Medical Director

• Responsible for assisting the Medical Director in the oversight of Utilization Management (UM) programs
• Support the development and maintenance of these programs, focusing on clinical accuracy and appropriateness
• Assist the Medical Director in developing strategic corporate direction for UM programs
• Support the SVP, Healthcare Services in preparing annual metrics of results for UM programs
• Contribute to measurable outcomes for prior authorization, step therapy, and quantity limit programs
• Collaborate with internal teams to support corporate HEDIS initiatives with appropriate clinical program development
• Work closely with clinical program development teams, clinical service operations, and clinical quality committees
• Provide clinical guidance and oversight to these areas
• Serve on IH committees as directed by the Medical Director

Associate Medical Director – UM PT

• Support the medical business goals and objectives of one of Sobi’s rheumatology products, providing strategic leadership and tactical execution.
• Provide strategic and scientific medical affairs leadership for a Rheumatology product in development.
• Help develop and implement the US medical strategy, tactical plans, and HCP engagement plans.
• Partner with field medical to engage and educate health care providers (HCPs), medical organizations, payers, and patient advocacy groups.
• Represent the overall Medical Science organization on cross-functional initiatives as required.
• Develop a US evidence generation strategy to address stakeholder (HCPs, payers, and patients) needs.
• Oversee any medical affairs-led research initiatives, including US Phase IV clinical programs.

Senior Medical Director – Rheumatology, Medical Affairs

• 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.

Clinical Director, Cranial and Spinal Technologies

• Bring knowledge and skills to the business of Blue Cross North Carolina
• Support value-based strategies and clinical operations
• Develop and drive strategy for varied Health Care initiatives
• Partner with internal and external clients to support agreements
• Evaluate and manage vendors to align with strategic direction
• Gather and analyze data for health outcomes improvement
• Represent BCNC through presentations and leadership

Associate Medical Director

• Design, implement, and improve education, quality, and accreditation programs
• Develop and manage training curriculum for clinical staff
• Design and deliver palliative care-specific education programs
• Integrate value-based care principles into training frameworks
• Oversee simulation-based training and competency assessments
• Lead the organization's QA/QI program and establish quality metrics
• Analyze clinical and operational data for improvement
• Collaborate with the Compliance Department for regulatory education

Clinical Director – Training & Quality

• 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

• Conduct electronic review of escalated cases against medical policy criteria
• Complete initial determination of cases, review of appeals and grievances, and other reviews as assigned
• Compose clear and concise rationales for member and provider determination notifications
• Participate as a member of the CMDM multidisciplinary team
• Advise multidisciplinary team on cases that require physician expertise
• Actively manage projects and/or participate on project teams that require a physician subject matter expert

• Provides clear medical leadership in the Study team
• Creates clinical trial protocols while implementing the latest scientific information
• Contributes to site selection
• Reviews and approves study protocols and amendments, Clinical Study Reports (CSRs), Informed Consent Forms (ICFs), Case Report Forms (CRFs), protocol deviation decisions and other clinical documents as required for clinical trials
• Real time Medical Monitoring of clinical studies
• Ensures early identification of medical issues
• Interprets clinical trial data for regulatory documents
• Acts as the medical point of contact for all internal and external stakeholders
• Ensures study compliance for all medical aspects

Medical Director, Clinical Trial Physician – Neurology

• Manage all medical aspects of contracted tasks across the pharmaceutical product life-cycle.
• Ensure tasks delegated to PV are properly executed.
• Adhere to applicable regulations and ICH guidelines regarding clinical trials, regulatory documents, and safety issues.
• Follow client SOPs/directives and project-specific WPDs for assigned projects.
• Comply with CRG’s corporate policies and SOPs/WPDs.
• Provide medical consultation to team members and answer all study-related medical questions.
• Communicate clearly with associates and clients, maintaining an open line of communication to ensure all procedures are followed appropriately.
• Provide therapeutic training and protocol training on assigned studies, as requested.
• Assist in writing (interpretation of safety and efficacy data) and/or reviewing CSR, IND/NDA reports, ICSR, signal detection reports, periodic reports, RMP, REMS, CTD modules, etc., to ensure that the medical content is accurate and complete.
• Monitor all safety variables (AE, laboratory abnormalities, changes in patient medical status, evaluation of prescribed concomitant medication for protocol restrictions, and un-blinding requests) of clinical studies.
• Discuss all medical concerns with principal investigators and clients (e.g., interpretation of inclusion/exclusion criteria) raised during the course of a study, using proper medical judgment in interpretation and decision-making regarding clinical situations as they relate to the investigational study.
• Provide medical review of adverse events of special interest, serious adverse events, and clinical outcomes events reported by study sites.
• Perform data review as specified in the client contract and data validation manual, including review of coding listings and/or full safety data to assess potential safety concerns.
• Manage signal detection activities, scientifically review aggregate reports, contribute to label updates, and support dossier maintenance and risk management activities.
• Medically review adverse event and serious adverse event data from all sources (solicited, spontaneous, literature, etc.) as contracted.

