Curative · 2 months ago
Prior Authorization Medical Director Physician - Los Angeles, California Area - Work From Home
Burbank, CA, US
Full-time
Hybrid
Mid, Senior Level
5+ years expCurative is a well-established group of innovators in value-based care, seeking a Prior Authorization Medical Director to join their team. The role involves managing medical management principles, reviewing prior authorization requests, and coordinating care for high-risk patients.
Health CareHealth DiagnosticsHealth InsuranceMedicalMedical DevicePersonal Health
Responsibilities
Understand, promote, and manage the principles of medical management to facilitate the right care for patients at the right time and in the right setting
Review prior authorization requests for medical necessity using appropriate clinical guidelines
Identify high-risk patients and help coordinate care with the Employer’s high-risk team
Participate in meetings to review, develop, and continually improve internal quality improvement and peer review processes and programs
Perform prior authorization functions for various Employer campuses, should the need arise in cross coverage, secondary/tertiary review, or medical director decision-making
Perform retroactive claims review for outpatient and inpatient care, as needed
Qualification
Required
MD/DO degree required
Remote position, but candidate must live in the greater L.A. area for onsite meetings
Minimum of five years of prior clinical experience required
Preferred
At least two years of managed-care or health-plan experience preferred
Benefits
Comprehensive benefits including medical, dental, vision, and 401k
Sign on bonus
Ample paid time off
Company
Curative
Curative provides employer-based health insurance plans and healthcare services.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
$160.55MKey Investors
Upside Vision FundJustin Mateen
2025-11-28Series B· $152.55M
2020-09-23Series A· $8M
2020-02-01Seed
Leadership Team
Fred Turner
Chief Executive Officer
Isaac Turner
Chief Technology Officer
Recent News
Soma Capital
2026-01-09
2026-01-07
2026-01-03
Company data provided by crunchbase