We are seeking a Remote Medical Director to replace a retiring physician. This is a long-term, non-clinical role you will not be seeing patients . While the work is primarily remote, candidates must live in the San Fernando Valley and be available for occasional on-site meetings or trainings.
Key ResponsibilitiesReview and approve prior authorization requests using clinical guidelines.
Collaborate with nurses, physicians, and provider groups to support cost-effective, high-quality care.
Help identify and coordinate care for high-risk patients.
Participate in claims review, appeals, provider relations, and quality improvement.
Act as a resource to providers regarding utilization management.