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

NmRvK1hzWkVTNkF4QjNFVXViNEllNnNQeEE9PQ==
  • 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, Work from home, Relocation package,

Similar Jobs

Wheeler Staffing Partners

Patient Access Supervisor Job at Wheeler Staffing Partners

Patient Access Supervisor Employment Type: Direct Hire Salary Range: $42K - $64K Monthly Bonus: Up to $250 based on performance metrics Work Hours: Must be flexible to work 1st, 2nd, or 3rd shift as required On-Call: Rotational weekend on-call duties...

Telos Health Systems

Medical Director & Skilled Nursing Facility Primary Care Physician (MD/DO) Job at Telos Health Systems

 ...Medical Director & Skilled Nursing Facility Primary Care Physician (MD/DO) Locations: Memphis, Collierville and Covington, TN areas...  ...leadership development. Clinical volume is well-supported and manageable, with strong NP/PA coverage and structured after-hours telehealth... 

The Middlesex Corporation

Crane Operator Job at The Middlesex Corporation

 ...the United States with Middlesex Paving earning an equally solid regional presence and reputation. Position Summary: The Crane Operator ensures the safe, efficient, and precise operation of assigned equipment, supporting critical construction activities such as... 

Catholic Health

Cardiac Operating Room Registered Nurse (RN) Job at Catholic Health

 ...Cardiac Operating Room Registered Nurse (RN) Join St. Francis Hospital, New York State's only specialty designated cardiac center, as a clinical Nurse in the Cardiac Heart Center Operating Room. The High-Tech Hybrid Cardiac Operating Room includes six new rooms equipped... 

Dogwood Industries LLC

Maintenance Technician (Weekend Shift) | Everett, WA Job at Dogwood Industries LLC

 ...screens. Location This is an onsite position at the Dogwood Factory at 3200 35th Ave. NE Everett, WA 98201. There may be travel to the Dogwood Sedro-Woolley, WA Factory as needed. There will be training required on the weekday shift for 1 month....