Associate Medical Director [High Salary]

Company: UCLA Health
Location: Los Angeles
Posted on: November 3, 2025

Job Description:

Summary Information Job : 26644 Work Location: US – Los Angeles , CA Salary: $123500-302600 Annually Work Hours: Monday – Friday, 8:00am – 5:00pm PST; additional weekends and holiday coverage prn as business needs arise Job Type: 2 – Staff: Career Duration: Indefinite Posted Date: September 17, 2025 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 Associate Medical Director to help shape the future of our plan. In this key leadership role, you’ll work closely with the UHMAP Medical Director and play a vital part in developing and guiding clinical policy that’s grounded in the latest scientific research and Medicare guidelines. Your work will directly support our Health Services Department in delivering high-quality, appropriate, and patient-centered care. What you’ll do: - Lead the development, implementation, and training of medical policies. - Provide clinical determinations for UM (prior authorizations, concurrent reviews, appeals, grievances, peer-to-peer). - Support day-to-day UM and Clinical Appeals operations. - 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. - Serve as clinical SME for network/provider relations and present at provider education sessions. Salary Range: $123,500-302,600/annually Qualifications We’re seeking a dynamic and strategic individual with: - MD or DO degree, required - Active, unrestricted California State Medical License, required - Completion of residency in an adult-based primary care specialty (e.g., Internal Medicine, Family Medicine, Geriatrics), required - Board Certification in an ABMS, ABOS, or AOA-recognized specialty (preferably Internal Medicine or Family Medicine), required - 5 or more years of direct patient care experience post residency, required - Minimum of 2 years medical leadership experience, required - Minimum of 2 years of experience in Utilization Management, required - Minimum of 2 years in developing evidence-based guidelines, medical policies, or conducting systematic literature review, required - 2 or more years of experience working within a health plan, required - Knowledge of Medicare Advantage experience with utilization management, quality improvement, or case management, required - Familiarity with evidence-based guidelines, MCG/InterQual, and ICD/CPT coding, preferred - Experience with population health and CMS STAR ratings, preferred - Ability to lead and influence in a matrixed organizational structure - Mastery of clinical policy development and application

Keywords: UCLA Health, Los Angeles , Associate Medical Director [High Salary], Healthcare , Los Angeles, California