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  • Physician / ObGyn / California / Permanent / OBGYN - MEDICAL DIRECTOR Job in California

    Hayman Daugherty Associates

    Medical director job in Hacienda Heights, CA

    Seeking an OBGYN-Medical Director to join a permanent practice in California Schedule would be 6-8, 24 hour in-house shifts per month + clinic hours Certification requirements are ABOG, AOBOG New grads are welcome to apply Physicians maybe asked to cover or be on-call for clinic which is separate from hospital coverage Clinic hours are 8am-6pm and clinic is all OB, low risk. MD covers 10 hours per week If you are interested in hearing more about this opportunity, please call or text HDA at . You can also reach us via email at . Please reference Job ID .
    $186k-294k yearly est. 5d ago
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  • Medical Director - Movement Disorders

    Hoag Health System 4.8company rating

    Medical director job in Newport Beach, CA

    Hoag Health, the top-ranked health system in Orange County, CA is seeking a Medical Director to lead our growing movement disorders program. The Medical Director is pivotal in steering the Hoag Movement Disorders Program, dedicated to elevating care standards and community service. As a Hoag medical staff member, the role will span from performing outpatient clinical care in an office-based setting to spearheading the program's strategic development, management, and visionary planning. Moreover, the position entails active involvement in clinical and translational research, along with philanthropical efforts, aiming to pioneer advancements in movement disorders care. This commitment aims to enhance patient outcomes while positioning Hoag as a regional leader in movement disorders healthcare and innovation. Hoag's Movement Disorders Program focuses on providing clinical excellence, compassionate care and a commitment to the community through the provision of many available supportive services. Hoag's Movement Disorders program has four fellowship trained neurologists and two neurosurgeons who specialize in movement disorders. Hoag also offers a multidisciplinary approach in the care of our patients through our services and treatment options. Position Details & Qualifications: Full-Time Opportunity in Newport Beach, CA. The candidate will be expected to practice clinical neurology up to 90% of the time and remaining administrative time developing and managing the program. Must have or be eligible for California State Medical licensure American Board Certified/ Eligible in Neurology Must be interested in participating in clinical program research and development A passion for providing excellent clinical care and excellent communication skills and interest in working in a collaborative / team-oriented environment are a must. Ability to achieve full and unrestricted hospital privileges at Hoag Hospital Compensation & Benefits: Competitive Compensation Package inclusive of base salary plus production/quality bonuses Medical Benefits (Health, Dental, Vision) 401K Retirement Plan with matching Malpractice and tail coverage provided CME stipend Reimbursement for CA medical license, DEA fees and other applicable renewal fees Generous PTO policy Contact: Steven Yi Physician Consultant ************
    $240k-336k yearly est. 1d ago
  • Center Physical Therapy Director

    Agile Occupational Medicine

    Medical director job in Oceanside, CA

    As a Center Therapy Director, you will be responsible for providing treatment programs to restore and improve the physical functions of our patients. You will design programs based on the patient's specific goals to get them back to work and life with dignity and confidence. The target is to complete all activities accurately, with high quality, and in a timely manner. Specialties: Orthopedics, sports medicine, manual therapy, ergonomics, injury prevention Schedule: Monday through Friday, 8:00 AM to 5:00 PM Compensation: Starting compensation range is $100,000.00- $125,000.00 annually. Exact compensation may vary based on skills, experience, and location. Responsibilities Clinical Assesses the therapeutic and rehabilitative status of the patient and develops an appropriate treatment plan Updates and modifies the treatment plan on an ongoing basis. Uses clinical reasoning in treating and planning, implementing, and monitoring patient progress. Instruct and counsel patients effectively in exercises, home programs, and patient education. Maintain open communication with the patient and referring physician (when applicable) regarding the patient's plan of care and progress. Treat team members, patients, families, and others with dignity and respect. Performs other job-related duties as assigned. Administrative Manage day-to-day clinic operations to ensure compliance with company medical management model. Offer analysis, information and suggestions with the end goal of developing Ancillary service operational policies; determine productivity, production, quality and patient-services procedures. Management and directing staff including physical therapists, physical therapy assistants, chiropractors, acupuncturists and physical therapy technicians Oversee the hiring, training and development of ancillary staff members. Ensure legal and medical compliance and remain updated on regulations at the local, state and federal levels. Job Requirements Graduate/Doctorate Degree in Physical Therapy from an accredited program Active California PT license required (or license in progress) Excellent work ethic and dedication to patient success Proficiency in MS Office and patient management software Knowledge of physical therapy office management systems and procedures Strong written and verbal communication skills Outpatient experience is preferred. New graduates are welcome to apply! Bilingual in Spanish preferred Benefits Comprehensive benefits package, including medical, dental, vision, life, and disability insurance Excellent work-life balance with no required nights, weekends, or holidays Fast-paced, collaborative, and dynamic work environment 401(k) plan with employer match Annual CME stipend and MedBridge subscription Employer-provided medical malpractice insurance Paid time off and company-paid holidays Opportunity to make a meaningful impact on patient care and clinic performance Why You Should Join Our Team Agile Occupational Medicine is a leading occupational medicine group with a network of 43 clinics and one surgery center dedicated to providing comprehensive healthcare services to businesses and their employees across California and Yuma, Arizona. We specialize in ensuring the health and well-being of workers through a range of medical services, including injury care (workers' compensation), physical examinations (employer services), and commercial (urgent care). We are a rapidly growing company with a fun and collaborative work environment. We are passionate about disrupting the world of occupational medicine, and we are committed to providing our customers and patients with the best possible experience. We offer our employees competitive salaries, commission, and benefits, and we give them the opportunity to make a real impact on the business. Agile Occupational Medicine is an Equal Opportunity Employer. Agile does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided upon qualifications, merit, and business need
    $100k-125k yearly 5d ago
  • Senior Medical Director - Policy & Outcomes

    IEHP 4.7company rating

    Medical director job in Rancho Cucamonga, CA

    What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! Reporting to the Vice President of Health Services, the Senior Medical Director Policy & Outcomes (Sr. Medical Director - P&O) is responsible for the strategic oversight of IEHP Medical Policies and clinical leadership around member health outcomes. The Sr. Medical Director - P&O oversees the day-to-day operations as it relates to developing, executing, leading and updating guidelines, policies, clinical pathways, and communications enabling effective health outcomes, as well as effective health plan performance as per DHCS, DMHC, CMS, and CCA clinical requirements. This leader serves as the accountable medical leader for clinical activities related to key activities including quality management, grievance and appeals, delegation oversight, and population health management. The Sr. Medical Director - P&O also works in partnership with the appropriate cross functional departments to monitor the impact of policy outcomes through regular reporting, metrics, initiatives, and other improvement activities. This position is responsible for leading regulatory audits for all its relevant domains. Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Additional Benefits Perks IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more. Competitive salary Hybrid schedule State of the art fitness center on-site Medical Insurance with Dental and Vision Life, short-term, and long-term disability options Career advancement opportunities and professional development Wellness programs that promote a healthy work-life balance Flexible Spending Account - Health Care/Childcare CalPERS retirement 457(b) option with a contribution match Paid life insurance for employees Pet care insurance Key Responsibilities Lead the development and execution of creating and/or updating medical policies and procedures to align with health plan regulatory requirements. Ensure guidelines and clinical pathways are updated with best practices, along with appropriate downstream connections to utilization management, population health, and other compliance and regulatory activities Lead, develop and implement clinical programs and medical policies to align with IEHP's strategic priorities in order to improve member safety, quality of care and outcomes Lead clinically, through strong partnerships with other departments for activities related to member outcomes, quality improvement, grievance and appeals, and network corrective action plans. Develop and increase collaborative relationships with internal departments. Assure interdepartmental collaboration and communication with key business departments, including, but not limited to, compliance, member experience, provider relations, and claims. Serve as a liaison with providers, county public health partners and oversight agencies as assigned. Monitor network performance proactively to ensure adherence to policy standards. Develop and implement appropriate internal initiatives to address any issues impacting member outcomes Co-leadership with the Sr. Medical Director of Health Servies to advance IEHP's Mission, Vision and Values. Work in partnership with the Senior Medical Director focusing on UM to coordinate daily huddles, develop work schedules, adherence to department metrics and KPIs, and training of medical staff. Manage medical directors, as well physician reviewers, working in the domains of policy, outcomes, quality management and clinical guideline development. Provide clinical direction to the Health Service team and act as a resource to all IEHP departments responsible for providing or coordinating clinical services to IEHP members. Direct, implement, and/or enhance medical policy, internal policies, and job aids as it relates to member safety and quality management activities, clinical guideline development, delegation and oversight, credentialing, peer review, and compliance related activities. Ensure medical decisions are rendered by qualified medical personnel, unhindered by fiscal or administrative management, with timely and appropriate use of UM criteria and guidelines. Direct clinical and workflow training for medical directors and physician reviewers within their oversight. Ensure medical personnel of the Plan and its delegates follow IEHP policies, protocols and rules of conduct consistent with the values of IEHP. Identify gaps in policies or activities relating to member outcomes and implement strategic, effective solutions. Serve as a primary point of contact for clinical, quality and performance issues for medical directors at delegated IPAs, as well as for providers in the IEHP direct network. Support other departments as needed to ensure timely completion of member grievances and appeals as required for regulatory compliance. Provide clinical leadership, support and/or guidance including, but not limited to, the following areas: Pre-admission authorization Prospective, concurrent and retrospective review Inpatient case review Inpatient claims reviews Utilization review Member case management Provider incentive programs Credentialing, Peer Review and Member Safety Subcommittees Pharmacy and Therapeutics Subcommittee NCQA Accreditation Reviews State mandated benefits to ensure IEHP is in full compliance through its providers. Perform any other duties as required to ensure Health Plan operations and department business needs are successful Qualifications Education & Requirements Seven (7) years of post-residency experience in a recognized medical specialty or practice, which must have included at least (3) years of medical administrative experience required Minimum of five (5) years of managed care or health plan leadership experience with proven track record of leading high performing physician teams Experience working with clinical practice guidelines and evidenced based criteria sets Has exposure to working with regulatory agencies Medical Director for an IPA, medical group, or CA HMO highly desirable Medical specialty/practice experience preferably in the state of California Doctorate of Medicine from an accredited institution required Certification by one (1) of the American Specialty Boards required Completion of an accredited residency program required. Possession of an active, unrestricted, and unencumbered Physician's and Surgeon's Certificate issued by the State of California required A physician certified in a state other than California may be employed prior to receipt of California certification provided that an application for a California physician and surgeon's certificate is filed in the state of California prior to date of appointment. Key Qualifications Valid California Driver's License preferred Possesses in depth comprehensive knowledge of: Managed Care principles Administrative practices and procedures (including but not limited to: credentialing and risk management, rules regulations, policies, and standards related to managed care) Principles of effective supervision and organization; methods, techniques, practices, principles, and literature in the broad field of medical sciences The principles of medical practice in a variety of settings (inpatient, outpatient, subacute, etc) Familiarity with local healthcare organizations and/or local practice experience is preferred Highly Organized, Effective Communication Skills, Microcomputer applications such as Microsoft Word, Excel, and Access. Proven execution skills Assertive communicator Demonstrate effective leadership of other physicians and clinical staff A track record of leading with accountability is required Travel within California Start your journey towards a thriving future with IEHP and apply TODAY! Work Model Location This position is on a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga, CA.) Travel within California Pay Range USD $280,841.60 - USD $393,182.40 /Yr.
    $280.8k-393.2k yearly Auto-Apply 28d ago
  • Manager, Medical Director - Transformation Initiatives

