California Licensed Medical Review Manager
Job Summary
To support healthcare operations, the remote California Licensed Medical Review Manager will oversee teams of physicians and clinical professionals, ensuring high-quality medical necessity reviews and regulatory compliance while managing budgets and driving process improvements.
Key responsibilities
- Provides strategic leadership for multidisciplinary teams focused on medical necessity determinations and clinical quality reviews
- Ensures compliance with regulatory, accreditation, and contractual requirements governing medical review operations
- Develops and implements process improvements to enhance clinical review quality and efficiency
Required qualifications
- Five or more years of support services, project, or program experience
- Five or more years of leadership or supervisory experience
- Experience working with technology industry products and operating systems
- Experience in proposal development
- Must reside in the State of California
Complete Job Description
The complete job description is available to members. Premium membership includes:
Full access to 41,592 remote jobs from human-vetted companies, updated daily
Resume Builder - AI-powered tool to craft, enhance, and tailor your resume to a specific job
Twice-monthly live group coaching and the full Remote Career Center
20% member discount on Career Services
Backed by a 30-day money-back guarantee
Company Company Name
Headquarters Headquarters
Founded Founded
Website
The company description is available to members. Go Premium for full access to every job and company profile in our remote jobs database, backed by a 30-day money-back guarantee.
