Live opening · Posted 4 days ago
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About the role
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Company Description Altais is transforming healthcare by centering physicians and patients in the delivery of value-based care. The organization brings together a growing multi-specialty physician group, clinically integrated networks, and a population health service organization to improve quality and efficiency. Led by physicians and industry experts, Altais co-designs solutions that simplify care delivery, optimize operations, and advance technology that supports clinicians. The company currently supports more than 5,000 physicians and advanced practice clinicians who care for over 500,000 patients across California. As Altais expands nationwide, it remains focused on helping physicians thrive so patients and communities can flourish.
Role Description The Medical Director is a full-time, remote role responsible for providing clinical leadership and guidance across Altais programs and initiatives. This position is at the center of ensuring the clinical quality of value-based care. The Medical Director partners with operations, technology, and population health teams to improve workflows, integrate clinical decision support tools, and enhance patient outcomes. Day-to-day responsibilities include reviewing utilization management case reviews, including prior authorization, concurrent inpatient review, appeals, claims reviews, pharmacy reviews, peer to peer interactions.
Qualifications
Clinical expertise in Medicine with board certification and experience in direct patient care
Demonstrated ability in Working with Physicians, including collaboration, coaching, and medical staff leadership.
Active, unrestricted medical license in an appropriate U.S. state; eligibility for licensure in additional states is beneficial.
Experience with value-based care, population health management, or clinically integrated networks.
Strong analytical skills and familiarity with quality metrics, clinical guidelines, and performance improvement methodologies.
Excellent communication skills, with the ability to engage diverse clinical and non-clinical stakeholders in a remote environment.
Prior Utilization Management experience is preferred.
Work arrangement
Yes
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