Associate Medical Director

Job Description

A rapidly growing healthcare management organization is seeking a Medical Director to support clinical operations, care coordination, utilization management, and physician communication across a large provider network. The organization focuses on chronic disease management, care-transition support, and administrative streamlining for physicians and hospitals, helping providers deliver high-quality patient care while reducing administrative burden. Operating within a Medicare Advantage–focused model, the organization provides access to an integrated network of primary care physicians, specialists, and hospitals, while also supporting key administrative functions such as prior authorizations, clinical review, and care-planning coordination.

This role is ideal for a business-minded, early-career physician—preferably just out of residency with hospitalist or holistic clinical experience—who is eager to step into a clinical leadership position. The Medical Director will provide direction to a team, participate in evening calls and weekend authorizations, and serve as a key liaison to physicians and clinical partners. Candidates must live within driving distance of Beverly Hills, CA, and be open to occasional travel.

Responsibilities

• Perform utilization management duties, including prior authorizations, concurrent reviews, appeals, grievances, and peer-to-peer discussions.
• Provide workflow direction and daily clinical guidance.
• Conduct clinical coverage reviews and make coverage determinations based on member benefits, medical policies, and national guidelines.
• Participate in calls for clinical authorizations and oversight.
• Document all clinical review findings in accordance with regulatory and accreditation requirements.
• Communicate and collaborate with network and non-network providers, educating them on benefit plans and medical policies as needed.
• Engage in peer-to-peer consultations to clarify clinical decisions and support appropriate care pathways.
• Interpret and apply benefit language, coverage criteria, and organizational policies during reviews.
• Partner with internal teams to improve workflows and support clinical and operational strategy.
• Assist in the development and training of medical policies and clinical guidelines.
• Participate in call-coverage rotation and occasional travel for meetings or trainings.
• Other duties as assigned.

Requirements

• MD or DO with completed residency; early-career physicians strongly encouraged to apply.
• Hospitalist or broad holistic clinical experience preferred.
• Available for 3–4 evening calls weekly and approximately 1 hour of weekend authorization coverage.
• Strong clinical judgment and comfort speaking with other physicians during reviews and peer-to-peer discussions.
• Business-minded, adaptable, and eager to grow in a clinical-operations leadership role.
• Ability to lead and direct workflow for a large team without formal management duties.
• Availability for evening and weekend call requirements.
• Must live within driving distance of Beverly Hills, CA.
• Professional, organized, and confident communicator.
• Comfortable with occasional travel.