Time commitment: Between 0.6-1 FTE (our preference is for this to be an employed position)

Location: Remote

Reporting to: Neurodevelopmental Team Manager

About Paloma

In 2024, our founders, Mark and Darshak, were shocked to find that children needing an NHS autism or ADHD assessment were waiting 4-10 years for these assessments. Delayed assessments result in children being more likely to develop mental health conditions and fall behind in education. Furthermore, the much-needed pre/post-assessment support (outside of ADHD medications) is typically not funded by the NHS. 

These long waits have built up due to increased recognition and understanding of neurodevelopmental conditions and a lack of investment and innovation within the NHS to meet the growing demand.

Mark and Darshak, with their 25 years of combined NHS experience, including building services that have treated over 1,000,000 patients in obesity & ophthalmology, founded Paloma to change this. Our mission is to make NHS autism and ADHD assessments and care accessible within 4 weeks of a GP referral, and, in turn, help every child achieve their potential.

As of May 2026, we have successfully reduced waits to 3 months by;

• Taking a product-first approach to redesign the care pathway to give families a more consumer-like experience of care
• Our in-house product, engineering and AI team building our own autism and ADHD specific electronic patient record and AI documentation tool to free clinicians from their significant documentation burden to re-focus on supporting families
• Investing in expanding the clinician workforce and upskilling them in new ways of working.

We are proud that Paloma is:

• Loved by families, with 4.9 out of 5 Trustpilot and Google ratings
• Care Quality Commission (CQC) registered and quality-focused
• Clinically-led, with a team of 130 people, including over 80 clinicians supporting families through their assessment journey. We are hiring 100+ more roles over the next 12 months.
• A community of passionate, mission-driven and innovative team members who challenge the status quo and test and learn from new ideas and approaches.
• Backed by leading healthcare investors Triple Point and Heal Capital

What’s next?

• Whilst we have reduced wait times, it is estimated that up to 500,000 children are still waiting for an NHS autism or ADHD assessment. We won’t rest until this comes down.
• We want to build new services to support families and children diagnosed with autism or ADHD who feel lost after their assessments when the NHS is no longer there for them.

The Opportunity

Are you an innovative Nurse or Pharmacist, excited to use software tools that enhance the prescriber and patient experience of care? This role is for you!

We are not a standard ADHD prescribing service; we:

• Have built our own technology & AI tools to gather the required information from families, and support your documentation, so you can focus on children’s needs
• Have an integrated electronic prescribing system within our electronic patient record - no jumping between two systems
• NHS Electronic Prescribing Service access, so families can take the prescription where they need

Paloma provides NHS children’s ADHD assessment and treatment services, including ADHD medication prescribing. For children who reach 18 years of age, we offer continued ADHD prescribing under an Adult ADHD prescribing pathway. 

Our Prescriber will ensure we deliver a fantastic Children’s ADHD prescribing service to families. If you have the appropriate skills, you can work across our Children’s and Adults ADHD prescribing pathways. 

With success in this role, you can progress to our Senior Prescriber role.

About you

Clinically, you are either a Nurse or Pharmacist with prescribing qualifications, skilled in ADHD prescribing best practices.

From a mindset perspective, you are excited to work in an innovative environment, use software and AI tools, and are always looking for ways to improve our team's and families’ experience with Paloma. You want to be part of an always-learning environment that embraces software and AI tools, and you will help us go further and faster with your positive and collaborative attitude.

Responsibilities:

• Deliver a fantastic Children’s ADHD prescribing service, including medication initiation, titration and review appointments
• Where required, support GPs' shared care questions
• Share ideas for continuing to improve Paloma’s software tools that ensure high-quality, safe, and efficient prescribing

Qualifications and experience:

Required:

• Either an NMC-registered Nurse or a GPC-registered Pharmacist
• At least 1 year of experience in Children’s ADHD prescribing services

Desirable:

• Experience in Adult ADHD prescribing services

Why join Paloma?

You will be part of a mission-driven organisation that’s transforming access to autism and ADHD care in England. For all employees, we offer:

• A strong and positive culture that prioritises team building, transparency, and career development. This includes protected time and budget for team connection and learning.

Comprehensive compensation, including:

• • £55,000 per year salary, rising to £60,000 for those who bring greater clinical experience and competencies as assessed at clinical interview.
  • Annual salary reviews, ensuring they are competitive
  • 5% employer pension contribution
  • Home Office Equipment Allowance
  • Professional Registration Fees Allowance for clinicians

For employees working at least 0.8 FTE:

• Equity compensation through Share Options in Paloma Health 
• Optional Private Medical Insurance and Employee Assistance Programme

A unique annual leave benefits package which includes:

• 37 days of annual leave. This is 28 standard days, plus eight bank holidays, plus your birthday off.
  • Option to buy an additional 5 days per year (giving a maximum of 42 days)
  • Where required, 2 days per year of special leave, for events that can happen in life, whether personal or family-related

Additional benefits include:

• A premium performance company laptop
• NHS discounts, including the Blue Light Card (as we are an NHS provider).

