Medical Director - Utilization Management

astranahealth

9 days ago

Monterey Park, CA

Hybrid

Full Time

Senior

0 applicants

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About this role

Astrana Health is seeking a Medical Director for Utilization Management who will provide clinical oversight and strategic leadership in their utilization review operations, ensuring high-quality, appropriate, and cost-effective care across value-based care, capitated models, and risk structures. The role involves collaborating with multiple healthcare teams, applying evidence-based criteria, and supporting compliance with regulatory standards.

Skills

Qualifications

MD or DO from an accredited institutionActive and Unrestricted Medical License in CABoard Certification (preferred) in a relevant specialtyMinimum 5+ years of clinical practice experienceAt least 3 years of utilization management experience

About astranahealth

astranahealth.com

Astrana Health is a provider-centric, technology-powered healthcare company that helps deliver accessible, high-quality, and high-value care to all. It offers an end-to-end technology platform that underpins an integrated healthcare delivery system, enabling providers to participate in value-based care arrangements. By aligning incentives around outcomes and cost efficiency, the platform supports sustainable, patient-centered care. With data-driven tools and streamlined workflows, Astrana aims to improve patient outcomes while reducing the total cost of care.