Per Diem Medical Director

About Altais At Altais, we’re on a mission to improve the healthcare experience for everyone—starting with the people who deliver it. We believe physicians should spend more time with patients and less time on administrative tasks. Through smarter technology, purpose‑built tools, and a team‑based model of care, we help doctors do what they do best: care for people. Altais includes a network of physician‑led organizations across California, including Brown & Toland Physicians, Altais Medical Group Riverside, and Family Care Specialists. Together, we’re building a stronger, more connected healthcare system. About the Role The Medical Director of Utilization and Medical Management will report directly to the Senior Medical Director, with a dotted line to the Chief Officer for Health and Innovation. This physician will work closely with the Altais Clinical Leadership team to ensure the delivery of high‑quality, efficient, and comprehensive healthcare services throughout the continuum of care. The position is a per‑diem opportunity covering selected weekdays, weekends, and holidays. Key Responsibilities Develop and maintain collaborative relationships with key providers, particularly thought leaders, across the One Altais service delivery footprint. Provide cooperative leadership and direction to the Utilization Management Committee (UMC) Primary Care Physicians (PCP) and all Specialist Physicians as assigned. Co‑chair or participate in several committees, including the Utilization Management Committee, the Quality Management Committee, the Peer Review and Patient Safety Committee, and other related groups. Interface with health plans regarding benefits, coverage issues, appeals, and HMO hearings when issues cannot be resolved by case managers or management. Work closely with physician leaders across all healthcare settings to manage patient care in a cost‑containment manner without compromising health outcomes. Facilitate clinical rounds with case managers and management to ensure bed‑day performance goals are met. Collaborate with senior leadership to engage network physicians regarding performance, cost, clinical appropriateness, and authorizations. Develop and promote managed care systems within One Altais, including UM policies, authorization criteria, and regular educational forums for PCPs and specialists. Serve as a key resource for identified case management problems and participate in interdisciplinary care team meetings. Support physician education on utilization management and input into One Altais UM goals and objectives. Coordinate prospective, concurrent, retrospective reviews, including denial or approval of outside medical services referrals. Develop and maintain written medical care protocols and ensure UM standardization. Conduct chart reviews for appropriateness of applying clinical guidelines. Act as the physician‑to‑physician liaison for UM‑related issues and prepare and review decision validation criteria as required. Required Meetings UM Committee meetings Health Plan Joint Operations meetings Hospital Joint Operations meetings One Altais meetings involving Utilization Management Qualifications Doctor of Medicine degree Valid California licensure Current board certification, preferably in a broad‑based specialty such as Internal Medicine, Family Practice, Emergency Medicine, Geriatrics, General Surgery, or Pediatrics A minimum of twelve years as a practicing inpatient and outpatient physician in a managed care environment Active and unrestricted MD licensure in California Compensation Base salary: $100.00 – $140.00 per hour. Final determination of starting pay may vary based on factors including education and experience. Equal Employment Opportunity Altais and its subsidiaries and affiliates are committed to protecting the privacy and security of personal information. External hires must pass a background check/drug screen. Qualified applicants with arrest records or conviction records will be considered for employment in a manner consistent with Federal, State, and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status, or any other classification protected by Federal, State and local laws. #J-18808-Ljbffr