Medical Director of Prior Authorization and Utilization Management - Palm Springs,...
Sacbar
Medical Director of Prior Authorization and Utilization Management - Palm Springs, California: Please consider becoming part of this skilled team of professionals providing the highest quality care to our residents in the Coachella Valley. About the opportunity: No direct clinical responsibilities, allowing for a focus on prior authorization, concurrent review, and utilization management This position can be structured as a hybrid remote role - you would not necessarily be required to reside in Palm Springs Compensation and Benefits: Competitive salary and incentives Generous benefits including health, dental, vision, and life insurance 401k with an employer-matched contribution Ample paid time off Signing bonus Possible relocation assistance & commencement bonus Paid malpractice with tail coverage Requirements: MD or DO degree from an accredited medical school Board Certified or Board Eligible Current California State medical licensure or eligibility to obtain licensure About the area: Enjoy all the Palm Springs Area has to offer! 300+ days of sunshine in one of California's most scenic communities Affordable housing, great schools, and a vibrant culture with endless activities and entertainment Easy access to Southern California's beaches, mountains, and deserts Just a short distance to Los Angeles, Orange County, San Bernardino, and San Diego.
JN -052021-24731 -CSP
#J-18808-Ljbffr Sacbar- Sacbar is seeking a Medical Director of Prior Authorization and Utilization Management in Palm Springs, CA. The role focuses on prior authorization, concurrent review, and utilization management with a flexible hybrid remote arrangement. The position offers a competitive...SuggestedRemote workRelocation packageFlexible hours
- ...WellMed, part of Optum, seeks an Internal/Family Medicine physician to lead utilization management. You will determine medical necessity, review cases, and drive UM protocol improvements within a collaborative, patient‑focused team across Texas markets. The role emphasizes...SuggestedRemote work
$248.5k - $373k
.... Growing together. The SMA Medical Director provides leadership for the acute management processes ensuring appropriate... ...management staff regarding utilization practices and effective resource... ...medical decisions for prior authorization as required for inpatient, post...SuggestedMinimum wageFull timeWork experience placementWork at officeLocal area$248.5k - $373k
...an internal medicine or family medicine physician to join our Utilization Management team. Optum is a clinician-led care organization that is changing the way clinicians work and live. The Medical Director for Utilization Management will support WellMed Medical Management...SuggestedRemote jobMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home$68k - $133k
...minimum to middle of the pay range Oversight of the nurse review teams that conducts medical necessity review as part of HMSA Utilization Management program that includes prior authorization, payment determination, post-service claim reviews, QI specific programs, out-of-...SuggestedWork experience placementWork at office- Medical Management - Supervisor Complex Utilization Management & Population Health Management Tulsa, OK, USA Job Description Posted Wednesday, August 19,... ...caseload as needed to assist with staffing needs. Ensure authorization timeframes and regulatory requirements are met....
- ...Blue Shield of Nebraska seeks a physician leader to direct medical management strategies, improve patient outcomes, and manage cost for the assigned region. The role oversees utilization review, prior authorizations, and collaboration with providers, facilities, and...Remote job
- ...WellMed Medical Management, Inc. seeks an Internal Medicine/Family Medicine physician to join our Utilization Management team as Medical Director. You will make UM determinations, monitor CMS criteria, and help shape medical necessity decisions within a managed care framework...Remote work
$85k - $106.3k
Overview Plans, manages, and oversees the daily operations... ...verification, authorization, provider support, and... ...loved ones, including Medical, Dental, Vision, Life,... ...distribution, and resource utilization to achieve operational... ...of benefits (COB), prior authorization requirements...Work experience placementWork at officeFlexible hours$174.07k - $374.92k
...Position Summary The Radiation Oncology Medical Director supports the CVS Health Specialty oncology business in managing oncology specific utilization of providers, clinical reviews of... ...and providers; you will focus on prior authorization cases and consultation cases. The...Hourly payFull timeTemporary workLocal areaRemote workWork from homeWeekend work- WellMed, part of the Optum family, is seeking a Medical Director for Utilization Management to support utilization determinations and identify trends in order to improve the UM program. The role involves developing and maintaining efficient UM processes, staying current...Remote job
- ...development and implementation of strategies that promote medical management, practice transformation, patient satisfaction,... ...manager for the assigned medical management programs (e.g., utilization, prior authorization, case management, Medicare Advantage, etc.)....Private practiceLive inRemote work
$238.1k - $396.8k
Medical Director DME/IRF Summary Serve as program internal lead for DME clinical... ...guideline and policy management Work with Guideline Manager... ...territory of the United States as a utilization review doctor of medicine or... ...smoking cessation program prior to the start of their...Local areaImmediate startWork from homeWeekend work$256k
