Physician Advisor Utilization & Denial Prevention (Remote)
$331.41k - $373.44kProvidence Swedish Medical Center
Providence Swedish Medical Center is seeking a Physician Advisor to provide leadership in Utilization Management. This fully remote role supports Washington ministries and emphasizes advancing medical necessity practices and improving patient flow. Responsibilities include reviewing cases for medical necessity, leading denial management initiatives, and collaborating with cross-functional teams. The position requires an MD or DO, board certification, and at least 5 years of clinical experience. Compensation ranges from $331,411 to $373,442 per year, with a focus on high-value, patient-centered care. #J-18808-Ljbffr
- ...provider is seeking a detail-oriented Physician Advisor to join their inpatient team full-time... ...ensuring effective healthcare service utilization and compliance with regulations. Responsibilities... ...improving documentation, and managing denials. The ideal candidate will possess an...SuggestedFull time
- ...The Physician Advisor provides physician-to-physician reviews, clinical... ...and appropriate resource utilization. Key Responsibilities Conduct... ..., level of care, and denial prevention/appeals Support utilization... ...cycle teams Experience in a remote or consulting healthcare...Remote work
$172.36k - $258.55k
A leading healthcare company is seeking a Physician Advisor for Utilization Management. The role requires a California license and significant experience in clinical care and utilization management. Responsibilities include processing reviews, liaising with medical staff...Remote work- ...A healthcare solutions provider in New Jersey is seeking a Physician Advisor to provide clinical guidance and conduct physician-to-physician reviews. The candidate will support utilization review and ensure adherence to medical necessity criteria. Qualifications include...Remote work
- ...A community-focused healthcare provider in Woodbridge, VA is seeking a Physician Advisor to conduct medical necessity reviews and manage denials. The successful candidate will work closely with medical staff and provide education regarding hospital regulations. An active...Suggested
- ...Part-Time | Remote (U.S. Based) Medical Review Institute of America (MRIoA) is a nationally recognized leader in utilization management and clinical review services, delivering evidence... ...-based solutions for more than Physician Advisor (Utilization Review) Part-Time |...Remote workPart timeWork at officeWork from home10 hours per weekFlexible hoursShift workWeekend work
$280k - $300k
...A leading healthcare organization in Danbury, Connecticut is seeking a Physician Advisor Lead to provide clinical leadership in utilization management and oversee a team of physician advisors. The ideal candidate should have an MD/DO with experience in Hospitalist and...$331.41k - $373.44k
...Wapa is seeking a Physician Advisor to provide leadership within Utilization Management. This fully remote position supports Washington ministries, enhancing medical necessity practices and optimizing patient flow through data-driven strategies. Ideal candidates are...Remote work- ...Health is looking for a board-eligible or board-certified physician to join their Physician Advisor Team in Fort Wayne, Indiana. This role involves... ...days a week from 8:00am to 4:30pm, with an on-call rotation of 1:4. Weekend coverage will be remote. #J-18808-Ljbffr...Remote workWeekend work
- ...Association is seeking a board eligible/board certified physician to join our Physician Advisor Team. This role involves expertise in care coordination... ...site at Parkview Regional Medical Center, with on-call remote coverage. This position supports high-quality, evidence...Remote work
- ## Regional Physician Advisor Position (Southeast) Coastal Virginia Near the BeachApplyremote... ...the Clinical Revenue Cycle’s Utilization Review and Denials/Appeals processes to determine and... ...For positions that are available as remote work,** **Sentara Health employs associates...Remote workFull timeTemporary workShift workDay shift
- ...12 Avenue, Miami, FL 33136 (Remote and/or Hybrid) Hours : Variable... ...Position Summary: • The Physician Advisor (PA) serves as a clinical... ...and resolution of utilization issues. • The PA role reports... ...justify admissions and overturn denials as appropriate, including peer...Remote workDaily paid
$198k - $297k
...hospitals and affiliated physician groups. They offer end... ...: The Physician Advisor provides leadership... ...managing resource and utilization to deliver quality cost... ...expert Assist with denials and appeals as... ...Monster Top Workplace for Remote Work 2024 Great Place...Remote workLocal area- A leader in clinical review services is seeking a Part-Time Physician Advisor to evaluate medical service requests and make coverage determinations. This remote role requires an active medical license, board certification in Family or Internal Medicine, and at least 5...Remote workPart timeFlexible hoursShift workWeekend work
- ...Description Position Summary Details Physician Advisors provide concurrent review and appeal... ...execute and deliver. Experience with utilization management and understanding of state... ...regulations, knowledge about the denials and appeals process, and experience with...Remote workFull timeContract workPart timeHome office
- ...Board. The role involves providing clinical insights on diabetes prevention, enhancing patient engagement, and integrating care workflows.... ...engaging in investment opportunities. This advisory role is remote and demands commitment of 1-2 hours monthly. #J-18808-Ljbffr...Remote work
- ...specialists in the following areas: Preventative Medicine - Medical Toxicology Preventative... ...care provided to Veterans. This is a remote, flexible position that allows you to... ...changes as they impact medical and utilization review practices Document all review...Remote workFull timeFlexible hours
$241k - $290.06k
...health care organization in New York is looking for a Physician Advisor to join its Utilization Management team. This role involves direct patient care... ...related to regulatory compliance, hospital coding, and denial management. Candidates should have board certification...- ...organization is seeking an experienced Physician Advisor to lead quality performance across the... ...with clinical documentation and utilization standards. Responsibilities include consulting... ...physicians, managing utilization and denials processes, and providing education to...
