Medical Director, Utilization & Quality
Molina Healthcare of Illinois
Molina Healthcare in Los Angeles is seeking a medical professional to provide oversight for healthcare services, ensuring quality and cost-effective member care. The ideal candidate will have a Doctor of Medicine (MD) or Doctor of Osteopathy (DO) license and significant healthcare experience. The role includes evaluating medical necessity, implementing policies, and leading utilization management. Molina offers a competitive compensation package and values diversity in its workforce. #J-18808-Ljbffr
$250k - $410k
...Job Description Overview: The Associate Medical Director, Physician Advisor supports Utilization Management by providing clinical oversight, education,... ...patient status, optimize length of stay, and ensure high-quality, cost-effective care. As a key member of the...SuggestedFull timeContract workPart timeRelocation package$275k - $300k
...The Oncology Institute of Hope and Innovation is seeking a Utilization Management Medical Director Oncology to work remotely from California, Nevada, Arizona, Oregon, or Florida. This role involves conducting medical reviews of oncology treatment plans and collaborating...SuggestedRemote work$206.31k
...Medical Director, Utilization Management Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position... .... Mission: L.A. Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income...SuggestedFull timeLocal area- ...Job Description Your Role The Medical Management team ensures that Blue Shield... ...system in California. The Medical Director, Utilization Management - will report to the Sr. Medical... ...clinical staff in maintaining high quality clinical reviews and work products and...SuggestedFull timePart timeWork at officeLocal areaWork from homeHome office2 days per week
- ...Mohawk Alley Animal Hospital is seeking a Medical Director in Los Angeles, California. The ideal candidate will have a veterinarian degree and 3-5+ years of experience, overseeing medical quality and collaborating with a dedicated team. Responsibilities include maintaining...Suggested
$250k - $410k
...Cedars-Sinai Medical Center in Beverly Hills is seeking an Associate Medical Director, Physician Advisor, to lead Utilization Management. This position involves ensuring compliance with... ...complex case reviews, and enhancing care quality. Candidates should be licensed...- ...Veterans in Healthcare is seeking a Utilization Management Assistant Director – RN in Los Angeles, CA. This role entails overseeing Intensive Case Management... ...high-risk patient populations. This position supports quality patient care and focuses on effective transition...
- ...Medical Director for QualityUCLA Faculty Practice GroupThe Medical Director for Quality (MDQ) is responsible for the quality improvement initiatives of the UCLA Faculty Practice Group (FPG). Youll work with leadership and staff to develop quality measurements and strategies...Permanent employment
$291.2k - $393.12k
...Medical Director - Genetic Testing Oncology Location: This role enables associates to work virtually full-time, with the exception of... ...Director - Genetic Testing Oncology is responsible for performing utilization case reviews in genetic testing with an oncology perspective...Full timeTemporary workWork experience placementLocal area1 day per week$26.01 - $56.14 per hour
...ourselves accountable and prioritize safety and quality in everything we do. Join us and be part... ...of healthcare services and benefit utilization./ppConsults and lends expertise to other... ...The benefits for this position include medical, dental, and vision coverage, paid time...Hourly payFull timeTemporary workRemote workMonday to Friday- ...Reports to the UM Clinical Director. The UM Manager is responsible for assisting with the overall operations and direction of the Utilization Management department. The UM Manager is responsible for incorporating best practices and ensures effective utilization reviews...Full timeShift work
$250k - $300k
...Integrity Healthcare is seeking a Remote Medical Director to replace a retiring physician. This long-term, non-clinical role requires residing... ...requests and collaborate with healthcare teams to ensure quality care.The position offers a salary between $250,000 and $300,0...Remote work$291.2k - $393.12k
Medical Director - Genetic Testing Oncology Location: This role enables associates to work virtually full-time, with the exception of required... ...- Genetic Testing Oncology is responsible for performing utilization case reviews in genetic testing with an oncology perspective...Full timeLocal area$120k - $160k
...QC/QA Director - Health & Wellness #1510 job at Keller Executive Search International. Los Angeles, CA. We are a well-established contract... ..., and NSF. We are looking for a strategic leader to oversee quality and compliance operations during a period of significant growth...Contract workLocal area- ...is also responsible for leading clinical quality and patient safety management programs... ...plans for all occurrences which may lead to medical center liability; supporting the medical... ...review; integrating multiple utilization data reporting systems to develop and maintain...Temporary workLocal area
- ...Job Description Position Purpose: The Behavioral Health Quality Assurance Manager is responsible for quality assurance and training... ...of the impact of trauma and substance abuse on behavioral and medical conditions # Knowledgeable of evidence-based treatments (DBT,...Contract work
- ...PIH Health in Downey, California is looking for a Utilization Management (UM) Manager responsible for overseeing the UM department's operations. The selected candidate will ensure effective utilization reviews and collaborate closely with healthcare providers and leadership...
