The Corporate Coder (“CC”) functions under the direction of the Health Information Corporate Coding Manager. The CC is responsible for accurate coding and abstracting of clinical information from the medical...

Job Title: Speech-Language Therapist (SLT)

Location: St. Stephens Indian School

Work Schedule: 4 days per week, 7 hours per day

Key Responsibilities:

• Conduct speech and language assessments to identify communication deficits in students, including articulation, fluency, voice, and language disorders.
• Provide direct speech/language therapy to students on a regular basis, adjusting interventions to meet evolving needs.
• Collaborate with special education and classroom teachers to advise on speech therapy strategies and carryover techniques for use in the classroom and home environments.
• Communicate effectively with parents, teachers, and outside professionals to support student progress and service coordination.
• Maintain detailed and accurate documentation including evaluations, progress notes, contact logs, and treatment plans.

Minimum Qualifications:

• Current, active, full, and unrestricted license as a Speech-Language Therapist issued by a U.S. state, DC, Puerto Rico, or U.S. territory.
• Master’s degree in Speech-Language Pathology from an accredited institution recognized by the U.S. Department of Education.
• Minimum of 5 years’ experience providing speech-language therapy services within a school setting, demonstrating ability to independently manage evaluations, testing, and report writing under IEP and IDEA guidelines.

Job Title: Speech-Language Therapist (SLT)

Location: Remote. St. Stephens Indian School

Work Schedule: Remote - 4 days per week, 7 hours per day

Key Responsibilities:

• Conduct speech and language assessments to identify communication deficits in students, including articulation, fluency, voice, and language disorders.
• Provide direct speech/language therapy to students on a regular basis, adjusting interventions to meet evolving needs.
• Collaborate with special education and classroom teachers to advise on speech therapy strategies and carryover techniques for use in the classroom and home environments.
• Communicate effectively with parents, teachers, and outside professionals to support student progress and service coordination.
• Maintain detailed and accurate documentation including evaluations, progress notes, contact logs, and treatment plans.

Minimum Qualifications:

• Current, active, full, and unrestricted license as a Speech-Language Therapist issued by a U.S. state, DC, Puerto Rico, or U.S. territory.
• Master’s degree in Speech-Language Pathology from an accredited institution recognized by the U.S. Department of Education.
• Minimum of 5 years’ experience providing speech-language therapy services within a school setting, demonstrating ability to independently manage evaluations, testing, and report writing under IEP and IDEA guidelines.

Job Title: Speech-Language Therapist (SLT)

Location: St. Stephens Indian School

Work Schedule: 4 days per week, 7 hours per day

Key Responsibilities:

• Conduct speech and language assessments to identify communication deficits in students, including articulation, fluency, voice, and language disorders.
• Provide direct speech/language therapy to students on a regular basis, adjusting interventions to meet evolving needs.
• Collaborate with special education and classroom teachers to advise on speech therapy strategies and carryover techniques for use in the classroom and home environments.
• Communicate effectively with parents, teachers, and outside professionals to support student progress and service coordination.
• Maintain detailed and accurate documentation including evaluations, progress notes, contact logs, and treatment plans.

Minimum Qualifications:

• Current, active, full, and unrestricted license as a Speech-Language Therapist issued by a U.S. state, DC, Puerto Rico, or U.S. territory.
• Master’s degree in Speech-Language Pathology from an accredited institution recognized by the U.S. Department of Education.
• Minimum of 5 years’ experience providing speech-language therapy services within a school setting, demonstrating ability to independently manage evaluations, testing, and report writing under IEP and IDEA guidelines.

Job Title: Speech-Language Therapist (SLT)

Location: Remote. St. Stephens Indian School

Work Schedule: Remote - 4 days per week, 7 hours per day

Key Responsibilities:

• Conduct speech and language assessments to identify communication deficits in students, including articulation, fluency, voice, and language disorders.
• Provide direct speech/language therapy to students on a regular basis, adjusting interventions to meet evolving needs.
• Collaborate with special education and classroom teachers to advise on speech therapy strategies and carryover techniques for use in the classroom and home environments.
• Communicate effectively with parents, teachers, and outside professionals to support student progress and service coordination.
• Maintain detailed and accurate documentation including evaluations, progress notes, contact logs, and treatment plans.

Minimum Qualifications:

• Current, active, full, and unrestricted license as a Speech-Language Therapist issued by a U.S. state, DC, Puerto Rico, or U.S. territory.
• Master’s degree in Speech-Language Pathology from an accredited institution recognized by the U.S. Department of Education.
• Minimum of 5 years’ experience providing speech-language therapy services within a school setting, demonstrating ability to independently manage evaluations, testing, and report writing under IEP and IDEA guidelines.

