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 Employers 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