    Carebridge 3.8company rating

    Medical director job in Costa Mesa, CA

    Location: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Alternate locations may be considered. The Manager, Medical Director will serve as a clinical and strategic advisor to enterprise transformation programs spanning affordability, medical cost management, modernization, and growth initiatives. This role provides medical and clinical leadership to ensure that large-scale technology, operations, and product initiatives align with clinical best practices, regulatory requirements, and the organization's goals of affordability, quality, and innovation. The Medical Director will work closely with engineering, product, operations, and business leaders to shape transformation strategies, assess clinical and financial impacts, and guide implementation of initiatives that impact providers, members, and clients across the healthcare ecosystem. How you will make an impact: Strategic Clinical Leadership * Provide clinical insight and medical guidance across multiple enterprise transformation initiatives, including: * Medical Cost Management * HealthOS and enterprise data platforms * Real-time Decisioning & Analytics (RDA) * Cost of Care / Payment Integrity * Care Management / Utilization Management (CM/UM) Modernization * Provider Networking & Modernization * Value-Based Care and Carelon Risk models * Carelon Research & Data Commercialization * Client Information Insights and CDIP/Consumer Experience * Advise on Teradata/SAS migration and retirement, ensuring data modernization supports clinical and operational needs. * Translate complex clinical and regulatory requirements into actionable technical and operational strategies. Program & Initiative Support * Partner with SVRO (Strategic Value Realization Office) and enterprise transformation leaders to assess clinical and medical cost implications of strategic initiatives. * Evaluate program designs for alignment with quality, safety, and evidence-based clinical practice. * Guide affordability-focused programs with a balance of cost containment, care quality, and provider/member experience. Collaboration & Influence * Collaborate with engineering, analytics, and product teams to ensure platforms such as HealthOS and RDA incorporate clinical intelligence and deliver actionable insights. * Advise Carelon Research and Data Commercialization teams on ethical and clinically appropriate use of healthcare data. * Partner with Provider Network leaders to shape modernization strategies that drive value-based outcomes and affordability. * Serve as a clinical voice in modernization of CM/UM platforms, ensuring alignment with regulatory mandates and member engagement expectations. Regulatory & Compliance Oversight * Ensure compliance with clinical, accreditation, and regulatory standards across transformation programs. * Support interpretation of federal/state mandates and advise on clinical implementation strategies. Minimum Requirements: * Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). * Must possess an active unrestricted medical license to practice medicine or a health profession. * Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US. * Minimum of 10 years of clinical experience: or any combination of education and experience, which would provide an equivalent background. Preferred Qualifications: * 5+ years of clinical practice experience, with transition into payer, managed care, or healthcare leadership preferred. * Experience advising medical cost management, utilization management, payment integrity, or provider performance programs preferred. * Strong understanding of healthcare data systems (claims, EHR, analytics platforms) and payer operations preferred. * Proven ability to influence cross-functional teams and guide complex, enterprise-level initiatives. * Prior leadership in a payer, health plan, or healthcare innovation organization preferred. * Familiarity with enterprise platforms such as Teradata, SAS, or cloud-based data ecosystems. * Experience in value-based care, population health, and care management program design preferred. * Understanding research and data commercialization within healthcare. * Ability to communicate effectively with technical, clinical, and executive stakeholders. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $291,900 to $500,400 Locations: California, Colorado, District of Columbia (Washington, DC) Illinois, New Jersey, New York, Washington State In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $291.9k-500.4k yearly Auto-Apply 60d+ ago
  • Behavioral Health Medical Director- Child Psychiatrist

    Elevance Health

    Medical director job in Costa Mesa, CA

    Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Alternate locations may be considered. Schedule: Fulltime position, Monday through Friday. The Behavioral Health Medical Director- Child Psychiatrist is responsible for completing medical necessity reviews for general child psychiatry cases as well as Applied Behavioral Analysis cases supporting commercial and Medicaid business lines. How you will make an impact: * Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and external physicians. * Applies clinical knowledge and skills to utilization review processes. * Adheres to medical policies and clinical guidelines. * As assigned, engage in clinical and non-clinical activities that impact health care quality cost and outcomes * If requested, provides guidance for clinical operational aspects of a program. * May be required to serve on internal and/or external committees. * May develop and propose new medical policies based on changes in healthcare. * As assigned, engage in clinical and non-clinical activities that impact health care quality cost and outcomes. * Identifies and develops opportunities for innovation to increase effectiveness and quality. Minimum Requirements: * Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). * Must possess an active unrestricted medical license to practice medicine or a health profession. * Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US. * Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. * For Health Solutions and Carelon organizations (including behavioral health) only, minimum of 5 years of experience providing health care is required. Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency. Preferred Qualifications: * Willing to obtain a California medical license. * Board Certified in Child & Adolescent psychiatry strongly preferred. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $250,236 to $428,976. Locations: California, Nevada, Colorado, Washington In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Job Level: Director Equivalent Workshift: 1st Shift (United States of America) Job Family: MED > Licensed Physician/Doctor/Dentist Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $250.2k-429k yearly 7d ago
  • Physician Medical Director

    Opportunitiesconcentra

    Medical director job in Santa Ana, CA

    Monthy and Quarterly Bonus Potential! Are you looking for a physician practice with a family environment, but with the benefits and support a large organization can provide? Where daily patient care is backed by evidenced based medicine and career options are limitless, then look no further! At Concentra, our Medical Directors spend most of their time clinically treating patients; the remaining time is focused on quality improvements and building the center business with the Center Leadership Team. This role offers an opportunity for physicians to blend their love of patient care with their management skills, working for the leader in the workplace health industry. Concentra is recognized as the nation's leading occupational health care company and one of “America's Greatest Workplaces," as noted in Newsweek. Responsibilities This clinic-based position provides direct patient care, leading by example, and creating an exceptional patient experience Provides leadership in healthcare management to ensure day-to-day execution of medical model collaborating with therapists and specialists to drive optimal clinical outcomes and case closure Manages clinicians, support staff, and complies with APC supervisory requirements Creates a professional and collaborative working environment Works with leaders to identify and implement changes to ensure continuous medical clinic improvement Maintains relationships with center clients and payers Works with medical clinic leadership team to manage clinical and support staffing levels Promotes, cultivates, and exemplifies Concentra values for all clinic colleagues Fosters an environment of collaboration, professionalism, patient/colleague safety, quality care, continuous improvement and reward and recognition Possesses financial awareness and provides input to clinic budget and key business metrics Why Choose Us With more than 40 years of experience, Concentra is dedicated to our mission to improve the health of America's workforce, one patient at a time. With a wide range of services and proactive approaches to care, Concentra colleagues provide exceptional service to employers and exceptional care to their employees. This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Qualifications Active and unrestricted medical license Unrestricted DEA license and dispensing license for state of jurisdiction (required prior to start date) Must be eligible to participate in Medicare Board Certification or Eligibility in an ABMS or AOA recognized specialty preferred FMCSA NRCME certification preferred or willingness to obtain Additional Data Many of our clinics offer working hours M-F, 8 to 5, no nights, no weekends, no holidays - along with 30+ days off a year. Compensation package: Competitive base salary with annual merit increase opportunity Monthly Medical Director Stipend Monthly RVU Bonus Incentive Quarterly Quality Care Bonus Incentive Generous Paid Time Off package for new colleagues include: 24 days of Paid Time Off (annually, with roll-over) 6 days of Paid Illness Days (annually, with roll-over) 5 days of Paid CME Time (annually) 6 Paid Holidays Claims Based Medical Malpractice Coverage, including Tail coverage Reimbursement for dues on renewal of applicable licensure, certifications, memberships, etc. 401(k) with Employer Match Medical/Vision/Prescription/Dental Plans Life/Disability Insurance Colleague Referral Bonus Program Unmatched potential to grow your career, whether it be leadership or subject matter expert Tickets at Work: Corporate Discounts with most Fortune 500 goods & services Relocation assistance available upon request Opportunity to teach residents and students Training provided in Occupational Medicine This job requires access to confidential and critical information, requiring ongoing discretion and secure information management. This position is eligible to earn a base compensation rate in the state range of $260,000 to $325,000 depending on job-related factors as permitted by applicable law, such as level of experience, geographic location where the work is performed, and/or seniority. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation. Concentra is an equal opportunity employer that prohibits discrimination, and will make decisions regarding employment opportunities, including hiring, promotion and advancement, without regard to the following characteristics: race, color, national origin, religious beliefs, sex (including pregnancy), age, disability, sexual orientation, gender identity, citizenship status, military status, marital status, genetic information, or any other basis protected by federal, state or local fair employment practice laws.We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including but not limited to the Los Angeles County Fair Chance Ordinance, San Francisco Fair Chance Ordinance, and the San Diego County Fair Chance Ordinance. #LI-TG2
    $260k-325k yearly Auto-Apply 7d ago
  • Medical Director - Risk Adjustment

