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

OEQ0MkNWbW9CNW0yZTRJbmp3K2RqU1E1NlE9PQ==
  • 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, Remote work, Relocation package,

Similar Jobs

American Process Management

Assistant Construction Manager Job at American Process Management

 ...requirements Lead and support construction contract development and administration, including bid package development, bid evaluations, contractor mobilization meetings, and ongoing contractor status meetings Coordinate activities with Project Leads, contractors, designers... 

Princess Cruises

Security Officer Job at Princess Cruises

 ...unlimited opportunities for growth, and ports of call that will leave you breathless.Be the Consummate Host by leading a team of security personnel in monitoring passenger and crew activities, investigating security matters that arise, and promptly reporting and correcting... 

Cyrus

Production Assistant Job at Cyrus

 ...oriented and highly organized Apparel Production Assistant to join our dynamic team. The ideal candidate has a passion for the fashion industry and a strong desire to contribute to the production process of high-quality apparel. The Apparel Production Assistant will work... 

Diamonds International

Cleaning Specialist Job at Diamonds International

 ...We are looking for a full time cleaning aide for our offices in Miramar to perform general cleaning tasks like sweeping, mopping, and vacuuming floors; dusting and polishing surfaces; and emptying trash and recycling bins. Responsibilities also cover thorough cleaning... 

Brooksource

Agile Coach Job at Brooksource

 ...building and reinforcing the Agile mindset and principles in the day to day work of the teams they coach. They provide consultative mentoring, training, and professional coaching to aid individuals and teams transforming their behaviors towards an Agile way of working....