive excellence in recruitment, retention, mentorship, and advancement.

Tenured Professor – Geriatrics and Palliative Care Medicine, Director of Center for Geroscience and Healthy Aging

• Collaborates closely with physician leaders, quality, coding, finance, revenue cycle, case management, and operational leaders to ensure accurate, complete, and clinically supported documentation
• Accountable for advancing documentation strategies that positively influence publicly reported quality metrics, CMS, and payer reimbursement methodologies
• Leverages analytics, clinical expertise, and industry best practices to drive strategic initiatives, monitor program performance, identify opportunities for improvement, and align CDI efforts with CentraCare’s strategic and operational priorities
• Partners with the CDI Physician Champions to foster a culture of documentation excellence, clinical validity, continuous learning, and performance improvement
• Directs daily operations of the CDI program, including staffing, productivity, workflow optimization, technology utilization, compliance, and program performance

Director, Inpatient Clinical Documentation Integrity

• Oversee the performance and growth of Customer Service, Prescription Processing, Client-specific teams, managing both internal staff and external vendors
• Lead operational excellence across central fill pharmacy networks and courier delivery operations
• Lead your team with Key Performance Indicators (KPIs) to drive business success and increase efficiency while lowering the cost-to-fill on an annual basis
• Manage quality, turnaround time (TAT), and customer satisfaction metrics to ensure FuzeRx remains the preferred infrastructure partner for telehealth and pharma partners
• Establish requirements for capabilities and reporting, collaborating cross-functionally to deliver data-driven insights
• Analyze data to forecast staffing needs based on program performance, optimizing resource allocation across multiple roles
• Lead a large team of managers, supervisors and team members, establishing an environment of positive employee engagement and experience

Director, Rx Clinical Operations

• support care management, quality, utilization management, credentialing, pharmacy, health policy implementation, technology assessment and risk management activities
• Completes care management case review for cases involving medical necessity review
• Completes appeal case review for cases involving medical necessity review
• Partners to establish priorities as appropriate for improving service at the point of care
• Completes quality of care complaint reviews for cases involving clinical aspects or clinical/service aspects
• Participates in rotation to above Committee Participation

Medical Director – Clinical Ops Case Review

• Provides enterprise leadership for U.S. Employer Medical Customer Service organization
• Oversees the strategic direction, operational performance, and transformation agenda across all medical service lines
• Partners extensively with enterprise leaders to define and execute strategies that improve customer experience, enhance efficiency, optimize service delivery, and accelerate business performance
• Establishes multi-year operational strategies, leads complex transformation initiatives, drives adoption of emerging technologies and AI-enabled capabilities
• Champions talent development, organizational effectiveness, and change leadership while fostering a high-performance culture

Senior Director – US Employer Operations, Head of Medical Call Centers

• Work within the Medical Affairs organization to identify, establish, and manage collaborative professional relationships with community-based scientific leaders (SLs) and healthcare providers.
• Conduct peer-level scientific discussions and maintain a reliable presence to ensure SLs have a Medical Affairs contact within our company.
• Engage in proactive non-product discussions regarding scientific issues to understand real-world prevention gaps, persistent disparities, and barriers to uptake across various care settings.
• Facilitate appropriate scientific exchange of information with SLs, including integration of scientific knowledge with actionable insights to inform our Company's research, development and strategies.
• Communicate external stakeholder opinions, insights, and feedback on new data, clinical trends, and the evolving HIV treatment and prevention landscape to Medical Affairs HQ teams.
• Represent R&D at scientific meetings and congresses to understand the sentiment of the consumer and contribute to R&D debriefs, insight discussions, and post-congress reports.
• Develop and execute territory plans in alignment with global Virology strategy.
• Support data generation activities when requested by R&D leadership, including our company's Investigator Study Program (MISP).
• Identify potential investigators for participation in phase II-IV clinical development programs and provide scientific support for R&D sponsored trials as needed.
• Demonstrate and maintain in-depth knowledge of the assigned disease and therapeutic area(s) through educational efforts.
• Fully comply with all company policies and applicable laws, regulations, and ethical standards.