Medical Director/Sr Medical Director – Cardiology

• Determine the medical appropriateness of inpatient, outpatient, and pharmacy services by reviewing clinical information and applying evidence-based guidelines.
• Influence departmental strategy, leading and overseeing a team of physicians ensuring efficient management and adherence to quality standards.
• Report into the Senior Medical Director.
• Provide timely 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.
• Use correct templates for documenting decisions during case review.
• Conduct timely peer-to-peer discussions with treating providers to clarify clinical information and to explain review outcome decisions.
• Manage direct reports and oversee their performance.
• Provide oversight to ensure the team meets turn-around times for clinical reviews.
• Collaborate with other departments on Utilization Management Operations.
• Lead key projects and drive initiatives to successful completion.

Associate Medical Director, Utilization Management

• Support BeOne Medicines pre-clinical and clinical pipeline development by coordinating external collaborations
• Establish and maintain scientifically credible peer-to-peer scientific relationships with national & regional opinion leaders
• Facilitate & monitor strategic partnerships with scientific/clinical experts
• Provide balanced, accurate information to regional formulary decision makers
• Identify and vet investigators, nominate sites to Clinical Operations for company-sponsored clinical trials
• Assist in the development and execution of clinically relevant regional medical meetings
• Serve as an internal resource of clinical and scientific information from medical interactions
• Build strong relationships with internal experts

Field Medical Director – Solid Tumor, Breast and Lung

• Provide clinical leadership and expertise in the development of quality improvement strategies and special projects to support the enterprise quality organization
• Advise teams about strategies for improvement or adjustment of their programs or products
• Clinical leadership of the environmental resiliency portfolio: coordinate research, manage relationships with key stakeholders, and present on findings to internal and external audiences
• Collaborate cross functionally with teams to review clinical products and programs for clinical accuracy and evidence
• Demonstrate agility and resilience while working in a dynamic, ever-changing work environment
• Be passionate about data and project work in a complex, large organization

Medical Director – Clinical Quality Initiatives

• Serving as Medical Director, leading our clinical operations, evidence generation, and provider engagement and education efforts.
• Overseeing our clinical operations team that plans and executes all clinical studies.
• Leading evidence generation team that develops, publishes, and promotes scientific evidence for NavDx.
• Partnering with stakeholders to provide evidence-based education on the clinical benefits of NavDx testing.
• Creating multi-year evidence generation roadmaps aligning with the Company’s strategies.
• Directing development of clinical strategies for integrating Naveris’ technologies into standard practice.
• Leading cross-functional teams to deliver clinical project plans with milestones and reports.

• Serve as the clinical authority for clinical data definitions and decision logic frameworks
• Build team capability in clinical data science and outcomes measurement
• Serve as the clinical informatics subject matter expert for product teams
• Review and approve clinical-facing content and logic for accuracy
• Partner with Data/Analytics and Data Science teams to define analytical approaches

Senior Medical Director – Clinical Informatics

• Plan and execute medical strategy and engagement for assigned customers
• 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
• Maintain effective communication among medical colleagues
• Deliver approved medical content about Pfizer medicines
• Identify and seek medical engagement from priority customer segments
• Provide truthful, accurate, and scientifically supported information to HCPs
• Facilitate medical support throughout Investigator Sponsored Research (ISR) process
• Cultivate research and TA expertise
• Represent Pfizer Medical Affairs leadership

Oncology Field Medical Director – MD

• Provides strategic direction, professional oversight, and leadership throughout the precert process and other clinical operations.
• Collaborates with executive leadership to develop and implement strategies that align with healthcare objectives, improve processes, drive innovation, and positively impact members and providers.
• Leverages medical and operational expertise to develop and align the company's goals with clinical strategies and regulatory requirements.
• Collaborates with cross-functional leaders to shape and drive the clinical operations strategy and initiatives, ensuring optimal quality and efficiency.
• Establishes clinical standards and oversees clinical governance structures to ensure patient safety and the provision of quality care.
• Leads the development of clinical processes and programs, such as clinical protocols, guidelines, treatment pathways, and training curricula.
• Manages operations of the Medicare Precertification MD Team, in alignment with governing policies and procedures.
• Leads teams through Medicare audits and on-going audit readiness.
• Stays updated on relevant scientific evidence, industry standards, and regulatory changes to ensure organizational compliance and relevance.
• Develops and maintains relationships with key stakeholders, such as government agencies, providers, and professional organizations.
• Develops and continuously monitors key metrics to assess the performance of strategic initiatives and processes, making adjustments as needed.
• Provides mentorship, professional development opportunities, and support to physicians, promoting their growth and ensuring a cohesive and skilled medical team.
• Collaborates with legal and compliance teams to ensure developed clinical processes and solutions comply with all applicable regulatory requirements.