Equality & Diversity

Paloma Health is an equal opportunity employer committed to diversity and inclusion in the workplace and throughout the application process. We do not discriminate based on any protected characteristic.

Accommodations

We’re glad to accommodate candidates who need adjustments throughout the hiring process. We encourage you to be open about the adjustments you need, so we can adapt our interview process accordingly.

Safer Recruitment & Pre-Employment Checks

Paloma Health ensures that supporting people to be safe is at the heart of our work and a key priority across all areas of the organisation. As part of our pre-employment checks, you will be asked to complete a Disclosure and Barring Service (DBS) check. Depending on your role within the business, this will be at either an Enhanced, Standard, or Basic level. We are committed to safer recruitment practices and expect all applicants to share our dedication to safeguarding. Our recruitment processes are designed to ensure we appoint individuals who align with our values and will help maintain a safe and supportive environment for everyone we work with.

Application process

Please apply via our website. We understand that applying for a new job requires significant effort, and we appreciate your time. We look forward to reviewing your application.

Join us and be part of our journey to revolutionise access to NHS autism and ADHD care!

Job Purpose:

Provide integrated support to patients and physicians by providing a hands-on approach to improve the quality of patient care. This is accomplished by developing personalized relationships with patients and prescribers of assigned clinics to improve medication adherence and promote evidence-based care expanding into various disease states therapy management.

Job Duties:

The Ambulatory Clinical Pharmacist (ACP) will help advance quality pharmacotherapy care by actively assuring the provision of safe, efficacious, and cost-effective drug therapy. The ACP collaborates closely with the hybrid ACP team to maximize full suite of therapy management (TM) clinical services within supported clinics. The pharmacist performs in-person and/or virtual/phone assessments on disease state management and drug therapy education stratified based on medication risk level and approved clinic protocol. ACP role will focus to identify, resolve, and prevent medication-related problems. Additional services will also be offered to overcome identified barriers to medication compliance and any other obstacle related to adherence.

SUMMARY:

• Provide medication management for individuals, including medication reconciliation, dose modification and/or optimization, ordering laboratory tests and medication adherence counseling within the stated parameters of the approved protocol/CPA/CDTM.
• Collaborate with the interdisciplinary care team to develop individualized care plans that align with evidence-based guidelines and best practices for therapy management.
• Monitor and evaluate medication regimens to ensure clinical criteria are met, including therapeutic goals, adverse effects, and drug interactions.
• Identify opportunities for drug therapy optimization and provide recommendations for medication cost savings initiatives when applicable.
• Participate in quality improvement initiatives by actively participating in clinical outcome studies, REMs compliance/reporting, and ACP-related process improvement projects.
• Optimize resources and workflows with supporting roles handling complex prior authorizations/appeals by providing clinical justification for medication approval, including supporting literature and rationale.
• Collaborate with healthcare providers, including assigned clinic physicians, specialists, and onsite clinic pharmacists, to ensure seamless medication management and coordination of care.
• Support occasional peer-to-peer requests upon demand.
• Perform clinical assessments/educational counseling at drug-level for all patients within high priority clinics on qualified on a targeted medication(s).
• Ensure all clinical criteria is in clinical compliance with guidance from FDA, clinical guidelines, and appropriate evidence-based literature.
• Assist with workflow optimization initiatives, including identifying areas for improvement and implementing strategies to enhance efficiency, productivity, and quality of care.
• Collaborate with other departments and stakeholders to identify operational changes and recommend strategies that enhance productivity, quality, and standards of excellence.
• Advocate for and promote patient safety and medication literacy through patient education and counseling.
• Protects organization's value by keeping information confidential.
• Updates job knowledge by participating in educational opportunities; professional publications; maintaining personal networks; participating in professional organizations to promote new line of services.
• Attend and participate in team meetings, conferences, and other professional development activities to stay abreast of current clinical practices and emerging trends.
• Stay updated with the latest advancements in therapy management and incorporate them into clinical practice.
• Willing to do whatever is necessary for the betterment of the Company.
• Other duties as assigned by Senior Director of Clinical Services and Manager of Clinical Services.

Experience/ Education:

Required Licensure/Certification:

• Applicant must hold a Doctor of Pharmacy degree (PharmD) from an accredited school of pharmacy
• Must be a licensed pharmacist in CO.
• And meet any one of the following:
  
  • Possess certification in a relevant field of practice
  • Completed a postgraduate residency through an accredited postgraduate institution where at least 50% of the experience included the provision of direct patient care services with interdisciplinary teams
  • Have provided clinical services to patients for at least one year under a collaborative practice agreement or protocol with a physician, advanced practice pharmacist, pharmacist practicing collaborative drug therapy management, hospital pharmacy practice or health system

Additional Training/Competency:

• Applicant must complete the required continuing education requirements to maintain CO state Pharmacist license if selected for position

Skills: Ability to analyze information, exercise good judgment, possess strong verbal communication skills, have deep knowledge of pharmacology developments and FDA health regulations. Ability to manage processes, exhibit strong technical and clinical skills, maintain constant focus on legal compliance, while being highly productive with a focus on quality and
details. Strong clinical knowledge and validated expertise with focus on disease state. management and treatment guidelines.

