Associate Medical Director

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 :

Compensation Information :

$123500.00 / Annually - $302600.00 / Annually