CalOptima is a county organized health system that administers health insurance programs for low-income children, adults, seniors and people with disabilities in Orange County. As Orange County’s largest health insurer, we provide coverage through four major programs. - Medi-Cal (California's Medicaid Program) for low-income children, adults, seniors and people with disabilities - OneCare (HMO SNP) (a Medicare Advantage Special Needs Plan) for low-income seniors and people with disabilities who qualify for both Medicare and Medi-Cal - PACE (Program of All-Inclusive Care for the Elderly) for older adults, providing comprehensive health services through the CalOptima PACE center - OneCare Connect Cal MediConnect Plan (Medicare-Medicaid Plan) for people who qualify for both Medicare and Medi-Cal, combining Medicare and Medi-Cal benefits, adding supplemental benefits for vision, transportation and dental services, and providing comprehensive care coordination “Better. Together.” is our motto, but it’s also our philosophy. We believe that by working together, we can make things better – for our members and community.

Apr 19, 2022
$266,000 - $437,800 yearly
CalOptima Remote
Department(s):  Medical Management Reports to:  Chief Medical Officer (CMO) FLSA status:  Exempt Salary Grade:   V - $266,000 - $437,800   ***Remote Work Opportunity***This position is a remote opportunity for Southern California Applicants. In order to be considered, you must live in Southern California or be willing to relocate. Job Summary The Medical Director is a key member of the medical management team and will be responsible for providing physician leadership in the Medical Affairs division, serving as liaison to other CalOptima operational and support departments.  The incumbent will collaborate with the other Medical Directors and clinical, nursing and non-clinical leadership staff across the organization in areas including Quality Management, Utilization and Care Management, Health Education/Disease Management, Long Term Care, Pharmacy, Behavioral Health Integration, Program for All Inclusive Care for the Elderly...