Community MSL, Virology (HIV) – Regional Medical Scientific Associate Director

• Provide leadership, strategic direction, and management of an MSL team to support the company’s mission of advancing precision medicine
• Ensure the team is adequately staffed, trained and clear on the expectations of their role in the execution of their medical plan
• Develop and execute strategies to engage with key opinion leaders (KOLs), healthcare professionals, and other stakeholders within their area
• Lead, mentor, and manage a team of MSLs to ensure effective communication and collaboration with healthcare professionals and KOLs
• Develop and implement strategic plans to support the dissemination of scientific information and data related to Tempus’ products and services
• Establish and maintain relationships with KOLs, healthcare professionals, and other stakeholders to support clinical and scientific objectives
• Oversee the development and delivery of scientific presentations, publications, and other educational materials
• Collaborate with cross-functional teams, including clinical development, marketing, and sales, to support product launches and other initiatives
• Monitor and analyze industry trends, competitive intelligence, and scientific advancements to inform strategic planning
• Ensure compliance with all regulatory and legal requirements in the dissemination of scientific information
• Represent Tempus at scientific conferences, meetings, and other events

Associate Director, Medical Science Liaison

• participate in the development, implementation, and evaluation of clinical / medical programs
• expand Aetna's medical management programs to address member needs across the continuum of care
• support the Medical Management staff ensuring timely and consistent responses to members and providers
• provide clinical expertise and business direction in support of medical management programs through participation in clinical team activities
• act as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams

Medical Director – Commercial

• model the highest levels of clinical integrity, knowledge and cross functional thinking and decision making
• transacts Utilization Management (UM) activities (prior authorization and appeals)
• responds to prescriber inquiries related to UM transactions and CVS Health coverage policies
• report to a Senior Medical Director in the Medical Affairs Department
• provide consultative clinical support to Account Management in support of Key Clients as assigned
• complete assigned medication utilization reviews and/or medical necessity appeals for commercial clients, governmental (Medicare/Medicaid) programs and individual client requested coverage determinations or appeals when appropriate
• participate in inter-rater review activities and other quality oversight processes for internal Director UM decisions
• provide oversight of a portion of CVS Health's clinical programs and commercial client program support
• perform special clinical investigations and research as requested by the Senior Medical Director

• Provide clinical leadership for utilization management programs
• Set UM strategy aligned with organizational goals
• Serve as senior clinical advisor to executive leadership on utilization trends
• Oversee the medical policy team
• Lead the Medical Policy and Utilization Management Governance Committees
• Oversee complex and high-risk utilization review cases
• Conduct clinical reviews and peer-to-peer reviews
• Ensure consistent, evidence-based application of clinical guidelines
• Provide clinical expertise to teams conducting coding and payment integrity
• Act as senior clinical UM liaison to network providers
• Build and maintain strong physician relationships
• Lead development and implementation of UM interventions
• Review utilization data for improvement opportunities
• Ensure UM programs meet regulatory requirements
• Conduct and support training of medical directors and UM staff

Senior Medical Director

• Drives consistency in our approach to advancing Medtronic technology-enabled procedures through CST with Medtronic’s Navigation and Stealth Axis technologies.
• Communicates and reinforces corporate Mission, CST strategy, and key initiatives, goals, and activities.
• Ensures team members complete comprehensive field training initiatives to increase overall navigation, imaging, and robotics competencies.
• Determines overall direction for strategic accounts in alignment with Stealth Axis account strategies.
• Oversees the creation of solutions, proposals, and presentations for our customers.
• Attends surgical cases, trains surgeons, and manages the ongoing sale of implant business components.
• Leverages relationships and insights to convert business unit-specific opportunities into CST opportunities that deliver incremental value to both Medtronic and the customer.
• Identifies and acts upon cross-business, cross-functional opportunities and issues related to targeted account growth.
• Establishes and supports Medtronic’s executive-level relationships with targeted accounts at the physician and C-Suite level.
• Develops ongoing (vs. transactional) peer relationships with senior healthcare executives in targeted accounts.
• Coordinates executive-level Medtronic activities, relationships, and transactions within targeted accounts.
• Works to maintain a strong, diverse personnel “bench” of candidates for future hiring opportunities.
• Addresses development opportunities through coaching and executing specific measurable projects.
• Drives awareness of market and competitive conditions for strategic planning.

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