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<ul> <li> Job title Neuroimmunology Field Director, Autoantibody - West </li> <li> Function <a href="#">Medical Affairs Group</a> </li> <li> Sub function <a href="#">Medical Science Liaison</a> </li> <li> Category Director, Medical Science Liaison (PL9) </li> <li> Location <a href="#">Dallas</a> / <a href="#">Phoenix</a> / <a href="#">Boulder</a> / <a href="#">Denver</a> / <a href="#">Chicago</a> / <a href="#">St. Louis</a> / <a href="#">Las Vegas</a> / <a href="#">Albuquerque</a> / <a href="#">Houston</a> / <a href="#">San Antonio</a> / <a href="#">Salt Lake City</a> / <a href="#">United States of America</a> </li> <li> Date posted Apr 23 2025 </li> <li> Requisition number R-009412 </li> <li> Work pattern Field-based </li> </ul> <h2>Description</h2> At Johnson &amp; Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity. Learn more at <a href="https://www.jnj.com" target="_blank">https://www.jnj.com</a> Job Function: Medical Affairs GroupJob Sub Function: Medical Science LiaisonJob Category:People LeaderAll Job Posting Locations:Albuquerque, New Mexico, United States of America, Boulder, Colorado, United States, Chicago, Illinois, United States, Dallas, Texas, United States, Denver, Colorado, United States, Houston, Texas, United States of America, Las Vegas, Nevada, United States, Phoenix, Arizona, United States, Salt Lake City, Utah, United States of America, SAN ANTONIO, Texas, United States of America, St. Louis, Missouri, United StatesJob Description: Johnson &amp; Johnson Innovative Medicines is recruiting a Neuroimmunology Field Director, Autoantibody - West. Our expertise in Innovative Medicine is informed and inspired by patients, whose insights fuel our science-based advancements. Visionaries like you work on teams that save lives by developing the medicines of tomorrow. Our Immunology team leads in the development of transformational medicines for immunological disorders and illnesses. You can influence where medicine is going by restoring health to millions of people living with immune diseases. Join us in developing treatments, finding cures, and pioneering the path from lab to life while championing patients every step of the way. Learn more at <a href="https://www.jnj.com/innovative-medicine" target="_blank">https://www.jnj.com/innovative-medicine</a> JNJ’s novel Nipocalimab therapy is an investigative treatment that has the potential to transform treatment of a number of autoantibody and alloantibody diseases by targeting FcRn leading to the degradation of pathogenic IgG. This groundbreaker asset requires a high level of professional engagement to raise disease awareness of the unmet need across 10+ indications, most of which are rare diseases. The Neuroimmunology Field Director, Autoantibody TA will lead the West Medical Science Liaison (MSL) team to execute US medical affairs educational and scientific activities, driving results and execution of launch of nipocalimab in gMG in the field. This position reports directly to the Therapeutic Area Lead, Autoantibody. Key responsibilities: <ul><li>Responsible for the hiring, onboarding, training and management of the West regional Autoantibody Neuroimmunology MSL team including:<ul> <li>Strengthening and building JNJ’s external footprint across the neuromuscular space with a focus on the gMG launch of nipocalimab</li> <li>Ensuring that the team functions according to the Medical Affairs plan and company directives</li> <li>Conducts routine team field visits and 1:1 meetings providing observation and coaching</li> <li>Conducts performance coaching and feedback discussions</li> <li>Provides oversight responsibility for team’s training and development</li> <li>Ensures team optimal capacity, field activity level, and field metrics</li> <li>Successfully collaborate with headquarters </li> <li>Ensures each MSL territory plan is strategic, up to date and actionable.</li> <li>Manages the team through special projects and cross functional support activities</li> <li>Collaborates and aligns with the East Field Director for consistent execution of field medical plans across the US</li> </ul> </li></ul> <ul><li>The Field Director is responsible for the recruitment and retention of top talent and will actively implement leadership strategies to inspire and motivate their team members <ul> <li>Provide career and succession planning in support of staff reaching their highest potential</li> <li>Provide an optimal working environment by promoting/functioning according to Credo values, communication of a clear direction, active listening, respecting diversity, encouraging collaborative partnership, empowering direct reports, follow up on commitments, promoting innovation, and rewarding high performance</li> <li>Responsible for timely completion of administrative duties. Examples include assessment and approval of expense reports, preparation and communication of team metric reports, among others.</li> <li>Co-lead the communication of MSL team achievement updates to appropriate internal partners and levels of management</li> </ul> </li></ul> The successful candidate will have a demonstrated track record of thriving in complexity and ambiguity, with experience in collaboration with key business partners in rare diseases/immunology in a complex matrixed organization. Qualifications: <ul> <li>A minimum of a graduate medical/scientific degree required, i.e. PhD, PharmD, NP, PA, MD, DO</li> <li>Immunology experience highly preferred.</li> <li>Minimum of 8 years’ experience, with a minimum of 5 years of healthcare/pharmaceutical or medical device industry experience required</li> <li>Minimum of 2 years of experience in Rare Diseases is required. </li> <li>Previous people management responsibility including experience onboarding and training new hires is required. </li> <li>Experience as a MSL or Field Medical Manager a must</li> <li>Requires travel of approx. 60% (includes overnight travel)</li> <li>Ability to maintain an office in the home and live in in close proximity to an airport. </li> <li>Must be available to attend national scientific congresses and key strategic/scientific meetings across the US, and at the corporate office in Horsham, PA.</li> </ul> The base pay range for this position is $160,000 to $276,000. The Company maintains a highly competitive sales incentive compensation program. This position is eligible for a company car through the Company’s FLEET program. Under current guidelines, this position is eligible for participation in this program in accordance with the terms of the applicable plan. Employees may be eligible to participate in Company employee benefit programs such as health insurance, savings plan, pension plan, disability plan, vacation pay, sick time, holiday pay, and work, personal and family time off in accordance with the terms of the applicable plans. Additional information can be found through the link below. Information on benefits can be viewed by following this link: <a href="https://www.careers.jnj.com/employee-benefits" target="_blank">https://www.careers.jnj.com/employee-benefits</a> Johnson &amp; Johnson is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status or other characteristics protected by federal, state or local law. We actively seek qualified candidates who are protected veterans and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act. Johnson and Johnson is committed to providing an interview process that is inclusive of our applicants’ needs. If you are an individual with a disability and would like to request an accommodation, please email the Employee Health Support Center (<a href="mailto:ra-employeehealthsup@its.jnj.com" target="_blank">ra-employeehealthsup@its.jnj.com</a>) or contact AskGS to be directed to your accommodation resource. The anticipated base pay range for this position is : Additional Description for Pay Transparency:

