1015 jobs found in San Fernando, CA

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 ....

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...