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Remote Medical Director – Prior Authorization Experience Needed – Pomona, California

Integrity Healthcare
📍 Pomona, California, United States 💼 Permanent 🕒 Posted July 08, 2026
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Job Description

  • Location: Pomona, California
  • Type: Permanent
  • Job #34962

    • 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 LA area and be available for occasional on-site meetings and trainings.

    Responsibilities

  • 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.

    • Qualifications

  • MD or DO degree req...

    • Ready to Apply?

    Submit your application today and join our talented team at Integrity Healthcare.

    Submit Application

    Job Details

    • Location Pomona, California
    • Job Type Permanent
    • Category Other Management Occupations
    • Posted Date July 08, 2026
    • Application Deadline August 17, 2026