NewMedical Director - Sleep Medicine - Remote UnitedHealth Group Inc.Medical Director - Sleep Medicine - RemoteLos Angeles, CARemote$248,500–$373,000 / yearThe Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process with both network and non-network physicians, as well as other Enterprise Clinical Services. The Medical Director collaborates with Enterprise Clinical Services leadership and staff to establish, implement, support, and maintain clinical and operational processes related to benefit coverage determinations, quality improvement and cost effectiveness of service for members.
Medical Director - Torrance Companion Animal Hospital PetVet Care CentersMedical Director - Torrance Companion Animal HospitalTorrance, CA$225,000–$250,000 / yearThis leadership role is ideal for a veterinarian who enjoys fostering a positive hospital culture, ensuring medical excellence, and inspiring a team committed to compassionate, high-quality medicine. Pay Range $225,000—$250,000 USD At PetVet Care Centers, we're committed to a Culture of Care — for pets, for the people who love them, and for the team members who make it all possible.
NewMedical Director, Clinical Policy L.A. Care Health PlanMedical Director, Clinical PolicyLos Angeles, CAThis position ensures clinical policies and utilization management frameworks are evidence-based, operationally sound, compliant with regulatory and accreditation requirements, and aligned with organizational goals related to quality, safety, affordability, and member experience. The Medical Director oversees policy architecture, authorization strategy, and utilization oversight across all lines of business, ensuring clinical intent is accurately translated into authorization requirements, coding structures, and system configuration through partnership with internal teams.
Associate Medical Director - Post Acute Care Elevance Health IncAssociate Medical Director - Post Acute CareWoodland Hills, CA$179,503–$307,732 / yearMinimum 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). 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.
Appeals Medical Director- Cardiology Elevance Health IncAppeals Medical Director- CardiologyWoodland Hills, CA$247,840–$446,112 / yearMinimum 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). 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.
Regional Medical Director AltaMedRegional Medical DirectorCommerce, CA$348,247.42–$417,896.90 / yearAdditionally, this position shall be responsible for overseeing all clinical aspects of utilization management, case management, chronic disease case management, and all other areas necessary to facilitate the appropriate use of resources for senior patients and participants. The Regional Medical Director-PACE must be a clear and compelling communicator with a demonstrated ability to motivate, guide, influence, and lead others, including the ability to translate detailed analysis and complex materials into compelling communications.
National Medical Director, Clinical AI Innovation And Performance - Remote UnitedHealth Group Inc.National Medical Director, Clinical AI Innovation And Performance - RemoteLos Angeles, CARemote$386,500–$579,500 / yearThe MD will establish efficient and consistent annotation, training and testing models to ensure medical policies are accurately interpreted, evidence based, consistently applied, and operationally effective, This role serves as the clinical authority for guideline interpretation, clarification, and enhancement, ensuring that approved medical policy and supporting evidence are translated into UM clinical criteria that enable appropriate coverage decisions, support safe and effective care, and scale across enterprise operations. MD will also be a key member of the UCS clinical and AI leadership team, collaborating on clinical program design, data models, AI use and modernization.
Regional Medical Director AltaMed Health Services CorpRegional Medical DirectorCA$348,247.42–$417,896.90 / yearAdditionally, this position shall be responsible for overseeing all clinical aspects of utilization management, case management, chronic disease case management, and all other areas necessary to facilitate the appropriate use of resources for senior patients and participants. The Regional Medical Director-PACE must be a clear and compelling communicator with a demonstrated ability to motivate, guide, influence, and lead others, including the ability to translate detailed analysis and complex materials into compelling communications.
Medical Director - Prior Authorization - CA licensure required - Remote UnitedHealth Group IncMedical Director - Prior Authorization - CA licensure required - RemoteTorrance, CARemote$248,500–$373,000 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. The scope of this role will include Prior Authorization for Medicare Advantage members focusing on high value procedures such as Myocardial SPECT, PET scans, DME/Home Ventilator, Genetic Testing, and many more.
Medical Director, Behavioral Health (PST Zone) Molina Healthcare IncMedical Director, Behavioral Health (PST Zone)CACertified 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. JOB DESCRIPTION Job SummaryProvides medical oversight and expertise related to behavioral health and chemical dependency services, and assists with implementation of integrated behavioral health care programs within specific markets/regions.