About Us

One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn’t your average doctor’s office. We’re on a mission to transform healthcare, which means improving the experience for everyone involved - from patients and providers to employers and health networks. Our seamless in-office and 24⁄7 virtual care services, on-site labs, and programs for preventive care, chronic care management, common illnesses and mental health concerns have been delighting people for the past fifteen years.

In February 2023 we marked a milestone when One Medical joined Amazon. Together, we look to deliver exceptional health care to more consumers, employers, care team members, and health networks to achieve better health outcomes. As we continue to grow and seek to impact more lives, we’re building a diverse, driven and empathetic team, while working hard to cultivate an environment where everyone can thrive.

The Opportunity:

The One Medical Virtual Medical Team (VMT) is a leading provider of virtual clinical care, providing world-class, convenient, evidence-based virtual medical care to One Medical patients in concert with their primary care providers. Through advanced technology and a team-based approach, we care for patients 24 hours a day, 365 days a year. Our team is united by intellectual curiosity, inclusiveness, and a powerful mission: transforming healthcare and bringing world-class primary care to everyone.

Employment type:

• Full time 40 hours including evenings and weekends

What you’ll be working on:

• Treating patients via tele-health visits, including telephonic triage calls, video visit appointments, and email follow-ups
• Continuous learning during weekly Clinical Rounds and through other modalities
• Ongoing collaboration with both virtual and in-office teammates via daily huddles
• Utilization of your specific clinical training and opportunities to give exceptional care to patients virtually

Education, licenses, and experiences required for this role:

• Completion of Master’s Degree in a Physician Assistant program (MSPAS) and is maintaining active NCCPA certification OR completion of Master’s Degree in an accredited FNP program with a national certification.
• In the past 5 years, practiced as an Advanced Practitioner for at least:
  • 2 years in an outpatient primary care setting seeing patients of all ages (0+), OR 2 years in an urgent care or emergency medicine setting seeing patients of all ages (0+)
• Currently licensed in CA with ability to obtain additional state licenses
• Ability to work weekday and weekend shifts (every other Saturday AND or Sunday required)
• Current shifts range from (6am - 12am PST)
• Excellent clinical and communication skills

One Medical providers also demonstrate:

• A passion for human-centered primary care
• The ability to successfully communicate with and provide care to individuals of all backgrounds
• The ability to effectively use technology to deliver high quality care
• Clinical proficiency in evidence-based primary care
• The desire to be an integral part of a team dedicated to changing healthcare delivery
• An openness to feedback and reflection to gain productive insight into strengths and weaknesses
• The ability to confidently navigate uncertain situations with both patients and colleagues
• Readiness to adapt personal and interpersonal behavior to meet the needs of our patients

This is a full-time virtual role.

One Medical is committed to fair and equitable compensation practices.

The base hourly range for this role is $59.10 to $65.50per hour (plus evening and weekend differential) based on a full-time schedule. Final determination of starting pay may vary based on factors such as practice experience and patient care schedule. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. For more information, visit https://www.onemedical.com/careers/.

One Medical offers a robust benefits package designed to aid your health and wellness.  All regular team members working 24+ hours per week and their dependents are eligible for benefits starting on the team member’s date of hire:

Taking care of you today

• Paid sabbatical for every five years of service
• Free One Medical memberships for yourself, your friends and family
• Employee Assistance Program - Free confidential services for team members who need help with stress, anxiety, financial planning, and legal issues
• Competitive Medical, Dental and Vision plans
• Pre-Tax commuter benefits
• PTO cash outs - Option to cash out up to 40 accrued hours per year

Protecting your future for you and your family

• 401K match
• Credit towards emergency childcare
• Company paid maternity and paternity leave
• Paid Life Insurance - One Medical pays 100% of the cost of Basic Life Insurance
• Disability insurance - One Medical pays 100% of the cost of Short Term and Long Term Disability Insurance

In addition to the comprehensive benefits package outlined above, practicing clinicians also receive

• Malpractice Insurance - Malpractice fees to insure your practice at One Medical is covered 100%.
• UpToDate Subscription - An evidence-based clinical research tool
• Continuing Medical Education (CME) - Receive an annual stipend for continuing medical education
• Rounds - Providers end patient care one hour early each week to participate in this shared learning experience
• Discounted rate to attend One Medical’s Annual REAL primary care conference

One Medical is an equal opportunity employer, and we encourage qualified applicants of every background, ability, and life experience to contact us about appropriate employment opportunities.

