Medical Director, Clinical Partnerships

This is a fully remote position, open to applicants in United States.

📋 Description

• Act as Leap's physician advocate for provider engagement.

• Facilitate peer-to-peer discussions with prescribing providers to enhance coordinated, timely care and encourage member involvement.

• Manage the clinical aspects of the provider escalation process.

• Offer immediate physician support to address safety and clinical policy concerns and re-engage patients who were closed due to provider objections.

• Establish credibility with external prescribers through an understanding of Leap's programs and clinical stances.

• Provide physician-level approval on clinical protocols and drug list determinations.

• Lead the Clinical Governance Committee and oversee P&T-style decision-making processes.

• Shape clinical strategy for the Specialty Drug List and Preferred Drug List initiatives.

• Develop and sustain relationships with medical societies, clinical leaders, physician groups, patient advocacy groups, and relevant healthcare entities.

• Represent Leap's clinical stance to manufacturers, specialty pharmacies, infusion centers, and health plan partners.

• Serve as Leap's certified clinical representative in discussions with manufacturers and health plan collaborations.

• Support the expansion into new specialty and therapeutic domains as a recognized clinical expert.

• Collaborate with Clinical Strategy & Affairs to convert clinical insights into operational policies.

• Establish the clinical benchmarks for protocol and drug list approvals.

• Work together with Clinical Operations, Client Success, Sales, Marketing, and Manufacturer Relations on provider workflows and program development.

• Provide counsel to executive leadership on clinical trends, stakeholder priorities, and opportunities within the provider community.

• Report directly to the Senior Director of Clinical Strategy & Affairs.

⛳️ Requirements

• MD or DO with a valid, unrestricted U.S. medical license.

• Completed residency training.

• At least 5 years of experience in clinical practice.

• Ability to operate in a non-patient-facing, cross-functional capacity.

• Comfortable working independently while contributing to the development of a growing function.

• Strong communication skills.

• Proven track record of leading credible physician-to-physician (peer-to-peer) discussions with prescribers.

• Experience in owning or contributing to clinical protocols, formulary/drug list, or P&T-style decisions.

• Comfortable representing a clinical viewpoint to external stakeholders, including manufacturers, specialty pharmacies, or health plans.

• Board certification is preferred.

• Experience with specialty drugs, biosimilars, or infusion-administered therapies is preferred.

• Previous experience in managed care, utilization management, or medical necessity is preferred.

• Prior experience in health plans, PBMs, or facing manufacturers is preferred.

• Experience in establishing a clinical function or voice from inception is preferred.

• Legally authorized to work in the United States.

• Must not require visa sponsorship to work in the United States.

🏝️ Benefits

• Stock options/equity.

• Competitive total rewards package.

• Comprehensive benefits.