Physician / Internal Medicine / California / Permanent / Remote Medical Director " Prior Authorization Request Experience - San Fernando Valley, California Job
Northridge, CA, 91324, USA
- $250,000 p/year
- Healthcare
- Full-time
- Medical Director
- Internal Medicine
- Prior Authorization
The Remote Medical Director role involves non-clinical responsibilities including reviewing and approving prior authorization requests, supporting care coordination, and participating in quality improvement for a managed care setting. Candidates must be licensed physicians with board certification in Internal Medicine preferred, and have experience in prior authorization and managed care. The position is remote but requires residency in the San Fernando Valley for occasional on-site meetings, offering a salary of $250,000-$300,000 and comprehensive benefits.
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 ResponsibilitiesReview 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.
- 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.
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.




