This job is archived
Senior Medical Director (Health Plan)
Agoura Hills, California, United States
Job Summary
Occupation
Physician
Specialty
Medical Director
Salary
Up to $360,000
• yearly
Degree Required
MD/DO
Position Type
Permanent/Full-Time
Work Environment
Corporate/Non-Clinical
Clinic/Private Practice
Location
San Francisco, California, United States
Visa Sponsorship
No
Job Description
Last Update:
8/03/21
California health plan is hiring a full-time Senior Medical Director:
Provides clinical leadership for medical management functions; assists subordinate
managers in resolving medical claims review, grievances, appeals, and other medical
management issues.
• Works closely with the CMO to identify medical service issues that have an impact on plan
benefits and their administration, develop action plans and monitor results.
• Identifies and analyzes, and assists in identifying and analyzing care and quality issues and
trends; makes recommendations based on findings; develops and implements agreed upon
changes.
The position can be remote based but must be able to work on-site occasionally in the Stockton, CA area.
The position offers a very competitive salary + full benefits
Provides clinical leadership for medical management functions; assists subordinate
managers in resolving medical claims review, grievances, appeals, and other medical
management issues.
• Works closely with the CMO to identify medical service issues that have an impact on plan
benefits and their administration, develop action plans and monitor results.
• Identifies and analyzes, and assists in identifying and analyzing care and quality issues and
trends; makes recommendations based on findings; develops and implements agreed upon
changes.
The position can be remote based but must be able to work on-site occasionally in the Stockton, CA area.
The position offers a very competitive salary + full benefits