Traits: Organized, high-integrity, attention to detail, dependable, quality focus, empathetic, good listener/communicator.

Other: Energetic, highly motivated, team player with strong personal and communication skills; discretion and confidentiality essential as position deals with highly sensitive and private data.

Salary:

An employee in this position can expect a salary rate between $127,000-$133,000 plus bonus pursuant to the terms of any bonus plan if applicable. The actual salary will depend on experience, seniority, geographic location, and other factors permitted by law.

Position Summary:

The Senior Director, Risk Management, Drug Safety & Pharmacovigilance (DSPV) will report to the Vice President, Drug Safety & Pharmacovigilance and will be responsible for our Risk Management strategy and Benefit Risk Office at Vera which strives for excellence and the creation of a best practice framework. As a Risk Management Lead, you will be empowered to work cross-functionally with colleagues to establish and manage the processes for Risk Management, benefit risk, RMPs, additional Risk Minimization Measures and REMS programs and other Benefit Risk deliverables. The overall goal of the Risk Management Lead is to optimize the proactive impact made by the PV department at Vera while maximizing patient safety and minimizing/preventing patient risk.

Responsibilities:

• Serves as Project manager of the PV Risk Management System to oversee, evaluate, characterize, strategize, implement, assess and track vera’s PV Risk Management obligations, commitments and proposed minimization measures to ensure patient safety is at the forefront of DSPV.
• Provide recommendations and guidance through subject matter expertise on risk management and risk minimization strategy to an assigned therapeutic area to ensure that product risk management strategies are consistent worldwide.
• Provide recommendations and guidance through subject matter expertise on the structured benefit risk assessment framework and the development of the benefit risk assessment documentation.
• Work closely with cross-functional teams (e.g. Clinical Development, Clinical Operations, Medical Affairs, Regulatory Affairs, and Biostats) to ensure alignment of Vera’s global position for the PV risk management processes.
• Provide strategic expertise to cross-functional product team members in developing pharmacovigilance risk strategies including benchmarking and scenario planning.
• Support the development of risk management plans (RMPs) in modular format, review RMPs) and ensure alignment with Good Pharmacovigilance Practices and other applicable regulations.
• Remain up to date and well informed on all Regulatory intelligence as it relates to risk management and relay this to the Project team and the PV medical safety science team.
• Aide in the development and review risk minimization documents such as Developmental RMPs, RMPs, risk minimization measures and Risk Evaluation and Mitigation Strategy (REMS).
• Provide subject matter expertise and thoughtful contributions to qualitative and quantitative structured benefit risk assessments.
• Provide guidance on incorporation of the patient’s perspective into benefit-risk activities (e.g. Real-World Evidence studies with Medical Affairs).
• Collaborate with PV Physician Leads, Clinical Leads, PV scientists and Clinical Research Scientists, and others cross-functional teams on benefit risk assessment strategy.
• Develop and provide recommendations for appropriate risk management interventions such as direct healthcare professional communications, educational materials, controlled access program.
• Provide guidance and drive the creation of tracking risk management commitments including utilization of a tracking spread sheet or platform and improvement assessments
• Monitor and report risk management metrics to ensure compliance.
• Provide centralized support, training, and leadership for safety and cross-functional members who work on risk management plans and risk minimization activities.
• Support inspections and audit activities internally and externally with regards to risk management processes.
• Perform other duties as defined in standard operation procedures or requested by supervisor.
• Work with PV Physician and PV Scientists to aide in the proper characterization and classification of Risk from initial signal to evaluation, validation, implementation in study documents, protocols, IBs, ICFs, and RMPs.
• Work with VP of DSPV, PV Physicians and PV Scientists on any Regulatory Submission/filing for BLA, SBLA, MAA, etc. to be sure that risks are reflected properly and carried through to support filing activities.
• Oversee risk components of Aggregate reports like DSUR, PBRER etc.
• Work with PV Physicians and PV Scientist in risk presentations at safety Governance meetings (MSRB & MSRC) to ensure proper communication of risk is achieved and proper course of action is followed.
• Manage and oversee any outsourced RMP related activities to external vendors.

Qualifications:

• PhD/Pharmacist/ PharmD/DO/MD with 12+ years of experience.
• Minimum 5-10 years in PV/safety OR clinical development preferred.
• Minimum 5-10 years of pharmaceutical industry/drug development experience.
• Pharmaceutical industry experience, with exposure to PV risk management, additional risk minimization measures, and/or REMS programs preferred.
• Strong track record of scientific and analytical thinking.
• Experience presenting at meetings is desirable.
• Work with integrity and work proactively in a fast-moving environment.
• Good Critical thinking skills. Ability to use good analytical/judgment skills to understand, analyze, and communicate.
• Project Management Skills with ability to manage both time and priority constraints and to manage multiple priorities simultaneously.
• Attention to detail, computer literacy, knowledge of safety databases.
• Good working knowledge of all the functions within PV from PV operations onto medical safety science and all processes in between.