Medical Director Physician Jobs in Diamond Bar, California

Remote Medical Director " Prior Authorization Experience Needed - Pomona, California

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...