California Licensed Internal Medicine Physician

To support healthcare initiatives, the full-time California Licensed Internal Medicine Physician will provide medical oversight, review complex authorization requests, and conduct peer-to-peer consultations while working remotely. Key responsibilities Serve as the physician subject matter expert for General Medicine and Internal Medicine services within Medicaid and government healthcare programs Review complex authorization requests, appeals, and medical necessity determinations across various care settings Provide clinical guidance to utilization management, care management, and quality improvement teams Required qualifications Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) with an active, unrestricted U.S. medical license Active, unrestricted license to practice medicine in the State of California Board Certification in Internal Medicine, Family Medicine, or a related primary care specialty Minimum of five years of post-residency clinical practice experience in Internal Medicine or related patient care settings Strong knowledge of evidence-based medicine and experience with Medicaid programs preferred