    Caremore Health Management Services 3.8company rating

    Medical director job in Cerritos, CA

    The Medical Director, Risk Adjustment - will serve as the clinical expert responsible for advancing CareMore Health's risk adjustment strategy. This physician expert will guide providers in accurate and complete documentation of patient complexity and chronic conditions, ensuring compliance with CMS requirements while supporting enterprise revenue integrity. The role will focus on healthcare provider education, data-driven interventions, and cross-functional collaboration with coding, analytics, and operations teams to maximize risk score accuracy, reduce audit exposure, and align risk adjustment with clinical and business objectives. How will you make an impact & Requirements Key Responsibilities: Clinical Risk Adjustment Leadership Provide physician leadership in CareMore's risk adjustment strategy, ensuring accurate capture of patient complexity and chronic conditions. Partner with enterprise leaders to set goals and monitor performance outcomes tied to risk adjustment and revenue integrity. Provider Engagement & Education Design, develop, and deliver education programs for physicians, advanced practice providers, and clinical staff to improve documentation integrity and coding accuracy. Serve as a visible champion for prospective risk capture at the point of care. Act as a trusted advisor and subject matter expert for providers on HCC coding and documentation best practices. Data Analysis & Performance Improvement Review coding, documentation, and quality data to identify performance gaps at provider, clinic, and market levels. Lead targeted interventions to improve RAF accuracy, reduce audit risk, and strengthen compliance. Collaborate with analytics teams to develop dashboards and reporting tools that track progress. Cross-Functional Collaboration Partner closely with coding, compliance, analytics, and operations teams to integrate risk adjustment into broader CareMore and Mosaic Health initiatives. Ensure risk adjustment strategies support enterprise priorities in quality, value-based care, and financial performance. Compliance & Audit Readiness Ensure all risk adjustment practices adhere to CMS and OIG regulations, including RADV requirements. Maintain audit-ready documentation and support compliance teams in responding to regulatory inquiries. Proactively adapt strategies based on regulatory changes to protect revenue integrity and enterprise reputation. Qualifications: Education & Licensure MD or DO required, with active, unrestricted medical license. Board certification in Internal Medicine, Family Medicine, or related specialty strongly preferred. Experience 8+ years of clinical practice experience, with at least 3-5 years in an expert-level role involving risk adjustment, clinical documentation improvement (CDI), or value-based care. Demonstrated success leading provider education and engagement programs to improve coding and documentation. Experience with Medicare Advantage and CMS risk adjustment methodology (HCC coding, RAF scoring, RADV audits). Knowledge & Skills Strong clinical and regulatory expertise in risk adjustment models and documentation standards. Data-driven leader with proven ability to interpret coding and quality data and translate into actionable interventions. Excellent communication and presentation skills, with ability to engage diverse provider audiences. Effective collaborator and change agent, able to partner across clinical, operational, and business teams. Reporting & Structure Reports to: Vice President, Risk Adjustment & Quality (CareMore Health) Location: Central to CareMore market and enterprise sites. (Southern California, Clark and Pima counties, AZ); requires 75% travel to market and enterprise sites. **The posted compensation range represents the national market average. Compensation for roles located in premium or high-cost geographic markets may fall above this range. This position is bonus eligible based on individual and company performance.** Compensation: to
    $206k-297k yearly est. Auto-Apply 11d ago
  • LA County Medical Director

    Healthright 360 4.5company rating

    Medical director job in Pomona, CA

    LA County Programs provide a gender-responsive and trauma-informed environment, using evidence-based and best practices that recognize and account for the role that trauma frequently plays in the lives of the clients we serve. Our treatment and recovery services include withdrawal management, individual and group counseling, drug testing (if mandated), drug & alcohol education, recovery planning, case management, and relapse prevention. The LA County Addiction Medical Director is a member of the program leadership team and fosters teamwork, collaboration, and integration of all service areas. This position oversees care for clients at LA County residential and withdrawal management programs. The Addiction Medical Director provides direct clinical services, supervision, performance management, provides training, hires, and terminates clinical staff, and participates in a clinical committee that develops policies and procedures to ensure quality patient care and the orientation of new providers. In addition, this position oversees Advanced Practice Providers, provides input in performance appraisals, supervision, and peer review. The LA County Addiction Medical Director will have a set in-person schedule, primarily at the Pomona Residential program, but will also oversee each program with ad hoc presence as needed. KEY RESPONSIBILITIES Leadership Provides in-person leadership and presence at all LA county programs based on a set schedule and ad hoc as needed. Collaborates with VP of BHMS and SoCal Director of Addiction Medicine to provide leadership for integration of services between behavioral health and medical at LA County programs. Provides coaching mentoring and support to LA county providers. Participate in HR360 and program leadership meetings and activities. Represents HR360 and LA county programs in external meetings with the county, funders, CDCR, etc. as required. Champions high quality care, practice management, and reaching fiscal goals. Clinical Oversees and delivers care for patients suffering from substance use disorders and withdrawal management. Will provide withdrawal management and MAT services. Will achieve clinical productivity targets as set by agency standards for patient-facing providers. Ensure quality and efficient patient care by collaborating with the Nurse Manager and Program leadership team. Ensure that appropriate care is delivered to all patients. Work with VP of BH MS Services to ensure staff meet productivity requirements while ensuring high quality clinical care. Foster integration of services at the programs. Provide supervision and oversight of quality of care and provide clinical consultations for nursing, behavioral health, and medical providers. Orient new staff, monitor performance through peer review, chart audits, utilization review, and other processes. Respond to patient requests for information and assistance (e.g., form completion, prescription refills, etc.) in a timely manner. Provide oversight for Advanced Practice Providers , provide supervision, provide input in the clinical review, conduct performance appraisal, and peer review, and assist with hiring and termination of other providers and clinical staff. Participate in regular supervision meetings with medical providers. Be available for consultations when difficult or complex patients arise. Review a set number of charts for each provider; this number will vary based on experience and credentials of the provider and will be determined by the Medical Director. When certain forms or documents require a physician signature, review said forms with provider and execute signature if care is appropriate. Provide on-call after-hours availability as needed for medical issues only. Work evening and weekends as required. Administrative Participate in a monthly Clinical Committee meeting that creates and develops policies and procedures pertaining to HealthRIGHT 360's behavioral and medical care. Medical Director will report administratively to the VP of Behavioral Health Medical Services (VP of BHMS), who will be tasked with overseeing the implementation of P&Ps and workflows. Champion quality improvement efforts. Participate in peer reviews to improve quality of clinical services. Partner with the VP of BHMS in monitoring performance of the program and providers and work with leadership team to improve the quality and efficiency of care and service provided to patients. Provide clinical supervision for clinical staff such as reporting physicians, nurse practitioners, nurses, or psychiatric technicians. Provide input into performance appraisal, performance improvement plans, written warnings, and facilitate terminations. Attend, facilitate, and participate in meetings and training opportunities. Compliance Co-sign treatment plans and medical necessity determinations as required by funder requirements. Understand and ensure compliance with policies and procedures to manage risk. Ensure compliance with HIPAA, 42CFR regulations and all other funding mandates and licensing requirements. Ensure program staff, management, and other senior management are informed on quality-of-care concerns through regular reporting and/or team discussions. Documentation Collaborates with each caseload and other available internal and external resources to develop/maintain treatment plans, transition plans, progress notes and appropriate updates in support of the health and recovery needs of the patient. Maintain documentation in compliance with agency, HIPAA, 42CFR, and funder standards. Properly document all services provided and complete admission and discharge paperwork or process and required agency assessments in a timely manner and ensure that the golden thread is documented throughout the chart. Develop and assess effectiveness of individualized treatment plans and participant progress. Assist in ongoing maintenance of patient's charts and other related documentation. Ensure that all clinical documentation is completed in a timely and accurate manner and entered into the various electronic systems. And perform other duties as assigned. QUALIFICATIONS Education, Certification, or Licensure Graduation from an accredited M.D. or D.O. school. Board certified in Addiction Medicine or significant clinical experience in Addiction Medicine. Possession of a valid MD/DO license in CA. Possession of a valid Drug Enforcement Administration (DEA) certificate is required. Current BLS/ACLS certification or ability to obtain prior to hire. Experience Medication-Assisted Treatment (MAT) experience. Experience working with individuals with issues of substance abuse, mental health, criminal background, other potential barriers to economic self-sufficiency. Background Check and Other Requirements Must not be on active parole or probation. Must complete a background check and livescan. Must be fully vaccinated against COVID-19, including booster shot. Medical or religious exemptions available. Additional Commitment to maintaining CME and licensure requirements. Must be able to meet travel requirements related to job commute as necessary for onsite practice at various assigned locations.
    $230k-327k yearly est. 60d+ ago
  • Medical Director - Critical Care - Tri-City Medical Center

