Physician Advisor

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Physician Advisor based in the United States.

The Physician Advisor plays a key role in advancing utilization management, clinical effectiveness, and responsible resource use across a large healthcare system.
Working closely with physicians, medical staff leadership, case management, social services, and hospital administration, this role helps ensure patients receive the right care at the right level and time.
The position combines clinical expertise with administrative leadership, physician education, regulatory knowledge, and data-driven improvement.
You will help shape utilization management protocols, address avoidable delays, identify denial trends, and improve documentation and care processes.
The role also provides an important bridge between clinicians, payers, regulatory organizations, and operational leadership.
This is an opportunity to influence patient outcomes and system-wide performance while contributing to strategic planning and quality improvement initiatives.
The position is full-time, exempt, and includes collaboration across multiple hospitals and clinical environments.

Accountabilities:

• Provide strategic input into utilization management planning, resource allocation, and broader healthcare initiatives.
• Partner with medical staff leadership, physicians, case managers, utilization management teams, social services, and discharge planning teams to optimize hospital resource use.
• Develop and support utilization management protocols designed to improve length of stay, appropriate level of care, documentation, and use of diagnostic and therapeutic services.
• Conduct physician and clinician education sessions covering utilization trends, practice patterns, regulatory requirements, appropriate admissions, community resources, and alternative levels of care.
• Investigate avoidable delays and utilization concerns that may affect patient outcomes or hospital efficiency.
• Monitor developments in medical practice models, regulatory requirements, licensure standards, and third-party payer policies.
• Identify denial trends and collaborate with physicians and hospital administration to address underlying issues and improve outcomes.
• Analyze practice patterns, resource utilization, and performance data to identify trends, opportunities, and areas for improvement.
• Present utilization and practice-pattern findings to service lines, departments, committees, and hospital leadership as requested.
• Support the development and implementation of new patient care programs and evaluate potential hospital and medical staff initiatives.
• Represent utilization management on assigned hospital committees and serve as a consulting representative across system hospitals.
• Help resolve utilization management-related conflicts in collaboration with medical staff leadership.
• Support compliance with medical staff bylaws, rules, regulations, policies, and procedures related to utilization management.
• Contribute to information technology and reporting initiatives that provide physicians with meaningful feedback on performance and resource utilization.
• Support regulatory compliance, licensure requirements, quality improvement objectives, and applicable federal and state healthcare standards.
• Complete the contracted administrative hours and provide required quarterly documentation of time and activities.
• Maintain clinical responsibilities as determined by the physician's home clinical department.

Requirements:

• Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree from an accredited medical school.
• Board certification through a specialty board recognized by the American Board of Medical Specialties.
• Current or eligible medical licensure in the State of West Virginia.
• A minimum of five years of clinical experience in the practice of medicine is preferred.
• Strong understanding of utilization management, clinical operations, patient flow, resource utilization, and healthcare quality principles.
• Ability to interpret and apply regulatory requirements, medical staff policies, licensure standards, and third-party payer guidelines.
• Strong analytical skills, with the ability to evaluate clinical and operational data, recognize trends, and translate findings into actionable improvements.
• Excellent communication and physician-engagement skills, with the ability to educate clinicians and collaborate effectively with multidisciplinary stakeholders.
• Sound judgment and problem-solving abilities when addressing utilization concerns, avoidable delays, documentation issues, denials, and competing operational priorities.
• Ability to work collaboratively with medical staff leadership, hospital administration, clinical teams, and external regulatory or payer stakeholders.
• Willingness and ability to travel between system hospitals when required.
• Ability to operate effectively in a complex, multi-hospital healthcare environment while balancing clinical, administrative, regulatory, and financial considerations.

Benefits:

• Full-time, 40-hour-per-week position.
• Exempt employment status.
• Opportunity to influence utilization management, quality improvement, and patient care across a broad healthcare network.
• Collaborative environment involving physicians, hospital leaders, case management, utilization management, and multidisciplinary clinical teams.
• Meaningful opportunity to improve patient outcomes while supporting efficient and financially responsible healthcare delivery.
• Exposure to strategic planning, clinical program development, regulatory initiatives, and system-wide performance improvement.
• Professional environment combining clinical practice with physician leadership and healthcare operations.
• Opportunities to contribute to physician education, data-driven decision-making, and organizational quality initiatives.
• Travel opportunities across multiple affiliated hospital locations as part of system-wide consulting responsibilities.

How Jobgether works:

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

Why Apply Through Jobgether?


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We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.