Medical Director, Clinical Leadership Expert

1 week ago


Los Angeles, California, United States UCLA Health Full time

Key Clinical Leadership Role

Take on a pivotal clinical leadership position within a dynamic healthcare organization. Drive the delivery of high-quality, cost-effective care for Medicare Advantage members. Elevate your expertise and contribute to the success of New Century Health Plan.

Reporting to the Chief Medical Officer

You will play a critical role in leading clinical efforts to optimize care delivery and outcomes for Medicare Advantage members. Your responsibilities will include:

  1. Providing Clinical Leadership and Oversight

Ensure the highest standards of care and cost-effectiveness are maintained.

Managing Utilization and Case Management Activities

Drive efficiency and quality by effectively managing utilization and case management activities.

Overseeing Appeals, Grievances, and Potential Quality Issues

Ensure timely and effective resolution of appeals, grievances, and potential quality issues.

Developing and Implementing Clinical Strategies

Develop and implement clinical strategies to improve health outcomes and ensure compliance with regulatory requirements.

Collaborating with Senior Leaders

Collaborate with senior leaders to enhance the overall performance of the Medicare Advantage Plan.

Compensation Package

A competitive salary range of $142,100- $348,100/annually.



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