Medical Director Physician
Northridge, CA, 91324, USA
- $250,000 p/year
- Healthcare
- Full-time
- Medical Director
- Physician
- Prior Authorization
The Medical Director Physician oversees non-clinical activities including review and approval of prior authorization requests, coordination of care for high-risk patients, and collaboration with healthcare providers to ensure quality and cost-effective care. This remote role requires occasional on-site presence in the San Fernando Valley and involves participation in claims review, appeals, provider relations, and quality improvement initiatives. Candidates should possess an MD degree, board certification in Internal Medicine preferred, and experience in managed care or health plan settings.
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.




