Internal Medicine Physician

We are seeking a Remote Medical Director for a non-clinical role focused on prior authorization and medical necessity reviews. No direct patient care is required. Candidates must reside in the San Diego area and be available for occasional on-site meetings and trainings.

• Review prior authorization requests and determine medical necessity using evidence-based clinical guidelines.
• Approve, deny, modify, or redirect services as appropriate.
• Collaborate with nurses, physicians, and care management teams to support high-quality, cost-effective care.
• Participate in appeals, grievance reviews, retrospective claims reviews, and quality improvement initiatives.
• Serve as a clinical resource to providers on utilization management and patient care issues.

• MD or DO degree required.
• Board Certification in Internal Medicine strongly preferred.
• Minimum 5 years of clinical experience required...