One Medical participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.  Please refer to the E-Verification Poster and Right to Work Poster for additional information.

POSITION SUMMARY 100% Remote: Body Imaging Radiologist (Oncology Focused).

Company Description

PSI is a leading Contract Research Organization with more than 30 years in the industry, offering a perfect balance between stability and innovation to both clients and employees.  We focus on delivering quality and on-time services across a variety of therapeutic indications.

Job Description

PSI Medical Monitors provide medical input to global clinical studies and advise the teams and business partners, while always focusing on patients’ safety and well-being.

Home-Based in United States

Responsibilities:

• Acts as the primary point of contact for all parties on all trial-specific medical and safety-related questions
• Provides input for responses to regulatory authorities and Institutional Review Boards (IRBs)/Independent Ethics Committees (IECs) on trial-specific medical and safety-related questions
• Monitors trial participant safety
• Participates in trial participant recruitment boost and retention activities
• Presents on medical matters at kick-off and investigator meetings
• Trains trial team in the therapeutic area and medical aspects of the protocol
• Develops and reviews trial-specific documents within the scope of medical monitoring
• Manages ongoing trial risks related to medical monitoring
• Performs ongoing medical review of the operational clinical trial database; provides support to Medical Reviewer(s) assigned to the trial
• Reviews protocol deviations
• Reviews RAE reports, writes and/or reviews SAE narratives, supports Pharmacovigilance team with outstanding safety queries, interacts with sponsor on site safety issues
• Reviews IND/SUSAR Safety Reports, updates/amendments to essential trial records, and annual IND reports with sponsor data (per sponsor request)
• Participates in management of trial-related committees (e.g., independent data monitoring committee (IDMC)/adjudication committees) as described in the corresponding trial-specific charter(s)
• Supports Pharmacovigilance, Medical Data Review and Data Management with reconciliation of safety and operational clinical trial databases
• Reviews clinical study reports (CSRs), including safety narratives and tables, figures, and listings (TFLs)
• Provides medical expertise on an as-needed basis in trials where medical monitoring is not a contract deliverable
• Prepares for and participates in trial audits, follows up on audit findings
• Participates in feasibility assessment of potential and ongoing trials in the country/region
• Participates in bid defense meetings and other interactions with clients
• Acts as a medical expert and provides therapeutic expertise to other PSI departments

Qualifications

• Medical Doctor degree required
• US Board Certification in psychiatry required
• Experience as a practicing psychiatrist (minimum of 10 years)
• Clinical Research experience preferred
• Proficiency with MS Office applications
• Communication, presentation and analytical skills
• Problem-solving, team and detail-oriented

For this position, PSI is not hiring individuals who require work visa sponsorship for employment now or in the future.

Additional Information

As part of PSI’s Medical Monitoring team, you will join our international group of medical professionals, build a career on the frontline of medical science and use your knowledge and expertise to help bring new medications to patients that need them.

Company Description

PSI is a leading Contract Research Organization with more than 30 years in the industry, offering a perfect balance between stability and innovation to both clients and employees.  We focus on delivering quality and on-time services across a variety of therapeutic indications.

Job Description

PSI Medical Monitors provide medical input to global clinical studies and advise the teams and business partners, while always focusing on patients’ safety and well-being.

Home-Based in United States

Responsibilities:

• Acts as the primary point of contact for all parties on all trial-specific medical and safety-related questions
• Provides input for responses to regulatory authorities and Institutional Review Boards (IRBs)/Independent Ethics Committees (IECs) on trial-specific medical and safety-related questions
• Monitors trial participant safety
• Participates in trial participant recruitment boost and retention activities
• Presents on medical matters at kick-off and investigator meetings
• Trains trial team in the therapeutic area and medical aspects of the protocol
• Develops and reviews trial-specific documents within the scope of medical monitoring
• Manages ongoing trial risks related to medical monitoring
• Performs ongoing medical review of the operational clinical trial database; provides support to Medical Reviewer(s) assigned to the trial
• Reviews protocol deviations
• Reviews RAE reports, writes and/or reviews SAE narratives, supports Pharmacovigilance team with outstanding safety queries, interacts with sponsor on site safety issues
• Reviews IND/SUSAR Safety Reports, updates/amendments to essential trial records, and annual IND reports with sponsor data (per sponsor request)
• Participates in management of trial-related committees (e.g., independent data monitoring committee (IDMC)/adjudication committees) as described in the corresponding trial-specific charter(s)
• Supports Pharmacovigilance, Medical Data Review and Data Management with reconciliation of safety and operational clinical trial databases
• Reviews clinical study reports (CSRs), including safety narratives and tables, figures, and listings (TFLs)
• Provides medical expertise on an as-needed basis in trials where medical monitoring is not a contract deliverable
• Prepares for and participates in trial audits, follows up on audit findings
• Participates in feasibility assessment of potential and ongoing trials in the country/region
• Participates in bid defense meetings and other interactions with clients
• Acts as a medical expert and provides therapeutic expertise to other PSI departments

