Remote Medical Director " Prior Authorization Request Experience - San Fernando Valley, California

We are seeking a Remote Medical Director to replace a retiring physician. This is a long-term, non-clinical role " you will not be seeing patients. While the work is primarily remote, candidates must live in the San Fernando Valley and be available for occasional on-site meetings or trainings.

Key Responsibilities

• Review and approve prior authorization requests using clinical guidelines.

• Collaborate with nurses, physicians, and provider groups to support cost-effective, high-quality care.

• Help identify and coordinate care for high-risk patients.

• Participate in claims review, appeals, provider relations, and quality improvement.

• Act as a resource to providers regarding utilization management.

Requirements

• Doctor of Medicine (MD) degree.
• Board Certification in Internal Medicine strongly preferred.
• Minimum 5 years clinical experience; 2+ years in managed care or health plan setting preferred.
• Deep understanding of prior authorization processes.
• Strong communication, clinical judgment, and organizational skills.
• Computer Savvy:Proficiency with MS Office; able to handle multiple projects in a fast-paced environment.
• Must reside in the San Fernando Valley and be able to attend in-person meetings as needed.

Compensation & Benefits

• Salary: $250,000"$300,000 annually (based on experience and location).

• Comprehensive benefits package including medical, dental, vision, 401(k), paid time off, life insurance, and professional development support.