NewMedical Director - Orthopedic Surgeon - Remote From Anywhere UnitedHealth Group Inc.Medical Director - Orthopedic Surgeon - Remote From AnywhereLos Angeles, CARemote$248,500–$373,000 / yearWe are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes.
Medical Director - Spine CVS Health CorpMedical Director - SpineCA$174,070–$374,920 / yearBenefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. Leads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities.
Veterinarian Medical Director Trusted VetVeterinarian Medical DirectorTorrance, CaliforniaAs the medical director, you'll uphold and advance the hospital's medical protocol, guide and mentor associate veterinarians and partner with leadership on workflow efficiency. To ensure a healthy balance, administrative blocks will be built directly into your schedule to allow for quality time to be spent between each area of focus as the medical director.
NewNational Medical Director Clinical Program Governance, Evaluation, And Innovation - Remote UnitedHealth Group Inc.National Medical Director Clinical Program Governance, Evaluation, And Innovation - RemoteLos Angeles, CARemote$386,500–$579,500 / yearThe portfolio of efforts for which the incumbent will provide guide and lead, in collaboration with the National CMO of CEG 3includes: Clinical Program Governance process and team which is charged with ensuring deployed clinical programs represent our best opportunity to improve health, optimize member and provider experience while reducing unwarranted healthcare spending. This physician is responsible for supporting and driving key clinical program governance, disciplined evaluation, and leading a team testing innovative solutions and care models in close collaboration with the National CMO of the UCS Clinical Evidence Group.
Medical Director - Mohawk Alley Animal Hospital PetVet Care CentersMedical Director - Mohawk Alley Animal HospitalLos Angeles, CA$190,000–$200,000 / yearYou'll be near everything that makes Los Angeles special, from the iconic Downtown LA to Dodger Stadium, and within reach of beaches, mountains, and vibrant nightlife, including the renowned late-night taco trucks. Pay Range $190,000—$200,000 USD At PetVet Care Centers, we're committed to a Culture of Care — for pets, for the people who love them, and for the team members who make it all possible.
NewAppeals Medical Director - Emergency Medicine Required - Remote UnitedHealth Group Inc.Appeals Medical Director - Emergency Medicine Required - RemoteCypress, CARemote$248,500–$373,000 / yearCommunicate with UnitedHealthcare Regional and Plan medical directors and network management staff regarding access, availability, network, and quality issues. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
NewAppeals Medical Director - Remote UnitedHealth Group Inc.Appeals Medical Director - RemoteCypress, CARemote$248,500–$373,000 / yearCommunicate with UnitedHealthcare Regional and Plan medical directors and network management staff regarding access, availability, network, and quality issues. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
NewAppeals And Grievances Medical Director Reconsiderations - Remote UnitedHealth Group Inc.Appeals And Grievances Medical Director Reconsiderations - RemoteCypress, CARemote$248,500–$373,000 / yearTotal cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. Communicate with UnitedHealthcare Regional and Plan medical directors and network management staff regarding access, availability, network, and quality issues.
NewMedical Director Clever Care Health Plan IncMedical DirectorHuntington Beach, CAThis role is a good fit for someone who enjoys working closely with a team, talking through real cases and operational questions, and partnering with clinical and operational leaders to make timely, thoughtful, well-documented decisions that support members and providers while staying aligned with CMS and plan requirements. Provide clinical oversight and physician guidance for Health Risk Assessments (HRAs), Individualized Care Plans (ICPs), Interdisciplinary Care Team (ICT) activities, and Transitions of Care (TOC) to ensure clinical appropriateness, regulatory compliance, and high-quality member care.
Global Safety Medical Director - Global Safety Officer, Oncology Amgen IncGlobal Safety Medical Director - Global Safety Officer, OncologyThousand Oaks, CAIn addition to the base salary, Amgen offers a Total Rewards Plan, based on eligibility, comprising of health and welfare plans for staff and eligible dependents, financial plans with opportunities to save towards retirement or other goals, work/life balance, and career development opportunities that may include: A comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts. As an organization dedicated to improving the quality of life for people around the world, Amgen fosters an inclusive environment of diverse, ethical, committed and highly accomplished people who respect each other and live the Amgen values to continue advancing science to serve patients.