Qualifications

• Medical Doctor degree required
• US Board Certification in Gastroenterology required
• Experience as a practicing Gastroenterology (minimum of 10 years)
• Clinical Research experience preferred
• Proficiency with MS Office applications
• Communication, presentation and analytical skills
• Problem-solving, team and detail-oriented

For this position, PSI is not hiring individuals who require work visa sponsorship for employment now or in the future.

Additional Information

As part of PSI’s Medical Monitoring team, you will join our international group of medical professionals, build a career on the frontline of medical science and use your knowledge and expertise to help bring new medications to patients that need them.

At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions.

At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions.

About MindCare Solutions MindCare Solutions is a premier provider of behavioral health services, supporting hospitals, emergency departments, inpatient behavioral health units, long-term care centers, correctional settings and various other clinical settings.

Job Title: Associate Director Clinical Development, Immunology Job Location: Remote, USA Job Location Type: Remote Job Contract Type: Full-time Job Seniority Level: About This Role: The Associate Director Clinical Development, Immunology, based within Biogen’s West Coast Hub (WCH), will contribute to the clinical trial design and execution of one or more Immunology programs, focus on early-phase (I-II) studies in autoantibody-driven disease such as myasthenia gravis and chronic inflammatory demyelinating polyneuropathy (CIDP).

Role overview

The Medical Director, Care Management leads the care, case, and utilization management programs, setting clinical direction and owning program performance for Included Health’s CCM and UM programs.

This physician leader is first a strong operator. The person owns outcomes, not just clinical standards, with success defined as the program hitting its performance and quality targets. This role owns a critical program that bends the cost curve: navigating members to high-quality care, educating members about their health, and supporting them during vulnerable moments.

Reporting to the Senior Medical Director, Complex Care, they bring a strong, evidence-based point of view, are comfortable operating under ambiguity, and translate organizational priorities into clinical operations that perform at scale. They are responsible for ensuring the programs contribute to clinical outcomes, client commitments, and third-party oversight. This physician leader leads an innovative, fast-moving team at the core of Included Health’s population health strategy.

Key Responsibilities:

Clinical and Operational Leadership:

• Serve as the clinical escalation point for care, case, and utilization management programs.

• Set and maintain clinical standards, evidence-based care pathways, and clinical quality expectations across the portfolio, using clinical judgment in collaboration with subject matter experts.

• Own clinical KPIs, including setting targets, evaluating performance gaps, and redesigning workflows to close them.

• Interrogate the data. Identify outliers or workflows that don’t make sense, and drive them to resolution and improvement.

• Run the program’s operating cadence, including weekly performance reviews, escalation triage, and action tracking, to the team accountable to committed targets and timelines.

Program Design and Strategy:

• Evolve the clinical operating model across adult, maternity, and pediatric populations to deliver on Included Health’s population health strategy.

• Partner with Product and Engineering to design, validate, and deploy AI and agentic tools into clinical workflows, and ensure AI-generated output is valid and actionable.

• Build new programs and models of care, and define how they scale across populations and clients.

People Management:

• Lead, manage, and develop leaders, setting clear clinical and operational expectations.

• Conduct performance reviews, coaching, and feedback for direct reports.

• Attract and retain a strong, diverse pool of clinicians and talent aligned with company vision and goals.

Cross-functional Collaboration:

• Partner with other clinical leaders and cross-functional stakeholders to coordinate care for members with multi-specialty needs.

• Represent care management in cross-functional initiatives, pilots, and strategic planning related to complex care.

• In partnership with the Quality team, implement quality assurance processes to ensure consistent, excellent service to members.

Qualifications:

Required:

• Education: Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO).

• Clinical Experience: Board certified in internal medicine, family medicine, med-peds, or a related specialty, with a minimum of 7 years of post-residency clinical experience, and the ability to apply that clinical lens to population health leadership.

• Leadership Experience: Minimum of 5 years in a healthcare leadership role with direct oversight of clinical teams or programs, including experience managing other clinical leaders (managing managers).

