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Clever Care Health Plan

Medical Director, MAPD — Hybrid Healthcare Leader

huntington beach, CA

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About this opportunity

Clever Care Health Plan lists this Medical Director, MAPD — Hybrid Healthcare Leader opportunity in huntington beach, California. Review the employer’s description below for duties, qualifications and application requirements.

Job description

Clever Care Health Plan is seeking a Medical Director to lead clinical operations within a Medicare Advantage framework. This full-time physician leader will guide utilization management, care management, and appeals while ensuring regulatory readiness and high-quality member care.

The role emphasizes collaboration with CMIO, population health, and pharmacy teams to translate clinical guidelines into practical workflows and to advance health equity initiatives across diverse populations.

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Worksite address

huntington beach, CA, 92615, US

Who can apply

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