- ...Join to apply for the Physician Advisor - Utilization Mgmt role at Erlanger 2 months ago Be among the first 25 applicants Join to apply for the Physician... .... Work collaboratively with Revenue Integrity to reduce denial and appeal burdens and increase revenue by improving the...Full timeContract workPart timeNight shift
- ...Healthcare is looking for a detail-oriented Physician Advisor to join our inpatient team in Kankakee... ...Your expertise will support effective utilization of healthcare services. The position... ...patient care services and reduce denials. This role includes rotating weekend call...Full time
- ...Physician Advisors provide concurrent review and appeal support services for XSOLIS’s XPAS client... ...execute and deliver. Experience with utilization management, understanding of state and... ...federal regulations, knowledge of the denials and appeals process, and experience...Full timeContract workHome office
- ...seeking a full time, in-person Physician Advisor to join the team in Beaumont... ..., over- and under-utilization of resources, medical necessity... ...include (but not limited to): Denial trends, appeals & recoveries... ...to facilitate approvals and prevent denials or carved-out days...Full timeRelocation package
$130 - $140 per hour
...Physician, Inpatient Denials Management (FT/M-F/REMOTE) Join to apply for the Physician, Inpatient Denials Management (FT/... ...hospitalizations across the country while utilizing your medical knowledge and gaining experience as an expert advisor to client hospitals. You will...Remote workFull timeContract workPart timeReliefWork at officeWork from homeMonday to FridayShift work- ...board‑eligible or board‑certified physician to join our Physician Advisor Team. Responsibilities Provide expertise... ...flow, and ancillary service utilization. Conduct clinical reviews on cases... ...:4. Weekend coverage 8:00am‑4:30pm remote. Location Parkview Regional Medical...Remote workWeekend work
- ...seeking a board eligible/board certified physician to join our Physician Advisor Team! Specifics of the Role... ...patient flow, and ancillary service utilization. The PA conducts clinical reviews on... ...weekends will be 8am-4:30pm and is remote. The Team Collegial group of physicians...Remote workWeekend work
$145k - $199.07k
...Physician Advisor As our physician advisor, you will help our client facilities navigate the... ...skills is essential for excelling in this remote position. Responsibilities Addresses... ..., and resolution of documentation and utilization issues. Required Skills Active, unrestricted...Remote workLocal area- ...Saturday, February 21, 2026 at 5:00 AM Job Purpose The Physician Advisor performs case reviews of all case types in a knowledgeable... ..., case management, social services, discharge planning, and utilization management to recommend methods to optimize use of hospital...Remote workWork at officeLocal areaShift work
$128.5k - $298.1k
...Location: Los Angeles, CA, USA Onsite or Remote Flexible Hybrid Work... ...section visibility The Physician Advisor provides physician leadership and clinical... ...management, ancillary services utilization and clinical documentation improvement...Remote workMonday to FridayFlexible hours$145k - $199.07k
...and workflow orchestration. As our Physician Advisor , you will help our client facilities... ...is essential for excelling in this remote position. Here's what you will experience... ..., and resolution of documentation and utilization issues. Required Skills: Active,...Remote workLocal area
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