Curative
Prior Authorization Medical Director Physician- Los Angeles, CA Area - Work From
Curative, WorkFromHome
5 days ago Be among the first 25 applicants
This range is provided by Curative. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Base pay range
$250,000.00/yr - $300,000.00/yr
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
- 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 the world and enjoy a 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.