    Vituity

    Medical director job in Oceanside, CA

    Oceanside, CA - Seeking Critical Care Medical Director Join the Physician Partnership Where You Can Increase Your Impact Vituity's ownership model provides autonomy, local control, and a national system of support, so you can focus your attention where you want it to be - on your patients. Join the Vituity Team. Vituity is a 100% physician-owned partnership and is led by frontline physicians that are all equitable owners. As an equal and valued partner from day one, ourownership model provides you with financial transparency, a comprehensive benefits package including profit distribution, and multiple career development opportunities. Our leadership understands what your practice needs to thrive and gives you autonomy and local control so you can provide care when, where, and how your patients need it. You are backed by a best-in-class corporate healthcare team and supported by the broad peer-level expertise of 6,000 Vituity clinicians. At Vituity we've cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call “culture of brilliance.” Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done. Vituity Locations: Vituity has opportunities at 475 sites across the country, serving 9 million patients a year. With Vituity, if you ever need to move, you can take your job with you. The Opportunity Communicate and champion Vituity's purpose, mission, vision, values, culture of brilliance, and strategy, ensuring widespread understanding and alignment. Assure compliance with all Vituity requirements and policies and communicate those requirements to all Vituity providers. Monitor current and future healthcare and economic trends. Assess their potential impact on the practice and local geographic region. Strategize and execute a comprehensive annual practice management plan that sets clear goals and objectives, continuously surpassing expectations and delivering value to patients, clients, providers, and the local community. Spearhead the local site's administrative management team, meticulously selecting team members and aligning their responsibilities to drive the achievement of practice goals. Demonstrate unwavering mastery of Vituity policies and fiduciary obligations, ensuring strict adherence from all providers. Exemplify Vituity's Partnership Principles by fostering open communication and transparent decision-making, such as conducting annual reviews of administrative stipends and scheduling preferences. Demonstrate a comprehensive understanding of hospital expectations and rigorously uphold compliance with all contract terms. Monitor operational and quality metrics and implement Vituity initiatives and operational programs to continually improve performance. Continuously assess and improve operational processes, leveraging technology and best practices to streamline workflows and increase efficiency. Monitor site financial performance and identify and create new areas for growth and revenue. Develop an expertise and understanding of the yearly budget, financial performance measures and monitoring systems, and billing and reimbursement issues / systems. Improve patient census and billing practice statistics to optimize reimbursement for the practice. Maintain awareness and interactions with payers such as significant IPA's, Medical Groups, Foundations, ACO's associated with the hospital / health system. Execute efficient recruitment, onboarding, and training processes for new providers, ensuring the practice is staffed with highly qualified professionals. Provide learning and development opportunities and mentoring to providers and staff to enhance their clinical acumen, leadership skills and overall professional growth. Evaluate the performance of physicians and PA / NPs in compliance with Vituity policies and guidelines. Monitor physician competencies with progressive improvement using appropriate metrics. Counsel, suspend, or remove staff from the schedule as necessary in compliance with Vituity polices / guidelines. Actively participate in contract negotiations in conjunction with the Regional Director. Develop, foster, and maintain productive and collaborative working relationships with hospital leadership, nursing staff and other healthcare team members. Ensure practice is appropriately represented and demonstrates their value through leadership roles (as applicable) and/or participation with hospital management, medical staff leadership, Medical Executive, Medical Staff and other hospital committees, and within the local community. Required Experience and Competencies Licensed physician as a Medical Doctor (M.D.) or Doctor of Osteopathic Medicine (D.O.) degree from an accredited medical school and completion of residency through an accredited residency program required. Maintain membership and privileges on Hospital's medical staff and comply with and abide by the bylaws, rules and regulations, and the policies and procedures of Hospital's medical staff where services are being provided required. Physician Partnership status required. Verbal and written communication skills. Superior clinical skills. Interpersonal and leadership skills. Ability to motivate a team. Project Management. Effectively collaborate with diverse individuals and multiple locations. Relationship building. Technical skills. Strong accounting and finance understanding. The Practice Tri-City Medical Center - Oceanside, California 386-bed facility with a 26-bed open ICU. STEMI Receiving Center and Stroke Center. Approximately 1,350 ICU cases per year. Cerner EMR. High acuity, mixed ICU that manages general medical/surgical, neuro/neurosurgical, and cardiac/cardiothoracic surgery patients. The Community Oceanside, California, is a vibrant coastal city that combines stunning oceanfront beauty with a rich cultural history, making it an exceptional place to live and work. The city's iconic Oceanside Pier, one of the longest wooden piers on the West Coast, offers breathtaking views and a hub for fishing and dining. The nearby Mission San Luis Rey, known as the “King of the Missions,” provides a glimpse into California's Spanish colonial past. Residents and visitors alike enjoy pristine beaches, perfect for surfing, paddleboarding, and sunbathing, as well as the vibrant dining and arts scene in downtown Oceanside. The city's ideal coastal climate ensures sunny days and mild temperatures year-round. Conveniently located between San Diego and Los Angeles, Oceanside offers easy access to major attractions while maintaining its relaxed, small-town charm. Benefits & Beyond* Vituity cares about the whole you. With our comprehensive compensation and benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future. Superior Health Plan Options. Dental, Vision, HSA, life and AD&D coverage, and more. Partnership models allows a K-1 status pay structure, allowing high tax deductions. Extraordinary 401K Plan with high tax reduction and faster balance growth. Eligible to receive an Annual Profit Distribution/yearly cash bonus. EAP, travel assistance, and identify theft included. Student loan refinancing discounts. Purpose-driven culture focused on improving the lives of our patients, communities, and employees. We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. When we work together across sites and specialties as an integrated healthcare team, we exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us.
    $184k-292k yearly est. 1d ago
  • Medical Director (New Mexico)

    Molina Talent Acquisition

    Medical director job in Long Beach, CA

    Provides medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting improvements in efficiency and satisfaction for both members and providers and ensuring members receive the most appropriate care in the most effective setting. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Determines appropriateness and medical necessity of health care services provided to plan members. • Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure high-quality member care - ensuring members receive the most appropriate care at the most effective setting. •Evaluates effectiveness of utilization management (UM) practices - actively monitoring for over and under-utilization. • Educates and interacts with network, group providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource management. • Assumes leadership relative to knowledge, implementation, training, and supervision of the use of the criteria for medical necessity. • Participates in and maintains the integrity of the appeals process, both internally and externally. • Responsible for investigation of adverse incidents and quality of care concerns. • Participates in preparation for national committee for quality assurance (NCQA) and utilization review accreditation commission (URAC) certifications. • Provides leadership and consultation for NCQA standards/guidelines for the plan including compliant clinical quality improvement activity (QIA) in collaboration with clinical leadership and quality improvement teams. • Facilitates conformance to Medicare, Medicaid, NCQA and other regulatory requirements. • Reviews quality referred issues, focused reviews and recommends corrective actions. • Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. • Attends or chairs committees as required such as credentialing, Pharmacy and Therapeutics (P&T) and other committees as directed by the chief medical officer. • Evaluates authorization requests in timely support of nurse reviewers, reviews cases requiring concurrent review and manages the denial process. • Monitors appropriate care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost-efficiency, and continuity of care. • Ensures that medical decisions are rendered by qualified medical personnel and not influenced by fiscal or administrative management considerations, and that care provided meets the standards for acceptable medical care. • Ensures medical protocols and rules of conduct for plan medical personnel are followed. • Develops and implements plan medical policies. • Provides implementation support for quality improvement activities. • Stabilizes, improves and educates primary care physicians and specialty networks; monitors practitioner practice patterns and recommends corrective actions as needed. • Fosters clinical practice guideline implementation and evidence-based medical practices. • Utilizes information technology and data analytics to produce tools to report, monitor and improve utilization management. • Actively participates in regulatory, professional and community activities. Required Qualifications • At least 3 years health care experience, including at least 2 years of medical practice experience, or equivalent combination of relevant education and experience. • Active and unrestricted Doctor of Medicine (MD) or Doctor of Osteopathy (DO) license in state (New Mexico) of practice. • Board certification. • Working knowledge of applicable national, state, and local laws and regulatory requirements affecting medical and clinical staff. • Ability to work cross-collaboratively within a highly matrixed organization. • Strong organizational and time-management skills. • Ability to multi-task and meet deadlines. • Attention to detail. • Critical-thinking and active listening skills. • Decision-making and problem-solving skills. • Strong verbal and written communication skills. • Microsoft Office suite/applicable software program(s) proficiency, and ability to learn new programs. Preferred Qualifications • Experience with utilization/quality program management. • Managed care experience. • Peer review experience. • Certified Professional in Healthcare Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) or other health care or management certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
    $186k-294k yearly est. Auto-Apply 26d ago
  • Assoc Medical Director, Cardiac Imaging

