7 administration operations 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...

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...

- Program Director for a new Neurology Residency - Phase 1: Lead the ACGME application process and site visits, which can be performed remotely through a consulting agreement. Approximately 40 work hours per month. - Phase 2:Once program is approved and nearer to start, candidate would relocate to the Temecula area and position would transition to .4 FTE as PD, with the remainder in clinical practice, in either outpatient or inpatient practice depending on candidates interest and training. -REQUIRED: 3+ years of current or very recent PD, APD, or Core faculty experience in an accredited neurology GME program. Also require demonstrated ability as a leader, educator, and clinician as well as recent history of scholarly activities.