Johnson & Johnson

Neuroimmunology Field Director, Autoantibody - West

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.Join HCSC and be part of a purpose-driven company that will invest in your professional development.<h1>Job Summary</h1>This position is responsible for pre-authorization reviews in accordance with the medical contract and regulations, medical criteria, utilization review, and quality of care. Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: inpatient admissions, outpatient services, surgical and diagnostic procedures, home health, durable medical equipment and out of network services.JOB REQUIREMENTS:<ul> <li><h2>LPN with valid, current, unrestricted clinical license in the state of operations.</h2></li> <li><h2>3 years of clinical experience in physician office, hospital, or surgical setting.</h2></li> <li><h2>Customer service oriented to assist internal/external customers.</h2></li> <li><h2>Verbal and written communication skills.</h2></li> <li><h2>Interpersonal skills and ability to be a team player.</h2></li> <li><h2>Willingness and ability to travel.</h2></li> <li><h2>Familiar with PC or database systems.</h2></li> <li><h2>Incumbents with nursing licenses in positions/departments requiring multi-state licenses are required to obtain and maintain additional current, valid, and unrestricted applicable nursing licenses in other states as determined by management. Multi-state license fees will be provided by HCSC. Incumbents with other clinical licenses are not required to obtain multi-state licenses.</h2></li> </ul>PREFERRED JOB REQUIREMENTS:<ul> <li><h2>LPN / LVN Multi-state License Preferred</h2></li> <li><h2>Utilization review or utilization management experience</h2></li> <li><h2>Strong organizational, planning, and communication skills</h2></li> <li><h2>Working knowledge of insurance industry, medical coding (CPT/HCPCS/ICD-10)</h2></li> <li><h2>Knowledge of National Coverage Determinations, Local Coverage Determinations and MCG criteria are a plus.</h2></li> </ul><h2>Work Schedule: Weekend Rotation and Holiday Rotation (2 holidays per year)</h2><h2> This is a Telecommute (Remote) role: Must reside within 250 miles of the office or anywhere within the posted state. </h2>#LI-DP1#CA#LI - REMOTEAre you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!Pay Transparency Statement:At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting <a href="https://careers.hcsc.com/totalrewards" target="_blank">https://careers.hcsc.com/totalrewards</a>.The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.<h2>HCSC Employment Statement:</h2>We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.<h1>Base Pay Range</h1>$45,000.00 - $100,100.00

