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Medical Director

$325k - $380k

Medix

Schedule: Monday - Friday | 8:00 AM - 5:00 PM Work Setting: 100% On-Site Travel: None Employment Type: Full-Time (0.8, 0.9, or 1.0 FTE options available) Compensation: $325,000 - $380,000 annually + up to 12% performance bonus + potential sign-on bonus About the Opportunity A leading Southern California health system is seeking a Physician Advisor / Utilization Management (UM) Medical Director to join an established executive leadership team dedicated to advancing high-value, patient-centered care. This highly visible leadership role partners closely with physician leadership, Care Management, and executive leaders—including the Chief Medical Officer, Chief Nursing Officer, and Chief Financial Officer—to improve clinical quality, optimize resource utilization, and strengthen organizational performance while maintaining exceptional patient outcomes. This position is ideal for a collaborative physician leader who enjoys operational excellence, interdisciplinary partnership, and making a measurable impact across the hospital. Key Responsibilities Serve as the physician leader for Utilization Management (UM) and physician advisory services. Conduct utilization management reviews and peer-to-peer insurance appeals. Provide clinical guidance on admission status determinations, denial prevention, and denial management. Partner with Care Management to resolve discharge barriers and improve patient throughput. Attend daily 8:30 AM leadership huddles and 10:00 AM multidisciplinary rounds. Maintain an active presence throughout the hospital by collaborating with clinical teams across departments. Support Clinical Documentation Integrity (CDI) initiatives and regulatory compliance. Identify opportunities related to patient safety, quality improvement, resource utilization, risk management, and regulatory compliance. Educate and mentor physicians on utilization management best practices and successful peer-to-peer review strategies. Oversee utilization management activities for approximately 18,000 annual admissions across two hospital campuses. Qualifications Required MD or DO from an accredited medical school. Active California medical license or eligibility for licensure. Minimum of 3 years of physician leadership or medical group management experience. Strong knowledge of Utilization Management and Utilization Review. Understanding of Clinical Documentation Integrity (CDI) workflows. Knowledge of healthcare regulations, reimbursement, and operational performance. Ability to build strong relationships with physicians, executive leadership, and hospital administration. Excellent communication and collaboration skills. Preferred Hospital Medicine/Hospitalist background strongly preferred, though physicians from all specialties are encouraged to apply. Experience serving as a Physician Advisor or Utilization Management Medical Director. Ideal Candidate We're looking for a physician leader who: Is collaborative, approachable, and relationship-focused. Thrives in an operational leadership role. Enjoys being visible and engaged throughout the hospital. Takes a hands‑on approach to solving complex clinical and operational challenges. Can effectively balance quality care, compliance, and financial stewardship. Up to 12% annual performance bonus Potential sign-on bonus Comprehensive health, dental, and vision insurance 401(k) with employer match Paid Time Off (PTO) Full benefits package Additional Highlights Stable Monday–Friday schedule with no travel required. 100% on-site leadership position in Torrance, California. Optional opportunity to maintain limited clinical practice while serving in the leadership role. Join a highly respected executive team committed to collaboration, physician engagement, and continuous improvement. If you're an experienced physician leader with a passion for utilization management, clinical excellence, and driving meaningful organizational impact, we'd love to hear from you. #J-18808-Ljbffr

Vacancy posted 11 hours ago
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