Prior Authorization Medical Director Physician - Los Angeles, California Area - Work From Home

Salary: $250k - 300k per year Reference: JN -102025-34614 Prior Authorization Medical Director 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 Apply tot his job