• Licensure: Active, unrestricted medical license in good standing in state of residence, plus active multi-state licensure or willingness to obtain it.

• Operations and Performance: Track record of delivering against operational KPIs, like productivity, clinical quality, engagement, in a scaled, performance-driven setting.

Preferred:

• Digital Health: Experience working in digital health or virtual care delivery models.

• Clinical AI: Comfort integrating clinical AI tools into day-to-day workflows and care delivery.

• Population Health: Knowledge of the medical, behavioral, and social factors that drive poor outcomes and avoidable cost across complex populations.

• Location: Lives in a physician compact-eligible state.

Compensation:

The United States new hire base salary target range for this full-time position is: $240,720-368,304+ bonus + equity + benefits

Starting base salary for you will depend on several job-related factors, unique to each candidate, which may include education; training; skills; years and depth of experience; certifications and licensure; our needs; internal peer equity; organizational considerations; and understanding of geographic and market data. Compensation structures and ranges are tailored to each zone’s unique market conditions to ensure that all employees receive fair and great compensation package based on their roles and locations. Your Recruiter can share your geographic zone upon inquiry.

Benefits & Perks:

In addition to receiving a great compensation package, the compensation package may include, depending on the role, the following and more:

-Remote-first culture

-401(k) savings plan through Fidelity

-Comprehensive medical, vision, and dental coverage through multiple medical plan options (including disability insurance)

-Paid Time Off (“PTO”) and Discretionary Time Off (“DTO”)

-12 weeks of 100% Paid Parental leave

-Family Building & Compassionate Leave: Fertility coverage, $25,000 for surrogacy/adoption, and paid leave for failed treatments, adoption or pregnancies.

-Work-From-Home reimbursement to support team collaboration home office work

Your recruiter will share more about the salary range and benefits package for your role during the hiring process.

About Included Health:

Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation. We’re on a mission to raise the standard of healthcare for everyone. We break down barriers to provide high-quality care for every person in every community — no matter where they are in their health journey or what type of care they need, from acute to chronic, behavioral to physical. We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care. It’s all included. Learn more at includedhealth.com .

Included Health is an Equal Opportunity Employer and considers applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics or any other basis forbidden under federal, state, or local law. Included Health considers all qualified applicants with arrest or conviction records in accordance with the San Francisco Fair Chance Ordinance, the Los Angeles County Fair Chance Ordinance, and California law.

#LI-Remote

About Included Health

Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation. We’re on a mission to raise the standard of healthcare for everyone. We break down barriers to provide high-quality care for every person in every community — no matter where they are in their health journey or what type of care they need, from acute to chronic, behavioral to physical. We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care. It’s all included. Learn more at includedhealth.com.

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Included Health is an Equal Opportunity Employer and considers applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics or any other basis forbidden under federal, state, or local law. Included Health considers all qualified applicants with arrest or conviction records in accordance with the San Francisco Fair Chance Ordinance, the Los Angeles County Fair Chance Ordinance, and California law.

Included Health uses AI-assisted tools at select stages of the hiring process to enhance efficiency, consistency, and communication. AI does not make hiring decisions—final decisions are made exclusively by our recruiting and hiring teams.

Hi, we’re Oscar. We’re hiring a Physician Reviewer to join our Utilization Management team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role:

You will determine the medical appropriateness of inpatient, outpatient, and pharmacy services by reviewing clinical information and applying evidence-based guidelines.

Hours: 8am - 5pm in your local time zone

Call rotation - 1 weekend every 16 weeks

You will report into the Associate Medical Director, Utilization Management.

Work Location: This is a remote position, open to candidates who reside in the United States. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote

Pay Transparency: The base pay for this role is: $219,000- $ 286,902 per year. You are also eligible for employee benefits, participation in Oscar’s unlimited vacation, and annual performance bonuses.

Responsibilities:

• Provide 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, ensuring a member could easily reference and understand your decision (Flesch-Kincaid grade level).
• Use correct templates for documenting decisions during case review.
• Meet the appropriate turn-around times for clinical reviews.
• Receive and review escalated reviews.
• Conduct timely peer-to-peer discussions with treating providers to clarify clinical information and to explain review outcome decisions, including feedback on alternate treatment based on medical necessity criteria and evidence-based research.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• Board certification as an MD or DO
• Licensed in one of these states: FL, NC, AZ OR possess an active Interstate Medical Licensure Compact (IMLC).
• 6+ years of clinical practice

Bonus points:

• Licensure in multiple Oscar states
• 1+ years of utilization review experience in a managed care plan (health care industry)
• BC in Cardiology, Radiation/Oncology, or Neurology
• Experience with care management within the health insurance industry.
• Willing and able to obtain additional state licensure as needed, with Oscar’s support

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraudhere.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We’re on a mission to change health care – an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Privacy Policy.

