The Medical Director performs prior authorization reviews for chemotherapy treatment requests and provides clinical oncology expertise. They also collaborate with multidisciplinary teams on research projects and quality improvement initiatives.
The Vice President of Client Success is responsible for the retention, growth, and overall success of an assigned market of health plan clients. This role manages strategic accounts, provides leadership to the client success team, and partners with cross-functional departments to maximize client value.
The Medical Oncology Nurse is responsible for conducting clinical reviews of oncology requests, including medical necessity and supportive care drugs, to facilitate appropriate patient outcomes. They also manage provider relationships, maintain accurate clinical records, and collaborate with medical and pharmacy teams to support decision-making.
The Case Review Specialist manages high-volume inbound calls and serves as the primary point of contact for case status, documentation, and intake inquiries. They are responsible for accurately documenting interactions, coordinating with internal clinical teams, and ensuring all cases meet quality and compliance standards.
The Sales Support Associate manages administrative and commercial functions, including calendar and travel management for sales leadership. They also maintain the CRM system and serve as a key point of contact for external partners and clients.
The Sales Development & Enablement Representative acts as the primary point of contact for prospective health plan clients, building a qualified pipeline through outbound and inbound prospecting. They also support the sales team by managing proposals, sales collateral, and maintaining accurate CRM data to facilitate deal progression.
The Senior Provider Relations Specialist drives the adoption and utilization of digital prior authorization platforms by managing provider relationships and conducting training. They also coordinate onboarding, support operational readiness, and collaborate with internal teams to implement strategic initiatives.
The Associate Sales Executive drives business development through outbound activities and manages prospect accounts to win new business. They also support the sales team by maintaining CRM data, assisting with proposals, and participating in the RFP process.
The Senior Director of Data Engineering will define and execute the enterprise data engineering strategy and architecture while leading a high-performing team. They will partner with cross-functional leadership to ensure data is secure, scalable, and accessible to support analytics, AI, and clinical operations.
The Clinical Pharmacist facilitates the prior authorization case review process and provides clinical recommendations on coverage determination. They also support department projects, including training and the development of drug-related clinical information.
The UM Trainer is responsible for designing, coordinating, and delivering training programs to support the onboarding and ongoing education of Utilization Management team members. This role also involves monitoring training effectiveness, ensuring compliance with regulatory standards, and collaborating with cross-functional teams to drive performance improvement.