$250k - $300k
...Description We are seeking a Remote Medical Director to replace a retiring physician. This... ...to support cost-effective, high-quality care. Help identify and coordinate... ...as a resource to providers regarding utilization management. Requirements Doctor...Live inRemote work$325k - $380k
...Description Providence Cedars-Sinai Tarzana Medical Center is seeking a Physician Advisor/UM Medical Director to join a strong leadership team promoting... ...and its physicians to improve clinical quality, resource utilization and increase value while maintaining and improving...Full timeMonday to FridayShift workWeekend work$400k
...Description As a Veterinary Specialty Medical Director at ACCESS Los Angeles, in Culver City,... ...be empowered to perform at your best. Utilize leadership training resources and mentorship... ...financial options* make accessing quality care simpler— giving families the peace...Full timeTemporary workLocal areaRelocationRelocation packageFlexible hours- ...Summary Advise clients on network strategy, utilization performance, and provider market... ...workplans, team coordination, deliverable quality, and client communications. Work across... ...competitive suite of benefits including medical, dental, vision, life, and long-term disability...Live inWork at officeLocal areaWork from home
- ...home. We strive to improve the quality of your life with our team of... .... As a leading provider of medical and non-medical home care services... .... We are looking for a Director of Quality (RN) to join our... ...: The Director of Quality utilizes their expertise in quality management...Work at office
- ...Description About the role: The Sr Director leads the Neuromodulation Quality Systems team to ensure that the... ...and process quality systems utilizing standard performance metrics, trigger... ...years of experience operating in medical device quality systems environment...Work experience placement
$225k - $250k
...Skilled, Compassionate and Experienced Medical Director to join our team at Rancho Park Veterinary... ...be passionate about providing high-quality veterinary care and possess excellent... ...to Continuing Education: Commitment to utilize available resources of continuing education...Local areaRelocationRelocation package$110k
...oversees the denial process within the utilization management (UM) department, ensuring... ...evaluations, and discipline. Collaborate with medical directors, physician reviewers, and other UM/PA... ..., and work plans. Conduct internal quality audits for the denial process. Develop...Casual workRelocation package- ...A leading healthcare organization in Los Angeles seeks a Clinical Operations Director to provide strategic oversight for clinical programs and enhance quality of care. This role requires a Bachelor's degree in Nursing or related field, with a Master's preferred, and 5-...
$150k - $180k
...leaving the bedside. We are seeking a Medical Director (NP or PA) to lead our Silver Lake clinic... ...Lead by Example: Provide high-quality, evidence-based patient care, setting the... ...complex patient cases or team issues, utilizing sound judgment and professionalism to resolve...$170k - $180k
...will be passionate about providing high-quality veterinary care and possess excellent communication... ...Comprehensive patient exams and medical work‑ups Client communication and education... ...to Continuing Education: Commitment to utilize available resources of continuing education...Full timeLocal areaRelocation$247.84k
...06-26 Position Title: Appeals Medical Director - Urology Job Description: Appeals... ...and implementing programs to improve quality, cost, and outcomes. May provide... ...of the United States when conducting utilization review or an appeals consideration and...Full timeTemporary workWork experience placementLocal areaDay shift1 day per week- ...dedicated to transforming lives through high-quality PHP (Partial Hospitalization Program)... ...by delivering exceptional care, utilizing state-of-the-art facilities, and prioritizing... ...lasting impact! Title: Psychiatric Medical Director Role Type: 1099 contact with...Full timePart timeLocal area
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