Hi, we’re Oscar. We’re hiring a Senior Analyst, Special Investigations Unit Clinical Investigator to join our SIU.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role:

The Senior Analyst, SIU Clinical Investigator detects and audits aberrant billing patterns within claims and clinical documentation, using forensic clinical expertise to protect the integrity of healthcare spend. You will perform comprehensive pre-payment and post-payment reviews of medical records to ensure billed services align with established clinical guidelines, CMS regulations, and contractual obligations. Beyond individual claim accuracy, you will analyze provider behavior to identify schemes such as record cloning, upcoding, and unbundling that may be invisible to automated systems. As a clinical subject matter expert, you will act to translate audit findings into relevant education. You will facilitate professional discussions with colleagues and providers to correct billing behaviors and promote long-term compliance. You will partner with clinical and non-clinical investigators to build evidentiary files for potential recovery, legal action, or referrals to appropriate outside agencies.

You will report into the Investigations Manager, SIU.

Work Location: This is a remote position, open to candidates who reside in: Arizona, Florida, Georgia, Illinois, Iowa, Kansas, Michigan, Missouri, Nebraska, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas and Virginia. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area.

If you live within commutable distance to our New York City office (in Hudson Square) or our Tempe office (off the 101 at University Ave), you will be expected to come into the office at least three days each week. Otherwise, this is a remote / work-from-home role.  Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule.

The base pay for this role in the states of New Jersey and New York is: $75,348 - $98,894 per year. The base pay for this role in all other locations is: $67,813 - $89,004 per year.  You are also eligible for employee benefits, participation in Oscar’s unlimited vacation program and annual performance bonuses.

Responsibilities:

• Identify and conduct clinical audits into suspected FWA with high autonomy
• Document findings, to include formal reports, graphs, audit logs, and other supporting documentation.
• Metrics to align with unit goals.
• Participate in the development and presentation of FWA-related education for Oscar teams
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• Active, unrestricted Registered Nurse (RN) license
• 3+ years of direct patient care clinical experience. Case Management experience a bonus.
• 2+ years of experience in Medical Review, Utilization Management, or Clinical Documentation Improvement, featuring demonstrated expertise in the forensic application of complex clinical guidelines (e.g., MCG, CMS, and specialty-specific professional organizations) to multifaceted medical records.
• Experience conducting forensic medical audit with a focus on validating that clinical narrative supports the specificity and necessity of billed CPC, HCPCS, and ICD-10 codes.

Bonus points:

• Bachelor of Science in Nursing (BSN), Associate Degree in Nursing (ADN) with a Bachelor of Science in Health Administration, Clinical Informatics, or a related Medical Science field, or Associate Degree in Nursing (ADN) with 5+ years of specialized clinical audit experience.
• Experience working in health insurance with competency regarding claims processing, billing, reimbursement, or provider contracting.
• Experience delivering feedback or education to providers/physicians in a professional, non-confrontational, and persuasive manner.
• Identifying trends, for example “cloned documentation” or change in billing habits of a provider.
• Experience with HIPAA, data privacy, and/or data security processes
• Certified Case Manager (CCM), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI), or similar.

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraudhere.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We’re on a mission to change health care – an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Privacy Policy.

Role overview

The Medical Director, Care Management leads the care, case, and utilization management programs, setting clinical direction and owning program performance for Included Health’s CCM and UM programs.

This physician leader is first a strong operator. The person owns outcomes, not just clinical standards, with success defined as the program hitting its performance and quality targets. This role owns a critical program that bends the cost curve: navigating members to high-quality care, educating members about their health, and supporting them during vulnerable moments.

Reporting to the Senior Medical Director, Complex Care, they bring a strong, evidence-based point of view, are comfortable operating under ambiguity, and translate organizational priorities into clinical operations that perform at scale. They are responsible for ensuring the programs contribute to clinical outcomes, client commitments, and third-party oversight. This physician leader leads an innovative, fast-moving team at the core of Included Health’s population health strategy.

Key Responsibilities:

Clinical and Operational Leadership:

• Serve as the clinical escalation point for care, case, and utilization management programs.

• Set and maintain clinical standards, evidence-based care pathways, and clinical quality expectations across the portfolio, using clinical judgment in collaboration with subject matter experts.