Senior Medical Director – Precertification

• Support the medical business goals and objectives of one of Sobi’s rheumatology products
• Provide strategic and scientific medical affairs leadership for a Rheumatology product in development
• Develop and implement the US medical strategy, tactical plans, and HCP engagement plans
• Partner with field medical to engage and educate health care providers, medical organizations, payers, and patient advocacy groups
• Represent the overall Medical Science organization on cross-functional initiatives as required

• Plan and execute medical strategy and engagement for appropriate assigned customers within a territory, compliantly coordinating with other Pfizer colleagues as needed to achieve medical objectives
• Maintain required level of knowledge of relevant TA/disease states and Pfizer medicines, providing therapeutic area/product information to both internal and external stakeholders as needed
• Serve as a conduit and resource for medical information and customer insights, providing requested information to HCPs as allowed by Pfizer guidance and sharing customer viewpoints with Pfizer as appropriate
• Understand the priorities of Pfizer Medical Affairs to contribute to medical content strategy development and execute aligned Field Medical tactics
• Maintain effective and appropriate communication and collaboration among headquarters medical colleagues and other Pfizer Field Medical colleagues
• Demonstrate expertise in communication across multiple channels, including, but not limited to, live and virtual presentations in small or large settings, written communication, and telephone or virtual conversations
• Optimize patient centricity of medical communications and deliverables, incorporating health literacy and cultural awareness principles to ensure that patients remain the ultimate focus
• Deliver approved medical content about Pfizer medicines and relevant topics in the designated therapeutic area
• Identify and seek medical engagement from priority customer segments in assigned TA
• Provide truthful, accurate, and scientifically supported information in response to direct unsolicited medical requests from HCPs in a manner that complies with all applicable Pfizer guidelines, policies, and procedures
• Field relevant inbound queries from HCPs via established triage process
• In collaboration with Global Medical Affairs colleagues, partner with Oncology Research & Development and Global Product Development (GPD) in the identification of potential sites for Pfizer-sponsored clinical trials, including identification of sites serving under-represented patient populations in trials
• Appropriately provide medical support throughout the Investigator Sponsored Research (ISR) process
• Cultivate research and TA expertise, including familiarity with latest congress data and disease state literature
• Provides asset leadership
• Understand the principles of study design, methodology, data analysis, and interpretation and communicate these concepts with customers
• Strong territory leadership
• Reactively and proactively communicate with local Patient Advocacy Group(s), as appropriate, in close collaboration with Corporate Affairs and HQ Medical Affairs
• Deliver insights on local patient organization structure, capabilities, and patient population needs
• Serve on Medical and/or TA and asset cross-functional committees, as appropriate
• Represent Pfizer Medical Affairs leadership with clinical/professional associations and/or societies, consistently demonstrating medical professionalism in all interactions
• Mentorship – Onboarding partner, ad board and study lead mentor
• Participate in special projects as needed

Oncology Field Medical Director – Non-MD

• Provide medical oversight of clinical trials to ensure compliance with company SOPs and regulatory requirements
• Attend and present at investigator meetings
• Offer medical consultation to clients and project team
• Review and analyze clinical trial serious adverse events and client deliverables
• Manage all medical aspects of contracted tasks across the pharmaceutical product life-cycle
• Ensure tasks are completed and regulations are followed
• Monitor safety variables and discuss medical concerns with principal investigators

See all jobs on JobTailor

Associate Medical Director – UM PT

Senior Medical Director – Rheumatology, Medical Affairs

Clinical Director, Cranial and Spinal Technologies

Associate Medical Director

Clinical Director – Training & Quality

Medical Director, Clinical Regulatory Affairs

Medical Director

Medical Director, Clinical Trial Physician – Neurology

Medical Director/Sr Medical Director – Cardiology

Associate Medical Director, Utilization Management

Field Medical Director – Solid Tumor, Breast and Lung

Medical Director – Clinical Quality Initiatives

Medical Director

Senior Medical Director – Clinical Informatics

Oncology Field Medical Director – MD

Senior Medical Director – Precertification

Senior Medical Director – Rheumatology, Medical Affairs

Oncology Field Medical Director – Non-MD

Medical Director, Senior – Neurology