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- Work in company
Prior Authorization Medical Director Physician- Los Angeles, CA Area
Only for registered members
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Medical Director Physician - Los Angeles - MASC Medical Recruitment Firm
Description
Compensation:
$250,000 - $400,000 (experience-based)
Benefits:
Paid Time Off (PTO), CME allowance, 401(k)
Schedule:
Full-Time Fully Remote
Position Overview
Can work from any state but must be available for work in PST and be licensed in California.
We are seeking an experienced and mission-driven physician leader to serve as the Program Medical Director for multidisciplinary care programs supporting complex Medi-Cal, Medicare Advantage, and dual-eligible populations.
This role blends clinical leadership with strategic oversight-ideal for a physician who excels in guiding value-based programs, partnering with health plans, shaping operational alignment, and developing high-performing care teams.
As the organization expands, this position will evolve into an enterprise-level leadership role with broad influence over medical strategy, clinical operations, and regional team development.
Health Plan Collaboration & Strategic Leadership
Serve as the lead clinical representative in recurring operational and strategy meetings with payer partners.
Collaborate directly with medical directors and quality teams on care model design, performance evaluation, and program refinement.
Participate confidently in discussions involving value-based metrics, shared savings, contract provisions, and risk-based performance indicators.
Translate regulatory and contractual expectations into clear workflows for internal teams.
Provider Leadership, Coaching & Team Development
Provide mentorship and supervision to Nurse Practitioners and interdisciplinary care teams.
Foster a culture of accountability, collaboration, and clinical excellence.
Guide teams toward measurable performance outcomes and coordinated care delivery.
Support hiring, onboarding, and development of additional providers as new programs launch.
Transition over time from direct oversight to broader strategic and organizational leadership.
Cross-Functional Alignment & Internal Partnership
Act as the clinical liaison between payer requirements and internal operational leaders.
Partner closely with Operations, Quality, Compliance, and Analytics to ensure program success.
Participate in internal leadership discussions to improve processes, identify trends, and enhance program outcomes.
Program Optimization & Quality Oversight
Oversee quality and compliance initiatives for Medi-Cal, Medicare Advantage, and dual-eligible programs.
Use performance data to guide decision-making, interventions, and continuous improvement.
Support audit readiness and quality incentive program requirements.
Qualifications
MD with an active, unrestricted California medical license.
Minimum 5 years of clinical experience in adult internal medicine, cardiology or primary care.
At least 2 years of leadership or supervisory experience.
Background working with Medi-Cal, Medicare Advantage, and dual-eligible populations.
Strong understanding of value-based care, risk arrangements, and quality metrics.
Proven ability to collaborate with payer partners on clinical and contractual topics.
Track record of successfully leading and growing provider teams.
Ideal Candidate
A strategic physician leader who can unite multidisciplinary teams around shared goals.
Comfortable navigating payer language, performance guarantees, and quality benchmarks.
Excels in environments where clinical insight and operational strategy intersect.
Motivated to build scalable systems and develop future physician leaders.
Passionate about improving outcomes for medically and socially complex populations.
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