    8427-Janssen Cilag Manufacturing Legal Entity

    Medical director job in Irvine, CA

    At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity. Learn more at ******************* Job Function: Medical Affairs Group Job Sub Function: Medical Affairs Job Category: Scientific/Technology All Job Posting Locations: Irvine, California, United States of America Job Description: About MedTech Fueled by innovation at the intersection of biology and technology, we're developing the next generation of smarter, less invasive, more personalized treatments. Are you passionate about improving and expanding the possibilities of Cardiovascular? Ready to join a team that's reimagining how we heal? Our Cardiovascular team develops leading solutions for heart recovery, electrophysiology, and stroke. You will join a proud heritage of continually elevating standards of care for stroke, heart failure and atrial fibrillation (AFib) patients. Your unique talents will help patients on their journey to wellness. Learn more at *******************/medtech This is a [hybrid] role available in Irvine, CA. We invite candidates from any location to apply. We are searching for the best talent for Associate Medical Director, Cardiac Imaging. Role Purpose The Associate Medical Director will be involved in the strategic development and growth of the Cardiac Imaging portfolio and engage in partnership with Research and Development (R&D), Global Strategic Marketing (GSM), Health Economics and Market Access (HEMA), and Clinical Affairs (CA). Associate Medical Director, under limited supervision, in collaboration with MA team members and in accordance with all applicable federal, state and local laws/regulations and Corporate Johnson & Johnson procedures and guidelines, this position's responsibilities include, but are not limited to: Support the generation of preclinical and clinical evidence strategies to support clinical claims and participate in characterizing the products capabilities and clinical workflows in collaboration with R&D, marketing, and other development team members. Partner with Clinical Research (and other partners, e.g., Regulatory Affairs) in the development and execution of product and/or procedural evidence generation (including company sponsored studies and IIS/RWE) and dissemination strategies. Support early product introduction to the market by supporting launches, case support, as well as internal and external training. Provide medical oversight of publication strategy for selected marketed products in close collaboration with the Clinical Science team. Prepare and/or manage preparation of presentations and manuscripts around clinical data as well as medical and scientific information, this includes hands on management of publications and maintenance of timelines Optimize communication and interactions with key customers/KOL and accounts by working with strategic managers within Medical Scientific Programs, Account Management and Sales teams Assist in the tactical implementation of regional and local educational initiatives in concert with corporate and regional business goals Gain valuable insight and feedback from the healthcare community on Cardiac Imaging products and services, medical and scientific information which can help guide research, development and service provision to benefit customers and patients as well as supporting internal stakeholders Perform other duties assigned as needed Qualifications What you will bring: Education: A degree in science, engineering, or medicine (e.g. MD, DO, PhD, RN, MSc, BSc, etc.) is required. Experience and Skills: A strong scientific background is preferred Minimum 7 years relevant experience in medical affairs/related functions (e.g. clinical, R&D, regulatory, medical safety) is required. A minimum of 3 years in echocardiography clinical experience is required Structural heart imaging including transesophageal OR intracardiac echocardiography, computed tomography experience is required. Clinical experience with medical devices and knowledge of clinical trial design, evidence generation, adverse event reporting, transcatheter interventional procedure practices/principles is required. Relevant business experience in product development for Cardiac imaging. Experience with structural heart imaging preferred. Experience supporting clinical cases and proctoring cases preferred. Strong influencing, negotiation skills with different types of internal and external stakeholders. Must be able to collaborate well with multiple partners and work effectively in a matrix environment. Demonstrated success in medical data generation, interpretation and publications is highly preferred. Strong scientific communication skills (written and verbal). Sound understanding on Good Clinical Practices and SOPs Self-starter with proven ability to collaborate in a cross-functional team environment while having the skillset and confidence to work independently, as needed Must be reliable, and flexible in adapting to shifting business needs while contributing to a multidisciplinary and fast-paced working environment Must be a highly motivated, responsible, fast-learner, and team-oriented collaborator willing to take ownership of his/her contributions to the advancement of the collective team goals and objectives Ability and willingness to travel up to 50% of the time for hands-on testing, product initiation and conferences. Proficient in Microsoft Office The anticipated base pay range for this position is 137,000 - 235,750. At Johnson & Johnson, we're on a mission to change the trajectory of health for humanity. That starts by creating the world's healthiest workforce. Through innovative programs and policies, we empower the physical, mental, emotional and financial health of our employees and the ones they love! At Johnson & Johnson, we offer a variety of outstanding health and financial benefits, including competitive compensation, 401k, pension, medical, dental, and vision insurance, exercise reimbursement, flexible time off, paid volunteer and parental leave, and more! For more information on how we support the whole health of our employees throughout their wellness, career and life journey, please visit ******************** Johnson & Johnson is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status or other characteristics protected by federal, state or local law. We actively seek qualified candidates who are protected veterans and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act. Johnson & Johnson is committed to providing an interview process that is inclusive of our applicants' needs. If you are an individual with a disability and would like to request an accommodation, external applicants please contact us via *******************/contact-us/careers . internal employees contact AskGS to be directed to your accommodation resource. #PULSE #EP Required Skills: Preferred Skills: The anticipated base pay range for this position is : 137,000 - 235,750 Additional Description for Pay Transparency: The anticipated base pay range for this position is 137,000 - 235,750
    $185k-293k yearly est. Auto-Apply 8d ago
  • Associate Medical Director, Clinical Development

    Arrowhead Pharmaceuticals 4.6company rating

    Medical director job in Pasadena, CA

    Arrowhead Pharmaceuticals, Inc. (Nasdaq: ARWR) is a clinical stage biopharmaceutical company that develops medicines that treat intractable diseases by silencing the genes that cause them. Using a broad portfolio of RNA chemistries and efficient modes of delivery, Arrowhead therapies trigger the RNA interference mechanism to induce rapid, deep, and durable knockdown of target genes. RNA interference, or RNAi, is a mechanism present in living cells that inhibits the expression of a specific gene, thereby affecting the production of a specific protein. Arrowhead's RNAi-based therapeutics leverage this natural pathway of gene silencing. Arrowhead is focused on developing innovative drugs for diseases with a genetic basis, typically characterized by the overproduction of one or more proteins that are involved with disease. The depth and versatility of our RNAi technologies enables us to potentially address conditions in virtually any therapeutic area and pursue disease targets that are not otherwise addressable by small molecules and biologics. Arrowhead is leading the field in bringing the promise of RNAi to address diseases outside of the liver, and our clinical pipeline includes disease targets in the liver and lung with a promising pipeline of preclinical candidates. Arrowhead's corporate headquarters is in Pasadena, CA with research and development teams in Madison, WI & San Diego, CA, and a state of the art manufacturing facility in Verona, WI. Our employees are nimble, science-driven innovators who are collaborating to bring new therapies to patients in need. The Position The Associate Medical Director will report to Arrowhead's Medical Director and play a key role in advancing innovative RNA interference-based therapies to patients. This individual will work collaboratively with Arrowhead's scientific and clinical teams, guiding drug candidates from discovery through early-stage clinical development. The initial focus will be on si RNA programs targeting metabolic, renal, neuro, and complement-mediated diseases. While experience in these areas is preferred, it is not required. In this role, the Associate Medical Director will take hands-on responsibility for designing and managing translational studies and early-phase clinical trials, assessing the efficacy, safety, clinical pharmacology, and pharmacokinetics of product candidates across various disease areas. This is a unique opportunity to contribute to the development of cutting-edge therapeutics and make a meaningful impact on patient care. This is a fulltime, onsite position based from Arrowhead's Corporate Headquarters in Pasadena, CA. Responsibilities Support the design, development, execution and communication of translational and clinical studies across a wide variety of therapeutic areas; Act as a medical lead in a cross functional team that includes medical scientific, clinical, safety, program and regulatory staff Effectively communicate protocols and other relevant information with clinical site investigators and staff Interpret clinical trial data and communicate results clearly and accurately Act as medical monitor for clinical studies and provide clinical input to safety assessments Contribute to documents, including IRB submissions, protocols, CSRs, publications and regulatory submissions Identify key opinion leaders and participate in clinical advisory board meetings Make scientific presentations at advisory boards, key scientific meetings and external committee meetings Identify and evaluate medical need and clinical path for new applications of RNA interference for the treatment of disease Collaborate with scientific staff to drive new drug candidates through preclinical development Monitor and understand new developments in RNA interference in industry and academia Support in-licensing and out-licensing activities and partner relationships Requirements: M.D., Ph.D. or M.D. combined with research experience Hands-on translational research experience within a pharmaceutical or biotechnology company or in an academic setting Demonstrated understanding of the drug development process and a strong desire to contribute to the development of meaningful therapeutics Knowledge of Good Clinical Practices, FDA regulations and guidelines and applicable regulatory requirements Ability to effectively evaluate outside expert advice Ability to clearly elucidate complex scientific and medical concepts via written and oral communication Working independently and effectively in a fast-paced, team-based environment Strong clinical/scientific/technical skills Strong interpersonal skills and the ability to communicate effectively with people in diverse and different settings Possesses sense of urgency; identifies challenges and problems and takes the initiative to identify solutions Project management skills and focus on delivery of results Preferred: Fellowship training California pay range $240,000-$290,000 USD Arrowhead provides competitive salaries and an excellent benefit package. All applicants must have authorization to work in the US for a company. California Applicant Privacy Policy
    $240k-290k yearly Auto-Apply 4d ago
  • Site Medical Director

