Medical Director Scientific AffairsActive$238K–$312K
The opportunity
Hi, we're Oscar. We're hiring a Medical Director Scientific Affairs to join our Clinical Affairs team.
What you'll do
Serve as the primary evidence-based subject matter expert, translating: clinical research into actionable strategies to elevate care quality across the organization.
Lead the research, development, revision, and clinical accuracy of all: medical, utilization management (UM), and pharmacy coverage policies.
Advise executive leadership on emerging medical therapies, complex clinical: trends, and population health utilization patterns using data-driven insights.
Support the development of clinical and lifestyle products through the: production of evidence based research tailored to target populations.
Foster academic partnerships to advance and publish clinical research leveraging health plan population data.
Lead the systematic review of major specialty society guidelines (e.g., ASCO,: ACC, AACE), ensuring policies reflect established standards of care and objective evidence evaluation.
What they're looking for
- Establish, maintain, and enforce the formal framework for grading clinical: evidence, ensuring all medical and pharmacy policies are anchored in high-quality, peer-reviewed literature.
- Oversee Clinical Advisory Subcommittees: setting agendas, presenting clinical evidence packages, and driving expert consensus to guide policy decisions.
- Partner with Pharmacy Services (P&T Committee), Legal, and Compliance to: seamlessly integrate coverage policies that meet or exceed NCQA standards and state/federal mandates.
- Support interactions with federal and state regulatory bodies (e.g., FDA, CMS, State DOIs) as needed.
