Director, Clinical Policy & Utilization Strategy

L.A. Care Health Plan is seeking a Medical Director, Clinical Policy in Los Angeles to lead the development, governance, and evaluation of clinical policies across the organization.

You will ensure policies are evidence‑based, compliant with regulatory requirements, and aligned with quality, safety, and member experience goals. You will oversee policy architecture, authorization strategies, and utilization oversight, collaborating across departments to support high‑quality and defensible medical