    Altamed Health Services 4.6company rating

    Medical director job in Commerce, CA

    Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed - it's nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don't just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it's a calling that drives us forward every day. Job Overview The Site Medical Director has overall responsibility for clinical patient care and addresses clinical, programmatic, medical, and administrative issues at the site in collaboration with the Clinic Administrator and Nurse Administrator. The Site Medical Director or designee actively participates in the Interdisciplinary Team and directs the medical care decisions. Minimum Requirements Physician with an active, unrestrictive CA license to practice medicine by the Medical Board of California and a DEA License required. Prior experience in a leadership or management role is strongly preferred. Previous experience with computer-based systems is required; Electronic Medical Records experience is preferred. Education, training, and experience are necessary to meet the underwritten requirements for inclusion under AltaMed's malpractice insurance coverage. Bilingual English/Spanish/Mandarin/Cantonese preferred, depending on location. A minimum requirement of a valid BLS certification or higher, following the American Heart Association (AHA) or the American Red Cross guidelines. Compensation $310,648.00 - $372,777.60 annually Compensation Disclaimer Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives. Benefits & Career Development Medical, Dental and Vision insurance 403(b) Retirement savings plans with employer matching contributions Flexible Spending Accounts Commuter Flexible Spending Career Advancement & Development opportunities Paid Time Off & Holidays Paid CME Days Malpractice insurance and tail coverage Tuition Reimbursement Program Corporate Employee Discounts Employee Referral Bonus Program Pet Care Insurance Job Advertisement & Application Compliance Statement AltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.
    $310.6k-372.8k yearly Auto-Apply 32d ago
  • National Medical Director

    Bristol Hospice 4.0company rating

    Medical director job in Lakewood, CA

    Opportunity to lead the Future of Hospice Care Nationwide Are you a visionary physician ready to shape the standard of hospice care across the country? As our National Medical Director, you'll provide clinical leadership and strategic direction for multiple locations, ensuring exceptional patient care and regulatory excellence. This is your opportunity to collaborate with top clinical leaders and executive teams, driving innovation and quality in end-of-life care. Join us and make a profound impact-nationwide. Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit bristolhospice.com or follow us on LinkedIn. Our Culture Our culture is cultivated using the following values: * Integrity: We are honest and professional. * Trust: We count on each other. * Excellence: We strive to always do our best and look for ways to improve and excel. * Accountability: We accept responsibility for our actions, attitudes, and mistakes. * Mutual Respect: We treat others the way we want to be treated.
    $190k-279k yearly est. 9d ago
  • Senior Medical Director - Policy & Outcomes

    IEHP 4.7company rating

    Medical director job in Rancho Cucamonga, CA

    What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience! Reporting to the Vice President of Health Services, the Senior Medical Director Policy & Outcomes (Sr. Medical Director - P&O) is responsible for the strategic oversight of IEHP Medical Policies and clinical leadership around member health outcomes. The Sr. Medical Director - P&O oversees the day-to-day operations as it relates to developing, executing, leading and updating guidelines, policies, clinical pathways, and communications enabling effective health outcomes, as well as effective health plan performance as per DHCS, DMHC, CMS, and CCA clinical requirements. This leader serves as the accountable medical leader for clinical activities related to key activities including quality management, grievance and appeals, delegation oversight, and population health management. The Sr. Medical Director - P&O also works in partnership with the appropriate cross functional departments to monitor the impact of policy outcomes through regular reporting, metrics, initiatives, and other improvement activities. This position is responsible for leading regulatory audits for all its relevant domains. Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Perks IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more. * Competitive salary * Hybrid schedule * State of the art fitness center on-site * Medical Insurance with Dental and Vision * Life, short-term, and long-term disability options * Career advancement opportunities and professional development * Wellness programs that promote a healthy work-life balance * Flexible Spending Account - Health Care/Childcare * CalPERS retirement * 457(b) option with a contribution match * Paid life insurance for employees * Pet care insurance Education & Requirements * Seven (7) years of post-residency experience in a recognized medical specialty or practice, which must have included at least (3) years of medical administrative experience required * Minimum of five (5) years of managed care or health plan leadership experience with proven track record of leading high performing physician teams * Experience working with clinical practice guidelines and evidenced based criteria sets * Has exposure to working with regulatory agencies * Medical Director for an IPA, medical group, or CA HMO highly desirable * Medical specialty/practice experience preferably in the state of California * Doctorate of Medicine from an accredited institution required * Certification by one (1) of the American Specialty Boards required * Completion of an accredited residency program required. Possession of an active, unrestricted, and unencumbered Physician's and Surgeon's Certificate issued by the State of California required * A physician certified in a state other than California may be employed prior to receipt of California certification provided that an application for a California physician and surgeon's certificate is filed in the state of California prior to date of appointment. Key Qualifications * Valid California Driver's License preferred * Possesses in depth comprehensive knowledge of: * Managed Care principles * Administrative practices and procedures (including but not limited to: credentialing and risk management, rules regulations, policies, and standards related to managed care) * Principles of effective supervision and organization; methods, techniques, practices, principles, and literature in the broad field of medical sciences * The principles of medical practice in a variety of settings (inpatient, outpatient, subacute, etc) * Familiarity with local healthcare organizations and/or local practice experience is preferred * Highly Organized, Effective Communication Skills, Microcomputer applications such as Microsoft Word, Excel, and Access. Proven execution skills * Assertive communicator * Demonstrate effective leadership of other physicians and clinical staff * A track record of leading with accountability is required * Travel within California Start your journey towards a thriving future with IEHP and apply TODAY! Pay Range * $280,841.60 USD Annually - $393,182.40 USD Annually
    $280.8k-393.2k yearly 60d+ ago
  • Physician Medical Director

    Opportunitiesconcentra

    Medical director job in Orange, CA

    $30K Hiring Incentive + Monthly and Quarterly Bonus Incentives! Are you looking for a physician practice with a family environment, but with the benefits and support a large organization can provide? Where daily patient care is backed by evidenced based medicine and career options are limitless, then look no further! At Concentra, our Medical Directors spend most of their time clinically treating patients; the remaining time is focused on quality improvements and building the center business with the Center Leadership Team. This role offers an opportunity for physicians to blend their love of patient care with their management skills, working for the leader in the workplace health industry. Concentra is recognized as the nation's leading occupational health care company and one of “America's Greatest Workplaces," as noted in Newsweek. Responsibilities This clinic-based position provides direct patient care, leading by example, and creating an exceptional patient experience Provides leadership in healthcare management to ensure day-to-day execution of medical model collaborating with therapists and specialists to drive optimal clinical outcomes and case closure Manages clinicians, support staff, and complies with APC supervisory requirements Creates a professional and collaborative working environment Works with leaders to identify and implement changes to ensure continuous medical clinic improvement Maintains relationships with center clients and payers Works with medical clinic leadership team to manage clinical and support staffing levels Promotes, cultivates, and exemplifies Concentra values for all clinic colleagues Fosters an environment of collaboration, professionalism, patient/colleague safety, quality care, continuous improvement and reward and recognition Possesses financial awareness and provides input to clinic budget and key business metrics Why Choose Us: With more than 40 years of experience, Concentra is dedicated to our mission to improve the health of America's workforce, one patient at a time. With a wide range of services and proactive approaches to care, Concentra colleagues provide exceptional service to employers and exceptional care to their employees. This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Qualifications Active and unrestricted medical license Unrestricted DEA license and dispensing license for state of jurisdiction (required prior to start date) Must be eligible to participate in Medicare Additional Data Many of our clinics offer working hours M-F, 8 to 5, no nights, no weekends, no holidays - along with 30+ days off a year. Compensation package: Competitive base salary with annual merit increase opportunity Monthly Medical Director Stipend Monthly RVU Bonus Incentive Quarterly Quality Care Bonus Incentive Generous Paid Time Off package for new colleagues include: 24 days of Paid Time Off (annually, with roll-over) 5 days of Paid CME Time (annually) 6 Paid Holidays Claims Based Medical Malpractice Coverage, including Tail coverage Reimbursement for dues on renewal of applicable licensure, certifications, memberships, etc. 401(k) with Employer Match Medical/Vision/Prescription/Dental Plans Life/Disability Insurance Colleague Referral Bonus Program Unmatched potential to grow your career, whether it be leadership or subject matter expert Tickets at Work: Corporate Discounts with most Fortune 500 goods & services Relocation assistance available upon request Opportunity to teach residents and students Training provided in Occupational Medicine This job requires access to confidential and critical information, requiring ongoing discretion and secure information management. This position is eligible to earn a base compensation rate in the state range of $280,000 to $315,000 depending on job-related factors as permitted by applicable law, such as level of experience, geographic location where the work is performed, and/or seniority. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation. Concentra is an equal opportunity employer that prohibits discrimination, and will make decisions regarding employment opportunities, including hiring, promotion and advancement, without regard to the following characteristics: race, color, national origin, religious beliefs, sex (including pregnancy), age, disability, sexual orientation, gender identity, citizenship status, military status, marital status, genetic information, or any other basis protected by federal, state or local fair employment practice laws.We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including but not limited to the Los Angeles County Fair Chance Ordinance, San Francisco Fair Chance Ordinance, and the San Diego County Fair Chance Ordinance. #LI-TG2
    $280k-315k yearly Auto-Apply 7d ago
  • Associate Medical Director (Part Time)

