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

UjB4YmU0SWhOVTVhc3hsaENtZDgzeUgwdGc9PQ==
  • 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

Renova One

Construction Project Manager Job at Renova One

 ...vendor - were a trusted partner committed to enriching spaces and creating lasting value. Position Summary: As a Project Manager within our Interior Renovations team at Renova One, you will be responsible for leading and overseeing the execution of renovation... 

KIK Consumer Products

Environmental Health Safety Specialist Job at KIK Consumer Products

 ..., Sanitize, and Protect Their Homes and Pools When you join KIK Consumer...  ..., youre joining a team that cares about the work we do and also...  ...required responsibilities, duties, and skills. Other duties may...  ...America of store-brand (private label) bleach and a leading private... 

The Kasper Group

Design Assistant - Women's Tops Job at The Kasper Group

 ...production. This is an exciting opportunity to contribute to our private label accounts and see your work come to life. What You'll...  ...successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative... 

The Bolton Group

Financial Analyst Job at The Bolton Group

 ...Financial Analyst Compensation: $70,000 $95,000 base + 5% bonus Please read carefully before applying: Candidates must have a graduation...  ...or wholesale). Candidates must be available to work onsite 4 days a week . Only applicants meeting these criteria... 

SURGE Staffing

Light Truck or Delivery Services Drivers Job at SURGE Staffing

 ...Summary We are seeking a reliable and hardworking Production / Delivery Support Associate to assist with product handling, deliveries,...  ...Safely move materials throughout the facility Support delivery drivers as needed during loading/unloading Assist with basic...