...Associate Medical Director - Gotham Health, Broadway Position type Full-Time... ...the best clinical practices and tools to manage patient health. As part of the largest... ...interpersonal relationships, andconsistently utilizes and facilitates strategies to encourage...Full timeImmediate startFlexible hoursWeekend workAfternoon shift- ...Job Description +General Practice Care - Medical Director - Flushing, An exceptional veterinary hospital, with a dedicated team... ...for this hospital is a veterinarian who is prepared to manage a team of doctors and medical staff, and successfully oversee...Relocation package
- ...Medical DirectorGeneral Practice Care - Medical Director - Flushing, NY An exceptional veterinary hospital, with a dedicated team, is seeking an experienced Medical... ...this hospital is a veterinarian who is prepared to manage a team of doctors and medical staff, and...Relocation package
$200k - $250k
RWJBarnabas Health is Seeking a Medical Director of Quality - Heart & Vascular West Orange, New... ..., efficiency, and care reliability. Utilize data analytics and registry performance... ...communication, facilitation, and change management skills. Proven ability to work effectively...- ...Health, is seeking a full-time Associate Medical Director to provide medical direction and... ...been honored to serve families across Palm Beach and Broward counties with compassionate... ...services and to ensure pain and symptom management. Serves as a medical resource and...Full timeLocal areaMonday to Friday
- ...setting, at the right time. As Medical Director , you'll lead the clinical... ..., Medical Assistants, Care Managers, and Community Health... .../HEDIS, care coordination, utilization, and cost of care Champion... ...willingness to obtain) and authorization to work in the US It's a plus...Temporary workPart timeLive inRelocation package
$130k - $175k
...seeking a strategic, collaborative, and results-driven Practice Manager to join our Innovation and Practice Management Department in... ...improve attorney efficiency, matter management, and resource utilization. Develop internal communications and messaging to support practice...Work at office$65k - $111k
...The Practice Manager "PM" has accountability of all aspects of the location business operations... ...providing professional eye exams and medical services needed, quality product... ...remarkable patient services and experiences utilizing the Acuity Way Identifies and selects top...Full timePart timeWork at office- ...Associate Veterinarian or Medical Director Brooklyn, NY (depending on experience level and leadership abilities) Our client in Brooklyn... .... The compassionate, knowledgeable and professional staff utilizes the latest technological advances and implements the foremost...
$138.55k - $257.31k
Clinical Director of Virtual Care Programs Indianapolis, IN, USA... ...remote staff (APC, RN, case managers, patient navigators). Ensure... ...consistent with policies and medical standards. Key Responsibilities... ...medical leadership, Prior Authorization Navigators, Gender Affengin...Full timeTemporary workRemote workFlexible hours$230.9k - $384.8k
Oncology Field Medical Director, Hematology (MD) We’re in relentless pursuit... ...), or WA (Seattle). Manage a significant volume of projects... ...solutions Rapidly adopt and utilize new digital technology and... ...eligibility. Candidates must be authorized to be employed in the U.S....Permanent employmentH1bLocal areaRemote workVisa sponsorshipWork visaRelocation packageFlexible hoursWeekend work$91.7k - $163.7k
...clinical support for OptumRx account management, operations, information... ...and ongoing management of utilization management programs, improvement in medication adherence rates, improvements... ...Review and recommend clinical prior authorization criteria Formulate, develop and...Remote jobMinimum wageOngoing contractFull timeWork experience placementWork at officeLocal area$140k - $230k
...analytics and operations, care management, clinical integration,... ...performance through medication optimization, utilization management, quality measure... ...patient population. The Director, Population Health Pharmacy... ...-risk patient reviews prior to admission Qualifications...Full timeContract workLocal areaRemote workShift work- ...System Command Center Clinical Pharmacy Manager The Health System Command Center... ...care environments by delivering remote medication order verification, medication reconciliation... ...medication reconciliation and support prior authorization processes as needed 3. Transitions...Full timeWork at officeLocal areaRemote workWork from home
- ...(in days) to receive an alert: Practice Manager Southeast Eye Group Clayton T178 - Clayton... ...Vision Therapy, and more. Our Optometrists utilize their knowledge, efficiency, and the most... ...through operational functions, sales and medical/vision insurance claim accuracy, labor,...Minimum wageLocal areaFlexible hoursWeekend workAfternoon shift
- ...that resonate with clients.As a Product Manager in Corporate and Investment Bank (CIB) Healthcare... ...products that provide customer value. Utilizing your deep understanding of how to get a... ..., capabilities, and skills Demonstrated prior experience working in a highly matrixed,...
$70k - $75k
...disorder, a disabling medical condition or HIV/AIDS.... ...provides on-site case management and supportive services... ...). Ensure staff utilization of electronic database... ...to appropriate Program Director/Vice-President (in consultation... ...must obtain licensure prior to completion of this...Full timeContract workLive in
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medical Director of Prior Authorization and Utilization Management - Palm Springs,.... Be the first to apply!
- junior clinical data manager Brooklyn, NY
- remote medical coding supervisor Brooklyn, NY
- health services manager Brooklyn, NY
- occupational health manager Brooklyn, NY
- home health supervisor Brooklyn, NY
- clinical services director Brooklyn, NY
- lead clinical data manager Brooklyn, NY
- healthcare program manager Brooklyn, NY
- clinical nutrition manager Brooklyn, NY
- clinical research director Brooklyn, NY