Blue Cross and Blue Shield of Oklahoma

Medical Reviewer LPN

Health Care Service Corporation

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position SummaryUtilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours.<ul> <li>Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members.</li> <li>Gathers clinical information and applies the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation along the continuum of care</li> <li>Communicates with providers and other parties to facilitate care/treatment Identifies members for referral opportunities to integrate with other products, services and/or programs</li> <li>Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization</li> <li>Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function.</li> <li>Typical office working environment with productivity and quality expectations.</li> <li>Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.</li> <li>Sedentary work involving periods of sitting, talking, listening.</li> <li>Work requires sitting for extended periods, talking on the telephone and typing on the computer. Ability to multitask, prioritize and effectively adapt to a fast paced changing environment.</li> <li>Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding.</li> <li>Effective communication skills, both verbal and written</li> </ul>Required Qualifications - 2+ years of experience as a Registered Nurse in adult acute care/critical care setting- Must have active current and unrestricted RN licensure in state of residence- Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours Preferred Qualifications - 2+ years of clinical experience required in med surg or specialty area - Managed Care experience preferred, especially Utilization Management- Preference for those residing in central time zones EducationAssociates Degree requiredBSN preferredAnticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$29.10 - $62.32This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul> <li>Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li> <li>No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li> <li>Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li> </ul>For more information, visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">https://jobs.cvshealth.com/us/en/benefits</a>We anticipate the application window for this opening will close on: 05/12/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVSHealth

Utilization Management Nurse Consultant

Regent Bank

SBA LOAN OFFICER

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.**Position can sit in the surrounding states to Texas**Job Summary<ul> <li>Highly developed project management skill set specific to provider networks and contracts that drives overall network performance, innovation, and enhanced sales opportunities.</li> <li>Advises on provider performance, network adequacy, geographical coverage, and member satisfaction, and makes necessary network modifications or expansions.</li> <li>Provides hands on oversite and direct engagement on team projects.</li> <li>Implements improvement initiatives to ensure that network providers meet all applicable regulatory and quality standards.</li> <li>Develops and expands the network, identifying and contracting with healthcare providers, including hospitals, physicians, specialists, and ancillary service providers.</li> <li>Conducts market analysis, assesses competitive positioning, and recommends strategies to maintain a competitive edge.</li> <li>Interfaces with the finance team on budgeting, cost analysis, and financial forecasting, to manage the financial aspects of provider network management.</li> <li>Consults with internal teams, including medical directors, operations managers, and network development professionals, to align provider network performance goals and objectives.</li> <li>Provides continuous recommendations to senior leadership to guide decision-making and ensure close alignment with the organization's strategic goals and objectives.</li> </ul> Required Qualifications<ul> <li>A minimum of 3 years provider network contracting and/or sales operational experience with a health insurance managed care company</li> <li>Adept at Project Management.</li> <li>Adept at problem solving and decision-making.</li> <li>Adept at collaboration and teamwork.</li> <li>Adept at execution and delivery (planning, delivering, and supporting) skills</li> <li>Adept at business intelligence.</li> <li>Intrinsically Driven.</li> <li>Proactive Initiator.</li> </ul>Preferred Qualifications<ul> <li>A minimum of 7 years relevant work experience.</li> <li>Skilled Communicator.</li> <li>Growth Mindset with Mentorship Capability.</li> <li>Strong Organizational Competence.</li> </ul>Education<ul><li>Bachelor's degree preferred or a combination or professional work experience and education.</li></ul>Pay RangeThe typical pay range for this role is:$67,900.00 - $165,954.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul> <li>Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li> <li>No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li> <li>Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li> </ul>For more information, visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">https://jobs.cvshealth.com/us/en/benefits</a>We anticipate the application window for this opening will close on: 05/03/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Senior Provider Network Contractor (Texas)