    Healthright 360 4.5company rating

    Medical director job in Orange, CA

    Be Well is located on the Be Well Orange County campus, which brings together mental health care services uniting public, private, academic, and faith-based organizations in a cooperative partnership that helps facilitate communication, bridge gaps, and eliminate barriers to care. The result is a more compassionate system of care that works better for everyone in the community. The 24/7/365 residential substance use disorder (SUD) treatment program provides 3.1, 3.3, and 3.5 ASAM levels of care for males and females, as well as 3.2 withdrawal management. There are 15 beds allocated for 3.1/3.5, 15 beds for 3.3and 12 beds for 3.2, for a total of 42 beds. The part-time (20 hours a week) Associate Medical Director is primarily responsible for the oversight and delivery of care. This is accomplished through the monitoring of clinical skills of providers and patient access to care, participation in the performance improvement process, assisting in the development of policies and procedures used to ensure quality patient care and the orientation of new providers. The Associate Medical Director is a member of the program leadership team and fosters teamwork, collaboration, and integration of all service areas. KEY RESPONSIBILITIES Responsibilities include oversight and delivery of care for patients suffering from substance use disorders and co-occurring psychiatry disease including withdrawal management. Other duties include: In conjunction with program leadership, creates, contributes to and implements policies pertaining to the HR360 behavioral and medical care. In collaboration with Nurse Manager, program leadership, regional leadership, and Medical Director works to ensure quality, efficient patient care. Provides full supervision in addition to clinical supervision and oversight for Advanced Practice Providers including entering into Collaborative Agreements with the Advanced Practice Provider, providing supervision and having input in the clinical review, performance appraisal, peer review and hiring and termination providers and clinical support staff. Provides supervision and oversight of quality of care among providers and ancillary staff in clinical areas. This includes being available for consultations. Supervises advanced practice providers: Participate in regular supervision meetings with medical providers. Be available for consultations when difficult or complex patients arise. Review a set number of charts for each provider; this number will vary based one experience and credentials of the provider and will be determined by the Medical Director. When certain forms or documents require a physician signature, review said forms with provider and execute signature if care is appropriate. Strategize how best to allocate resources to support expanded services. Ensures that appropriate care is delivered to all patients; from withdrawal management and Residential Treatment Center (RTC) to Intensive Out Patient (IOP) and other outpatient services. Fosters integration of services at the programs. Champions Quality Improvement efforts. Ensures patient access to care by monitoring provider productivity targets. In conjunction with the Medical Director supports providers in attaining goals through practice management or other support. Work with Nurse Manager to ensure adequate productivity of nursing staff as set forth by the organization. Work with Medical Director to ensure adequate productivity of providers (MD/DO/NP/PA) as set forth by the organization. Is an active member of the program leadership team. Actively fosters collaboration and furthers integration efforts among service areas. Clinical Staff Direction Responsibilities: Reviews employee performance provides feedback and makes recommendations for individual performance improvement and development for medical providers and other staff. Performs annual performance appraisal of providers. Orients new physicians and advanced practice providers; monitors performance during initial employment and thereafter through peer review, chart audits, utilization review and other processes. Responds to patient requests for information and assistance (e.g., form completion, prescription refills, etc.) in a timely manner. Provides on-call after-hours availability as requested by the Medical Director. Works evening and weekends as required. Works directly with the Nurse Manager to provide competent care and provides oversight of nursing staff. Provides withdrawal management services, MAT, as well as behavioral and Incidental Medical Services related medical and psychiatric care in the RTC and IOP settings. Agency Development/Support Responsibilities: Attends and participates in Integrated Team Meetings. Able to precept for medical students, residents, and fellows -educate, train, and supervise volunteers when necessary. Supports and actively participates in clinical performance improvement initiatives. Participates in on going internal and/or external leadership development opportunities. Administrative Responsibilities: Participates in Peer Reviews to improve quality of clinical services. Provides clinical leadership to the program in collaboration with the divisional director and managing director. Monitors the performance of the program and works with the divisional director and managing director to improve the quality and efficiency of care and service provided to participants. Provides training and consultation to treatment staff. Attends required training and meetings. Supervises nurse practitioners and licensed vocational nurse or licensed psychiatric technicians. Responsible for all performance management including performance improvement plans, formal written warning notices and terminations of all direct reports as needed and in consultation with Divisional Director and/or Managing Director. Ensure that program's physicians are adequately trained to perform other physician duties, if applicable. Compliance responsibilities: Compliance responsibilities include co-signing treatment plans and medical necessity determinations as required by funder requirements. Understands and ensures compliance with policies and procedures to manage risk. Ensures compliance with HIPAA, 42CFR regulations and all other funding mandates and licensing requirements. Ensures program staff, management, and other senior management are informed on quality-of-care concerns through regular reporting and/or team discussions. Develop protocols and work in collaboration with Quality Assurance and management team to develop policies regarding medication assisted treatment. Training responsibilities: Training responsibilities include developing and conducting training in clinical topics related to the delivery of medication services. Ensuring all direct reports are properly trained and updated on HIPAA regulations and compliance as well as any other ongoing compliance and regulatory requirements. Documentation Responsibilities: Collaborates with each caseload participant and other available internal and external resources to develop/maintain treatment plans, transition plans, progress notes and appropriate updates in support of the health and recovery needs of the participant. Maintain documentation in compliance with agency, HIPAA, 42CFR, and funder standards. Properly documents all services provided and completes admission and discharge paperwork/process and required agency assessments in timely manner and ensure that the golden thread is documented throughout the chart. Develop and assess effectiveness of individualized treatment plans and participant progress. Assist in ongoing maintenance of participants' charts and other related documentation. Ensure that all clinical documentation is completed in a timely and accurate manner and entered into the various electronic systems. EDUCATION AND KNOWLEDGE, SKILLS AND ABILITIES QUALIFICATIONS: Education and Experience Required: A valid and unrestricted California Physician's License (MD or DO) with a specialty in psychiatry and / or addiction medicine Sub-specialty in Addiction Medicine or significant clinical experience in Addiction Medicine Valid DEA certificate, X-waiver, 275 cap. Knowledge of third-party payer requirements, California practice guidelines and malpractice laws, * Title 22, Bureau of Primary Care and state funding sources preferred, and 42 CFR/HIPAA. Will maintain required CME and other professional requirements to maintain the above. Experience serving adults with chronic medical conditions and co-occurring severe mentally illness and substance use challenges A minimum 5 years post-licensure experience in direct participant care, ideally in intensive psychiatric and substance use treatment settings Desired: Board Certification in Addiction Medicine Knowledge Required: Culturally competent and able to work with a diverse population Strong proficiency with Microsoft Office applications, specifically Word Outlook and internet applications Experience working successfully with issues of substance abuse, mental health, and other potential barriers to economic self sufficiency Knowledge and respect of all confidentiality issues. Knowledge of and experience with providing culturally competent and trauma informed services
    $209k-326k yearly est. 32d ago
  • Medical Director- Hospital & Ancillary Relations