• Own clinical KPIs, including setting targets, evaluating performance gaps, and redesigning workflows to close them.

• Interrogate the data. Identify outliers or workflows that don’t make sense, and drive them to resolution and improvement.

• Run the program’s operating cadence, including weekly performance reviews, escalation triage, and action tracking, to the team accountable to committed targets and timelines.

Program Design and Strategy:

• Evolve the clinical operating model across adult, maternity, and pediatric populations to deliver on Included Health’s population health strategy.

• Partner with Product and Engineering to design, validate, and deploy AI and agentic tools into clinical workflows, and ensure AI-generated output is valid and actionable.

• Build new programs and models of care, and define how they scale across populations and clients.

People Management:

• Lead, manage, and develop leaders, setting clear clinical and operational expectations.

• Conduct performance reviews, coaching, and feedback for direct reports.

• Attract and retain a strong, diverse pool of clinicians and talent aligned with company vision and goals.

Cross-functional Collaboration:

• Partner with other clinical leaders and cross-functional stakeholders to coordinate care for members with multi-specialty needs.

• Represent care management in cross-functional initiatives, pilots, and strategic planning related to complex care.

• In partnership with the Quality team, implement quality assurance processes to ensure consistent, excellent service to members.

Qualifications:

Required:

• Education: Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO).

• Clinical Experience: Board certified in internal medicine, family medicine, med-peds, or a related specialty, with a minimum of 7 years of post-residency clinical experience, and the ability to apply that clinical lens to population health leadership.

• Leadership Experience: Minimum of 5 years in a healthcare leadership role with direct oversight of clinical teams or programs, including experience managing other clinical leaders (managing managers).

• Licensure: Active, unrestricted medical license in good standing in state of residence, plus active multi-state licensure or willingness to obtain it.

• Operations and Performance: Track record of delivering against operational KPIs, like productivity, clinical quality, engagement, in a scaled, performance-driven setting.

Preferred:

• Digital Health: Experience working in digital health or virtual care delivery models.

• Clinical AI: Comfort integrating clinical AI tools into day-to-day workflows and care delivery.

• Population Health: Knowledge of the medical, behavioral, and social factors that drive poor outcomes and avoidable cost across complex populations.

• Location: Lives in a physician compact-eligible state.

Compensation:

The United States new hire base salary target range for this full-time position is: $240,720-368,304+ bonus + equity + benefits

Starting base salary for you will depend on several job-related factors, unique to each candidate, which may include education; training; skills; years and depth of experience; certifications and licensure; our needs; internal peer equity; organizational considerations; and understanding of geographic and market data. Compensation structures and ranges are tailored to each zone’s unique market conditions to ensure that all employees receive fair and great compensation package based on their roles and locations. Your Recruiter can share your geographic zone upon inquiry.

Benefits & Perks:

In addition to receiving a great compensation package, the compensation package may include, depending on the role, the following and more:

-Remote-first culture

-401(k) savings plan through Fidelity

-Comprehensive medical, vision, and dental coverage through multiple medical plan options (including disability insurance)

-Paid Time Off (“PTO”) and Discretionary Time Off (“DTO”)

-12 weeks of 100% Paid Parental leave

-Family Building & Compassionate Leave: Fertility coverage, $25,000 for surrogacy/adoption, and paid leave for failed treatments, adoption or pregnancies.

-Work-From-Home reimbursement to support team collaboration home office work

Your recruiter will share more about the salary range and benefits package for your role during the hiring process.

About Included Health:

Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation. We’re on a mission to raise the standard of healthcare for everyone. We break down barriers to provide high-quality care for every person in every community — no matter where they are in their health journey or what type of care they need, from acute to chronic, behavioral to physical. We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care. It’s all included. Learn more at includedhealth.com .

Included Health is an Equal Opportunity Employer and considers applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics or any other basis forbidden under federal, state, or local law. Included Health considers all qualified applicants with arrest or conviction records in accordance with the San Francisco Fair Chance Ordinance, the Los Angeles County Fair Chance Ordinance, and California law.

#LI-Remote

About Included Health

Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation. We’re on a mission to raise the standard of healthcare for everyone. We break down barriers to provide high-quality care for every person in every community — no matter where they are in their health journey or what type of care they need, from acute to chronic, behavioral to physical. We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care. It’s all included. Learn more at includedhealth.com.

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Included Health is an Equal Opportunity Employer and considers applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics or any other basis forbidden under federal, state, or local law. Included Health considers all qualified applicants with arrest or conviction records in accordance with the San Francisco Fair Chance Ordinance, the Los Angeles County Fair Chance Ordinance, and California law.