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position Summary Aetna, a CVS Health Company, a Fortune 6 company, is one of the oldest and largest national insurers. That experience gives us a unique opportunity to help transform health care. We believe that a better care system is more transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources. **This is a remote based (work at home) based anywhere in the US.**The Medical Director (Ortho/Total Joint) will be a Subject Matter Expert (SME) with a background in Orthopedic specialty, including post-graduate direct patient care experience specifically. This role expands Aetna's medical management programs to address member needs across the continuum of care. In this role you'll support the Medical Management staff ensuring timely and consistent responses to members and providers. You will lead all aspects of utilization review/quality assurance, directing case management. In this role you will provide clinical expertise and business direction in support of medical management programs through participation in clinical team activities You'll 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 In addition, you will be responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise Required Qualifications* 2 or more years of experience in Health Care Delivery System e.g., Clinical Practice and Health Care Industry. * Active and current state medical license without encumbrances * M.D. or D.O., Board Certification in an Orthopedic specialty including post-graduate direct patient care experience specifically Preferred Qualifications * Previous healthcare insurance experience. Education * M.D. or D.O., Board Certification in an Orthopedic specialty.Pay RangeThe typical pay range for this role is:$174,070.00 - $374,920.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul> <li>Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li> <li>No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li> <li>Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li> </ul>For more information, visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">https://jobs.cvshealth.com/us/en/benefits</a>We anticipate the application window for this opening will close on: 06/30/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Medical Director - (Ortho/Total Joint)

CBRE

Account Program Administrator

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.Join HCSC and be part of a purpose-driven company that will invest in your professional development.<h1>Job Summary</h1>This position is responsible for performing concurrent review and case management activities in (discharge planning) in accordance with approved departmental guidelines. Collaboration with healthcare providers, members, and business partners to optimize member benefits with evaluation medical necessity and promote effective use of resources. Applying Case Management principles in coordinating resources necessary to implement treatment options to meet the individual’s health needs.JOB REQUIREMENTS: Registered Nurse (RN) with current, valid, unrestricted license to practice in state of operations. 3 years clinical practice experience. 1 year Health Insurance/Managed Care experience. Knowledge of clinical utilization management/case management activities and standardized criteria set. Knowledge of managed care and insurance industry. Familiarity of ancillary services including HHC, SNF, Hospice, Etc. Verbal and written communication skills; analytical skills; sound clinical judgment. PC proficiency to include Microsoft Word, Excel and Access. Current driver’s license. Ability and willingness to travel. Incumbents with nursing licenses in positions/departments requiring multi-state licenses are required to obtain and maintain additional current, valid, and unrestricted applicable nursing licenses in other states as determined by management. Multi-state license fees will be provided by HCSC. Incumbents with other clinical licenses are not required to obtain multi-state licenses. PREFERRED JOB REQUIREMENTS: Working toward CM certification or advanced degree. Experience managing complex or catastrophic cases. Experience in Disease Management. Knowledge of Medical Management policies and procedures. Familiarity with medical guidelines (M&amp;R, Interqual, etc.). Preparation of cost analysis on extra contractual benefit requests.Telecommute: This is a Telecommute (Remote) role: Must reside within 250 miles of the office or anywhere within the posted state.#LI-TELECOMMUTE#LI-SG1Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!Pay Transparency Statement:At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting <a href="https://careers.hcsc.com/totalrewards" target="_blank">https://careers.hcsc.com/totalrewards</a>.The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.<h2>HCSC Employment Statement:</h2>We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.<h1>Base Pay Range</h1>$60,300.00 - $133,400.00

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