Medical Director

Altais

. Report directly to the Senior Medical Director with a dotted line to the Chief Officer for Health and Innovation .

Posted 9/21/2026full-timeRemote • California • United StatesLead💰 $222,750 - $267,300 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in Utilization Management, including policy development, network management, and physician education. Proven ability to lead clinical teams and enhance healthcare service delivery while ensuring compliance with medical standards.

Highest-signal resume keywords

Utilization ManagementDoctor Of Medicine DegreeCalifornia LicensureBoard CertificationManaged Care Experience

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Policy DevelopmentClinical Guidelines ApplicationChart ReviewCost Containment ManagementAuthorization Review Criteria Development

Soft Skills

LeadershipCollaborationCommunicationRelationship Management

Certifications & Qualifications

Board Certification

Industry Keywords

Healthcare ServicesQuality ManagementPeer ReviewPatient SafetyCase Management

About the role

Key responsibilities & impact

Report directly to the Senior Medical Director with a dotted line to the Chief Officer for Health and Innovation
Ensure delivery of high-quality, efficient and comprehensive healthcare services throughout the continuum of care
Develop and implement Utilization Management policy and procedures
Enhance efficiency and quality of care through effective network management
Develop and maintain collaborative relationships with key providers and thought leaders
Provide leadership and direction to UMC primary care and specialist physicians
Co-chair utilization management, quality management, peer review and patient safety committees as needed
Interface with health plans regarding benefits, coverage issues, appeals and HMO hearings
Manage care in a cost-containment manner without compromising health outcomes
Facilitate clinical rounds with Case Managers and Management to meet bed day performance goals
Engage network physicians regarding performance, cost, clinical appropriateness and authorizations
Develop UM policies, authorization review criteria and physician education forums
Address case management problems and participate in IDCT Meetings
Support physician education on UM and provide input into UM goals and objectives
Coordinate prospective, concurrent and retrospective review, including denial or approval of outside medical service referrals
Develop and maintain written medical care protocols and assure UM standardization
Conduct chart reviews for appropriateness of applying clinical guidelines
Serve as physician-to-physician liaison for UM-related issues
Prepare and review Decision Validation Criteria as required by UM
Attend required UM, health plan, hospital and One Altais meetings

Requirements

What you’ll need

Doctor of Medicine degree
Valid California licensure
Current Board certification, preferably in a broad based specialty such as Internal Medicine, Family Practice, Emergency Medicine, Geriatrics, General Surgery or Pediatrics
Minimum of twelve (12) years as a practicing inpatient and outpatient physician in a managed care environment
Active and in good standing unrestricted MD licensure in the state of California
External hires must pass a background check/drug screen

Benefits

Comp & perks

Excellent medical, vision, and dental coverage
401k savings plan with a company match
Flexible time off and 9 Paid Holidays
Eligible to participate in the annual bonus program
Competitive compensation package
Robust benefits program