Prior Authorization Medical Director Physician- Los Angeles, CA Area - Work From Home Job at Curative, Los Angeles, CA

dWtISmNXWEluVzVvdlc2bjEvdHpwcWZWQWc9PQ==
  • Curative
  • Los Angeles, CA

Job Description

Prior Authorization Medical Director Physician Opportunity in the Los Angeles Area

Please consider this unique opportunity to join a well-established and respected group of innovators in value-based care. This group of thought-leaders are in search of physician leaders to work alongside them to move the organization forward.

Requirements:

  • MD/DO degree required
  • Remote position, but candidate must live in the greater L.A. area for onsite meetings.
  • Minimum of five years of prior clinical experience required, with at least two years of managed-care or health-plan experience preferred

About the Opportunity:

  • Understand, promote, and manage the principles of medical management to facilitate the right care for patients at the right time and in the right setting.
  • Review prior authorization requests for medical necessity using appropriate clinical guidelines.
  • Identify high-risk patients and help coordinate care with the Employer’s high-risk team.
  • Participate in meetings to review, develop, and continually improve internal quality improvement and peer review processes and programs.
  • Perform prior authorization functions for various Employer campuses, should the need arise in cross coverage, secondary/tertiary review, or medical director decision-making.
  • Perform retroactive claims review for outpatient and inpatient care, as needed.

Compensation and Benefits:

  • Competitive salary and aggressive incentives
  • Comprehensive benefits including medical, dental, vision, and 401k
  • Sign on bonus
  • Ample paid time off

About the Area:

  • Live in the entertainment capital of he world and enjoy dynamic mix of amenities that include outdoor adventures, fine dining, theme parks, the arts, world-class sports teams, and access to a major international airport
  • Unmatched cultural amenities in one of the most diverse areas of the world
  • Excellent public and private schooling options as highly respected colleges and universities
  • World-class beaches and mountain resorts are within a short drive
  • Enjoy a warm climate with over 300 sunny days a year

Job Tags

Live in, Remote work, Relocation package,

Similar Jobs

Provider Solutions & Development

Interventional Radiologist Job at Provider Solutions & Development

Providence St. Mary High Desert Medical Group has an excellent opportunity for an Interventional Radiologist seeking equity potential with an opportunity to split profits for candidates interested in starting an independent radiology group in partnership with Providence... 

McGrath Electric, Inc.

Purchaser Job at McGrath Electric, Inc.

Purchaser McGrath Electric, Inc. (Fairfield, CA) McGrath Electric, Inc. is seeking a dedicated Purchaser to join our procurement team. Youll support field management, project managers, and company executives to ensure the right materials are sourced and delivered on...

Confidential Company

Shift Supervisor Job at Confidential Company

 ...operational procedures. Collaborate with maintenance, quality, and other departments to support continuous improvement. Conduct shift handovers and maintain accurate production and personnel records. Promote a culture of accountability, teamwork, and continuous... 

First Realty Management

Leasing Consultant/Management Assistant Job at First Realty Management

 ...team members first. A full-time position is available for a Leasing/Management Assistant reporting to the Property Manager in Brockton...  ...other resident-related data. Collecting and processing rent checks and preparing rent receivables reports. Preparing memos,... 

Innovent Biologics

Principal Scientist of AIDD/CADD Job at Innovent Biologics

 ...Chemistry, Cheminformatics, or a related field. ~5+ years of experience in small molecule drug discovery within the pharmaceutical or biotechnology industry. ~ Solid programming skills in Python and experience with relevant scientific computing libraries. ~ Extensive...