# Physician / Internal Medicine / California / Permanent /…

> Source: https://confidential.careers/job-detail/physician-internal-medicine-california-permanent-remote-medical-director-prior-authorization-experience-needed-pomona-california-job-integrity-healthcare-pomona

# Physician / Internal Medicine / California / Permanent / Remote Medical Director " Prior Authorization Experience Needed - Pomona, California Job

Integrity Healthcare... 

** Pomona, United States ** Full Time ** Healthcare Jobs ** United States ** New

[Apply Now](https://confidential.careers/go/11570461) ** Save 

## Job Description

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 LAarea 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 required.

Board Certification in Internal Medicine strongly preferred. Minimum 5 years of clinical experience required. 2+ years of managed care, health plan, or utilization management experience preferred. Strong knowledge of prior authorization processes and medical necessity criteria.

Excellent communication, organizational, and decision-making skills. Proficiency with Microsoft Office and remote work technology. Compensation & Benefits Salary: $250,000"$350,000 annually DOE.

Comprehensive benefits package including medical, dental, vision, 401(k), paid time off, life insurance, FSA, tuition reimbursement, CME/license reimbursement, and employee assistance programs. This is an excellent opportunity to join one of Southern California's fastest-growing physician organizations in a leadership role that supports quality patient care while maintaining work-life balance.

Posted August 17, 2026