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

a2tMdStMdFJsQ0szSHNxY2trMlhkMUMvZ1E9PQ==
  • 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

Halina Zdanowski

We’re Hiring: Real Estate Photo & Video Editor (Remote) Job at Halina Zdanowski

 ...Were looking for a **talented photo & video editor** who understands **real estate marketing** and knows how to make homes look their absolute best. If you love clean edits, smooth video transitions, and eye-catching reels this might be for you. #### **What Youll... 

Pride Health

Pharmacy Technician Job at Pride Health

 ...Please find below the Job Description: Job Title : Pharmacy Technician Duration : 3+ months (High Possibility to extend) Location : Brooklyn, NY Pay Rate : $29-$31/Hr. Hours Per Week: 40.00 Hours Per Day: 8.00 Days Per Week: 5.00 Job Description... 

FARM Rio

Full- Time Keyholder | Aventura Mall Job at FARM Rio

FARM Rio is a global fashion and lifestyle brand that captures the true essence of Brazil. We are driven by that inspiring energy that pours out of someone who is comfortable in their own skin and unapologetic about who they are. We are always seeking for that allure that...

Nick's Menswear

Sales Stylist - Team Lead Job at Nick's Menswear

 ...Sales Stylist - Team Lead If youre a confident salesperson who leads naturally on the floor, this role is a great next step. At Nicks Menswear, Sales Supervisors are top-performing salespeople first with the added authority to support the team, reinforce training... 

Centerra Group

Armed Security Officer Job at Centerra Group

 ...screening and U.S. Government suitability requirements. Position may require the ability to acquire, and maintain, a security clearance. Due to the armed nature of the position, personnel with arrests for domestic violence or who are the subject of a protective order...