8 jobs found

We are seeking a Remote Medical Director for a non-clinical role focused on prior authorization and medical necessity reviews. No direct patient care is required. Candidates must reside in the LAarea and be available for occasional on-site meetings and trainings. Responsibilities Review prior authorization requests and determine medical necessity using evidence-based clinical guidelines. Approve, deny, modify, or redirect services as appropriate. Collaborate with nurses, physicians, and care management teams to support high-quality, cost-effective care. Participate in appeals, grievance reviews, retrospective claims reviews, and quality improvement initiatives. Serve as a clinical resource to providers on utilization management and patient care issues. Qualifications MD or DO degree required. Board Certification in Internal Medicine strongly preferred. Minimum 5 years of clinical experience required. 2+ years of managed care, health plan, or utilization management...

We are seeking a Remote Medical Director for a non-clinical role focused on prior authorization and medical necessity reviews. No direct patient care is required. Candidates must reside in the San Diego area and be available for occasional on-site meetings and trainings. Responsibilities Review prior authorization requests and determine medical necessity using evidence-based clinical guidelines. Approve, deny, modify, or redirect services as appropriate. Collaborate with nurses, physicians, and care management teams to support high-quality, cost-effective care. Participate in appeals, grievance reviews, retrospective claims reviews, and quality improvement initiatives. Serve as a clinical resource to providers on utilization management and patient care issues. Qualifications MD or DO degree required. Board Certification in Internal Medicine strongly preferred. Minimum 5 years of clinical experience required. 2+ years of managed care, health plan, or utilization...

An established community hospital in Turlock, California is seeking an experienced and dynamic physician leader to serve as Medical Director for Newborn Services. This leadership role is ideal for a pediatrician with strong clinical expertise in neonatal resuscitation, newborn stabilization, and Level II nursery management, combined with a passion for program development, team leadership, and elevating standards of pediatric care in a community hospital setting. Located in Californias Northern Central Valley, Turlock offers an appealing blend of family-friendly living, affordable cost of housing compared to major metros, and easy access to outdoor recreation, including nearby lakes, hiking, and weekend trips to the Bay Area or Yosemite. The community features strong schools, a growing local economy, and a welcoming, close-knit feel"an excellent setting for providers who value both professional impact and a high quality of life. Responsibilities: Provide clinical and...

Position Overview:We are seeking an experiencedPediatric Neurologistto serve asMedical Director of Neurosciences.This leadership position offers a rare opportunity to guide the strategic growth and clinical excellence of a multidisciplinary pediatric neurosciences program that includes neurology, neurosurgery, and neurodiagnostic services. The program serves as a tertiary referral center for children across Central California.Opportunity Highlights:Lead and expand a thrivingPediatric Neurosciences Programserving a large, diverse regional populationComprehensive services include epilepsy clinic (Level IV Epilepsy Center), RNS clinic, neurocutaneous, neuro-oncology, neuromuscular, spasticity, and neurogenetics programsCollaborate with a multidisciplinary team of pediatric neurologists, neurosurgeons, neuropsychologists, neuroradiologists, neurogenetic specialists, and rehabilitation professionalsDrive strategic initiatives in clinical excellence, research, and academic...

A physician-led occupational health practice in Santa Ana, California is seeking a Board Certified or Board Eligible physician for a Medical Director role that blends direct patient care with leadership, quality improvement, and clinic operations. This is a clinic-based position with a Monday through Friday schedule, 8:00 a.m. to 5:00 p.m., and no nights, weekends, holidays, or call. Compensation includes a base salary of $260,000 to $325,000 annually , depending on experience, training, location, and seniority, plus monthly and quarterly bonus incentives and a monthly Medical Director stipend. The benefits package includes 30+ days off per year (24 days PTO, 6 paid illness days, 5 CME days, 6 paid holidays), claims-based malpractice coverage with tail, retirement with employer match, medical/dental/vision coverage, life and disability insurance, tuition and licensure reimbursement, relocation assistance, and opportunities to teach residents and students. The Medical Director...

A physician-led occupational health practice in West Sacramento, California is seeking a Board Certified or Board Eligible physician for a leadership role that combines direct patient care with clinical operations, mentoring, and quality improvement. This is a 100% center-based position with a Monday through Friday schedule and no nights, weekends, holidays, or call. Compensation includes a base salary of $270,000 to $330,000 annually , plus an $8,000 Director stipend and a $20,000 hiring bonus . The benefits package also includes monthly RVU bonuses, quarterly quality care incentives, 24 days of PTO, 5 CME days, 6 paid holidays, malpractice coverage, retirement with employer match, medical/dental/vision coverage, life and disability insurance, tuition reimbursement, relocation assistance when applicable, and leadership development programs. The Medical Director will support clinical care delivery, onboard and mentor clinicians, ensure workflow compliance, improve quality and...

A physician-led occupational health practice is seeking a Board Certified or Board Eligible physician for a Medical Director role that blends direct patient care with leadership and quality improvement. The position offers a Monday through Friday schedule, 8:00 a.m. to 5:00 p.m., with no nights, weekends, or call. Compensation includes a base salary of $280,000 to $348,000 , plus monthly and quarterly incentive bonuses, an $8,000 leadership stipend , and a $20,000 bonus . The benefits package also includes 24 days of PTO, 5 CME days, 6 holidays, malpractice coverage, retirement with employer match, medical/dental/vision coverage, life and disability insurance, tuition reimbursement, relocation assistance when applicable, and additional employee perks. In this role, the Medical Director will provide patient care, support clinical quality, lead staff, collaborate with therapists and specialists, and help manage clinic performance and business metrics. Training in occupational...

A physician-led occupational health practice in Fresno, California is seeking a Board Certified or Board Eligible physician to serve as Medical Director in a clinic-based role with a strong mix of patient care and leadership. This position offers a weekday schedule with no nights, weekends, or holidays, along with a base compensation range of $265,000 to $300,000 , depending on experience, training, geographic factors, and seniority. Additional benefits include monthly and quarterly bonus incentives, paid time off, CME time, malpractice coverage with tail, retirement matching, health benefits, relocation assistance, and opportunities to teach residents and students. The role combines direct patient care with clinical oversight, quality improvement, staff leadership, and collaboration with therapists, specialists, clients, and payers. Training in occupational medicine is provided, and FMCSA NRCME certification is preferred or can be obtained. Fresno County offers 300-plus...