Included Health uses AI-assisted tools at select stages of the hiring process to enhance efficiency, consistency, and communication. AI does not make hiring decisions—final decisions are made exclusively by our recruiting and hiring teams.

Scope: The Case Manager Assistant assists the RN Case Manager in performing necessary functions using the Case Management process in order to meet the needs of MedWatch, LLC customers and consumers.

About Seven StarlingSeven Starling is a leading virtual provider of women's behavioral health services supporting every stage of their reproductive health.

Two Chairs is building a new kind of mental health system based on the idea that the status quo isn’t good enough. Industry-best clinician experiences, better client outcomes, groundbreaking innovation, and access to the highest quality care are how we’ll raise the bar for the entire industry. With that, we’re excited and honored to have been recognized as a 2025 Great Place to Work and 2025 Fortune’s Best Workplaces in Healthcare.

One of our company values is “Embrace Differences” and diversity, equity, inclusion, and belonging are the principles guiding how we build our business and teams. We encourage interested candidates from all backgrounds to apply, even if you don’t think they meet some expectations of the role.

Why Choose Two Chairs?

• Compensation: Earn a clinical rate $58.50/hour (including mandatory training) and an administrative rate (including no shows/late cancellations) of $17.50/hour as an Arizona resident with semi-monthly pay. If based out-of-state clinical rates will range between $58.50 - $85.
• Balanced Caseloads and Schedules: Select a weekly caseload ranging from 7 to 20 clients, with session availability between 7:00 a.m. to 9:00 p.m. MST, Monday through Friday.
• Support for Wellness & Professional Growth: We provide a wellness and professional development stipend (up to $300 annually), case consultation, free CE credits through monthly APA-accredited courses, and wellness events to support your growth.
• Additional W-2 advantages you won’t find with 1099 contract work:
  • No tax headaches – We handle withholdings and filings, so you don’t have to
  • Earn paid sick time – Accrue up to 80 hours per year
  • Merit-based raises – Be recognized and rewarded for your contributions
  • Retirement benefits – Access an employer-sponsored 401(k) plan
  • Malpractice insurance provided – Full coverage at no cost to you

About the Role

• Deliver remote, evidence-based therapy to adult clients (18+), practicing modalities like CBT, DBT, ACT, MBCT, TLDP, IPT, EFT, and MI.
• Maintain a caseload of 7-20 attended ongoing therapy sessions per week
• Use data to drive effective treatment and adjust your approach based on client progress
• Collaborate with other mental health providers as needed and refer clients when appropriate
• Maintain progress notes and documentation in compliance with HIPAA and state regulations

Requirements

• License: Active license and in good standing as a LCSW, LMFT, LPC, or Psychologist (PhD or PsyD) in Arizona
• Cross-licensure: Willing and motivated to become licensed in other states. We will cover the cost.
• Caseload: Available for 8-24 hours per week, with 85% of time in client sessions. Sessions will include ongoing therapy appointments and assessments for new clients.
• Experience: 2+ years of clinical experience with adults (18+), at least six months of teletherapy experience, and proficient with clinical assessments (e.g., PHQ-9) for tracking client progress
• Tech: At least six months of teletherapy experience and experience with electronic health record (EHR) systems
• Schedule: Select 7-10 session hours between 8am and 9pm PST, Monday through Friday. Available during regular business hours for a minimum of 1 hour per week during the first 6 weeks for training, followed by 30 minutes per month for ongoing support.
• Documentation: All documentation to be completed, signed, and locked in EMR within 48 hours of client contact. Option to use an AI-assist tool.

What to Expect: Our Interview Process

• Application Review: We’ll promptly review your application to ensure you meet the minimum qualifications
• Recruiter Interview: 45-minute phone interview  with one of our Clinical Recruiters
• Clinical Interview: 45-minute video interview with one of our Clinical Managers
• Offer: If all goes well, you’ll receive an offer to join our team!
• Expected Interview Timeline: The entire process typically takes 2 weeks

Important Notes:

• If you need a reasonable accommodation, please let your recruiter know so our People Team can assist you.
• Please stay alert for job scams: All communication will come from official Two Chairs email domains (@twochairs.com or @twochairscareers.com). See tips from the FTC to avoid job scams: https://www.consumeraffairs.com/news/ftc-offers-tips-on-avoiding-job-scams-041321.html

#LI-REMOTE  #ZR

Clinical Rate

$58.50—$58.50 USD