    IEHP 4.7company rating

    Medical director job in Rancho Cucamonga, CA

    What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! The Medical Director of Hospital & Ancillary Relations serves as a physician advisor / dyad partner to other members of the Hospital and Ancillary Relations leadership team in providing clinical leadership and guidance toward operational and quality improvement activities aimed at achieving the strategic initiatives set forth by Plan administration as they relate to hospital and ancillary services. The Medical Director of Hospital and Ancillary Relations leverages their knowledge and experience in health care operations and team dynamics to effectively collaborate with health plan and provider leaders and departments, soliciting input and support in identifying and implementing practice activities and setting appropriate standards to improve care delivery within the hospital and ancillary setting. Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Additional Benefits Perks IEHP is not only committed to healing and inspiring the human spirit of our Members; we also aim to match our Team Members with the same energy by providing prime benefits and more. CalPERS retirement 457(b) option with a contribution match Generous paid time off- vacation, holidays, sick State of the art fitness center on-site Medical Insurance with Dental and Vision Paid life insurance for employees with additional options Short-term, and long-term disability options Pet care insurance Flexible Spending Account - Health Care/Childcare Wellness programs that promote a healthy work-life balance Career advancement opportunities and professional development Competitive salary with annual merit increase Team bonus opportunities Key Responsibilities Identify clinical practice opportunities within business unit projects and activities and apply clinical and administrative skills to guide the department in implementing strategic, organizational and departmental improvements. Provide clinical leadership to implement, manage and achieve hospital and ancillary optimal care goals utilizing existing channels (i.e., Joint Operations Meetings, Inland Empire Alliance meetings, throughput and quality workgroups, etc.), and via development of new avenues for implementation of novel approaches to identified challenges and highlighting best practices. Develop relationships with internal and external clinical leadership teams and focuses on mutual goals to improve the quality of medical and ancillary services to advance optimal care (i.e., pediatric strategy, quality network implementation for hospitalist, hospice, post-acute services) and promote appropriate utilization of resources. Inform and educate hospital and ancillary clinicians about relevant changes in clinical best practices, regulatory mandates, and other relevant information to support the health plan's strategies (i.e., palliative care initiatives, peer review program expectations). Maintain an updated and expanded knowledge base on factors that affect hospital and ancillary services, and ensures that relevant information about social, medical, and fiscal issues are incorporated into IEHP policies, procedures, and strategies (i.e., All-Plan Letters, state and federal regulations). Organize, coordinate, monitor, and promote the activities of the contracted medical providers to help ensure that the quality and appropriateness of services meets community standards. This may include collaboration with departmental leadership to educate and train clinicians in standards of care (i.e., specialty-specific care, evidenced-based practices, infection control practices, etc.). Provide recommendations for research and development activities in strengthening quality improvement efforts for the medical providers in hospital and ancillary areas. (i.e., Hospitalist Pay for Performance program). Articulate the importance and mission of the work surrounding hospice and post-acute services (i.e., SNF, long-term care, home health) to the community; specifically, how these impact hospital care quality and throughput, and Member/patient experience. Participate in the development and delivery of educational programs geared towards improving the practice of clinicians including, but not limited to, physicians, mid-level providers, etc. in various settings. Leverage knowledge of clinical, regulatory, social, political, and economic factors to provide feedback, as appropriate, to legislators and public policy makers about existing and proposed laws and regulations impacting hospital and ancillary care services. (i.e., payment practices). Monitor and improve quality of care delivered by medical providers rendering care to IEHP Members via a quality assessment and performance improvement program that encourages self- evaluation, anticipates, and plans for change, and meets regulatory requirements. Utilize results of quality assessment and performance improvement program findings to: a. Update and improve contracts, the medical provider evaluation process, financial incentives (i.e., pay for performance or value-based care integration), policies, procedures, and practices. b. Suggest, seek approval for and operationalize performance improvement activities aimed at closing gaps related to network adequacy, adequate utilization of available services (i.e., palliative care) and/or elevation of care delivery via innovative approaches. c. Identify solutions to problems that utilize a collaborative approach, including integration efforts with hospital, ancillary and community resources and services. Ensure, with other Medical Directors as appropriate, that Hospital and Ancillary Service Medical Staff and Contracted Medical Providers are providing appropriate care for IEHP Members including but not limited to availability of qualified medical consultative staff and oversight of their medical staff quality performance. Collaborate with Health Services to hold practitioners accountable for their utilization management activities (admissions, and transfers, including related orders and contracted facility case mix), engagement in interdisciplinary teams, performance, and practice, including corrective actions and adequate documentation of patient care as needed. Review recovery audit denials and appeals inclusive of second level appeal letter, second level medical necessity review, and peer to peer reviews. Perform any other duties as required to ensure Health Plan operations and department business needs are successful. Qualifications Education & Requirements Five (5) years of post-residency or licensure experience in a recognized specialty that includes but is not limited to Family Medicine, Internal Medicine, Pediatrics, and Emergency Medicine Experience in quality, care coordination, utilization management in an inpatient, ACO or FQHC environment Strong product and program management experience, product delivery, product environments, and management consulting Preferred: At least three (3) years of administrative experience. Experience is in a variety of clinical settings including inpatient, outpatient practice, and community-based care settings Medical Degree in a clinically related field (e.g., MD, DO) from an accredited institution required Preferred: Additional Master's Degree (e.g., MS, MPH, MBA) from an accredited institution Possession of an active, unrestricted, and unencumbered Physician's and Surgeon's Certificate issued by the State of California Medical Board required (A physician certified in a state other than California may be employed prior to receipt of California certification provided that an application for a California physician and surgeon's certificate is filed in the state of California prior to date of appointment.) Key Qualifications Valid California Driver's License preferred Strong knowledge and understanding of: Medical practice and understanding of clinical operations in the hospital and ancillary setting Various regulatory bodies and setting-specific requirements, including DHCS, NCQA, CMS, TJC/DNV. Current trends in health care and clinical operations Administrative practices and procedures including but not limited to quality assessment and improvement, care coordination, utilization review, peer review, credentialing and risk management Rules regulations, policies, and standards related to managed care Principles of effective supervision and organization Methods, techniques, practices, principles, and literature in the broad field of medical sciences Overview of the highly specialized techniques, procedures, and equipment used in the medical or surgical specialties Excellent Word, Excel, and PowerPoint skills. Superb communication skills, including oral and written presentation. Strong leadership skills Proven ability to: Communicate difficult concepts in a concise, elegant, and effective ways to key stakeholders, including providers, to reach consensus Be a team player with an ability to build trust with internal and external stakeholders Educate and train Be compassionate Start your journey towards a thriving future with IEHP and apply TODAY! Work Model Location This position is on a hybrid work schedule. (Monday & Friday - remote, Tuesday - Thursday onsite in Rancho Cucamonga, CA.) Pay Range USD $246,355.20 - USD $344,905.60 /Yr.
    $246.4k-344.9k yearly Auto-Apply 7d ago
  • Physician Medical Director

    Opportunitiesconcentra

    Medical director job in Montebello, CA

    Bonus Potential! Monthly and Quarterly Bonus Incentives! Are you looking for a physician practice with a family environment, but with the benefits and support a large organization can provide? Where daily patient care is backed by evidenced based medicine and career options are limitless, then look no further! At Concentra, our Medical Directors spend most of their time clinically treating patients; the remaining time is focused on quality improvements and building the center business with the Center Leadership Team. This role offers an opportunity for physicians to blend their love of patient care with their management skills, working for the leader in the workplace health industry. Concentra is recognized as the nation's leading occupational health care company and one of “America's Greatest Workplaces," as noted in Newsweek. Responsibilities This clinic-based position provides direct patient care, leading by example, and creating an exceptional patient experience Provides leadership in healthcare management to ensure day-to-day execution of medical model collaborating with therapists and specialists to drive optimal clinical outcomes and case closure Manages clinicians, support staff, and complies with APC supervisory requirements Creates a professional and collaborative working environment Works with leaders to identify and implement changes to ensure continuous medical clinic improvement Maintains relationships with center clients and payers Works with medical clinic leadership team to manage clinical and support staffing levels Promotes, cultivates, and exemplifies Concentra values for all clinic colleagues Fosters an environment of collaboration, professionalism, patient/colleague safety, quality care, continuous improvement and reward and recognition Possesses financial awareness and provides input to clinic budget and key business metrics Why Choose Us With more than 40 years of experience, Concentra is dedicated to our mission to improve the health of America's workforce, one patient at a time. With a wide range of services and proactive approaches to care, Concentra colleagues provide exceptional service to employers and exceptional care to their employees. This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. . Qualifications Active and unrestricted medical license Unrestricted DEA license and dispensing license for state of jurisdiction (required prior to start date) Must be eligible to participate in Medicare Board Certification or Eligibility in an ABMS or AOA recognized specialty preferred FMCSA NRCME certification preferred or willingness to obtain Additional Data Many of our clinics offer working hours M-F, 8 to 5, no nights, no weekends, no holidays - along with 30+ days off a year. Compensation package: Competitive base salary with annual merit increase opportunity Monthly Medical Director Stipend Monthly RVU Bonus Incentive Quarterly Quality Care Bonus Incentive Generous Paid Time Off package for new colleagues include: 24 days of Paid Time Off (annually, with roll-over) 6 days of Paid Illness Days (annually, with roll-over) 5 days of Paid CME Time (annually) 6 Paid Holidays Claims Based Medical Malpractice Coverage, including Tail coverage Reimbursement for dues on renewal of applicable licensure, certifications, memberships, etc. 401(k) with Employer Match Medical/Vision/Prescription/Dental Plans Life/Disability Insurance Colleague Referral Bonus Program Unmatched potential to grow your career, whether it be leadership or subject matter expert Tickets at Work: Corporate Discounts with most Fortune 500 goods & services Relocation assistance available upon request Opportunity to teach residents and students Training provided in Occupational Medicine This job requires access to confidential and critical information, requiring ongoing discretion and secure information management. This position is eligible to earn a base compensation rate in the state range of $265,000 to $310,000 depending on job-related factors as permitted by applicable law, such as level of experience, geographic location where the work is performed, and/or seniority. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation. Concentra is an Equal Opportunity Employer, including disability/veteran Concentra is an equal opportunity employer that prohibits discrimination, and will make decisions regarding employment opportunities, including hiring, promotion and advancement, without regard to the following characteristics: race, color, national origin, religious beliefs, sex (including pregnancy), age, disability, sexual orientation, gender identity, citizenship status, military status, marital status, genetic information, or any other basis protected by federal, state or local fair employment practice laws. We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including but not limited to the Los Angeles County Fair Chance Ordinance, San Francisco Fair Chance Ordinance, and the San Diego County Fair Chance Ordinance. LI-JW1
    $265k-310k yearly Auto-Apply 6d ago

Learn more about medical director jobs

How much does a medical director earn in Riverside, CA?

The average medical director in Riverside, CA earns between $151,000 and $361,000 annually. This compares to the national average medical director range of $143,000 to $369,000.

Average medical director salary in Riverside, CA

$234,000

What are the biggest employers of Medical Directors in Riverside, CA?

The biggest employers of Medical Directors in Riverside, CA are:
  1. National Veterinary Associates
  2. Molina Healthcare
  3. Anyplace Md
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