UCLA Outpatient Clinics
Medical Director, Clinical Operations (NCHP)
UCLA Outpatient Clinics, Los Angeles, California, United States, 90079
Description
Are you passionate about evidence-based medicine and improving care for Medicare Advantage members? UCLA Health Medicare Advantage Plan is looking for a dedicated and forward-thinking Medical Director, Clinical Operations to help shape the future of our plan.
In this key leadership role, you’ll work closely with the Medical Director, Department of Health Services and play a vital part in scaling Health Services functions. Your work will directly support our Health Services Department in delivering high-quality, appropriate, and patient-centered care.
What you’ll do
Provide clinical determinations for UM (prior authorizations, concurrent reviews, appeals, grievances, peer-to-peer).
Partner with clinical and operational leaders to ensure high-quality, cost-effective care.
Collaborate with the Pharmacy team on safe, effective medication use; participate in drug review rounds and P&T Committee.
Contribute to interdisciplinary care team rounds for complex case management.
The UCLA Health salary range for this title code is $123,500-$302,600/annually. Please note that the department's target pay range is $250,000- $300,000/annually.
Note: This position is a flexible-hybrid role that requires one day a week on-site in Los Angeles, CA.
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In this key leadership role, you’ll work closely with the Medical Director, Department of Health Services and play a vital part in scaling Health Services functions. Your work will directly support our Health Services Department in delivering high-quality, appropriate, and patient-centered care.
What you’ll do
Provide clinical determinations for UM (prior authorizations, concurrent reviews, appeals, grievances, peer-to-peer).
Partner with clinical and operational leaders to ensure high-quality, cost-effective care.
Collaborate with the Pharmacy team on safe, effective medication use; participate in drug review rounds and P&T Committee.
Contribute to interdisciplinary care team rounds for complex case management.
The UCLA Health salary range for this title code is $123,500-$302,600/annually. Please note that the department's target pay range is $250,000- $300,000/annually.
Note: This position is a flexible-hybrid role that requires one day a week on-site in Los Angeles, CA.
#J-18808-Ljbffr