Medical Director

• Develops ongoing professional relationships with key decision makers in organized health systems to ensure access to medical and scientific information on the full oncology product portfolio and areas of therapeutic interest
• Develops strategic account plans in partnership with the Integrated Account Management (IAM) Account Executive teams and executes medical activities in alignment with agreed plan
• Serves as the primary resource for market dynamics within the territory to understand decision makers’ evolving information needs to feed into the ongoing value-proposition development process for oncology product and non-product offerings
• Effectively communicates and coordinates with Regional Medical Scientific Director regarding medical and scientific support needs in key health systems accounts
• Serves as a resource for the HSO MAD Team Lead, HSO Executive Director Medical Affairs, and other members of Country Medical Affairs on other relevant strategic planning
• Attends and supports scientific and medical meetings and prepares post-meeting deliverables

Health Systems Oncology Medical Affairs Director

• Plan and execute Medical strategy and engagement in assigned territory
• Maintain knowledge of relevant TA/disease states and Pfizer medicines
• Serve as a resource for Medical Information and customer insights
• Understand priorities of Pfizer Medical Affairs to contribute to strategy development
• Communicate and collaborate with headquarters and other colleagues
• Deliver approved medical content about Pfizer medicines to HCPs
• Provide accurate information in response to unsolicited medical requests
• Collaborate with Oncology Research & Development for clinical trials
• Cultivate research and therapeutic area expertise
• Mentor and participate in special projects as needed

Oncology Field Medical Director

• Develop and manage the Clinical Policy, Regulatory, and Compliance functions within the Office of Clinical Affairs.
• Ensure clinical operations meet healthcare laws and standards.
• Develop and maintain regulatory policies.
• Manage compliance risks and guide policy-related submissions.
• Advise senior leadership and work closely with teams across the organization.

Medical Director, Clinical Regulatory Affairs

• Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit
• Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities
• Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services
• Supports effective implementation of performance improvement initiatives for capitated providers
• Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members
• Provides medical expertise in the operation of approved quality improvement and utilization management programs
• Assists the Chief Medical Director in the functioning of the physician committees
• Conduct regular rounds to assess and coordinate care for high-risk patients
• Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals
• Participates in provider network development and new market expansion as appropriate
• Assists in the development and implementation of physician education with respect to clinical issues and policies
• Identifies utilization review studies and evaluates adverse trends in utilization of medical services
• Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice
• Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers
• Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment
• Develops alliances with the provider community through the development and implementation of the medical management programs
• May represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues
• May be required to work weekends and holidays in support of business operations, as needed

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