Business Services & Consulting • Northridge, CA 91324
Physician / Internal Medicine / California / Permanent / Remote Medical Director " Prior Authorization Request Experience - San Fernando Valley, California Job
Northridge, CA 91324RemotePosted 1 day ago
Business Services & Consulting
About the Role
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 Responsibilities
Review 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.
Requirements
Doctor of Medicine (MD) degree.
Board Certification in Internal Medicine strongly preferred.
Minimum 5 years clinical experience; 2+ years in managed care or health plan setting preferred.
Deep understanding of prior authorization processes.
Strong communication, clinical judgment, and organizational skills.
Computer Savvy:Proficiency with MS Office; able to handle multiple projects in a fast-paced environment.
Must reside in the San Fernando Valley and be able to attend in-person meetings as needed.
Compensation & Benefits
Salary: $250,000"$300,000 annually (based on experience and location).
Comprehensive benefits package including medical, dental, vision, 401(k), paid time off, life insurance, and professional development support.
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 Responsibilities
Review 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.
Requirements
Doctor of Medicine (MD) degree.
Board Certification in Internal Medicine strongly preferred.
Minimum 5 years clinical experience; 2+ years in managed care or health plan setting preferred.
Deep understanding of prior authorization processes.
Strong communication, clinical judgment, and organizational skills.
Computer Savvy:Proficiency with MS Office; able to handle multiple projects in a fast-paced environment.
Must reside in the San Fernando Valley and be able to attend in-person meetings as needed.
Compensation & Benefits
Salary: $250,000"$300,000 annually (based on experience and location).
Comprehensive benefits package including medical, dental, vision, 401(k), paid time off, life insurance, and professional development support.
What You'll Do
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 Responsibilities Review and approve prior authorization requests using clinical guidelines.
