Remote Physician Advisor - Utilization Management Leader
$331.41k - $373.44kSwedish Medical Group
- Remote job
Swedish Medical Group is seeking a Physician Advisor for a fully remote position supporting Washington ministries. This role involves providing physician leadership within Utilization Management to improve patient flow and reduce preventable denials. The Physician Advisor will review cases, lead denial prevention efforts, and utilize data analytics to enhance documentation and compliance. Candidates must have an MD or DO, board certification, and at least 5 years of clinical practice experience. Compensation ranges from $331,411 to $373,442 per year. #J-18808-Ljbffr Swedish Medical Group
- Swedish is seeking a Physician Advisor to lead within Utilization Management, collaborating closely with Care Management and Medical Staff. This fully remote position supports Washington ministries and emphasizes advanced medical necessity practices, reducing preventable...Remote job
$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- Pacificmedicalcenters is looking for a Physician Advisor to enhance physician leadership within Utilization Management. This remote role supports Washington ministries and aims to advance medical necessity practices, reduce denials, and improve patient flow. Applicants...Remote job
- ...Dane Street, LLC is seeking a remote Physician Reviewer for full-time work from home. The role requires an MD or DO, board-certified in Internal or Family Medicine, to perform utilization reviews, including preauthorization and appeals. Ideal candidates will have prior...Remote workFull timeWork from home
- ...solutions provider in New Jersey is seeking a Physician Advisor to provide clinical guidance and... ...reviews. The candidate will support utilization review and ensure adherence to medical... ...skills and proficiency in utilization management are essential. This role offers a unique...Remote job
- ...Alignment Healthcare USA, LLC is hiring a Utilization Management Physician Advisor to optimize inpatient and... ...strategies while serving as a clinical leader. Applicants should have a medical... ...This role offers the flexibility of a remote position, ideal for dedicated...Remote work
- ...as a clinical resource for hospitals and to resolve denials through peer-to-peer reviews. Qualified candidates must be licensed physicians with a minimum of 5 years of clinical practice experience and board certification in Internal Medicine or Family Medicine. The position...Remote jobWork from home
$80.17 - $119.26 per hour
CommonSpirit Health is seeking a System Physician Advisor to conduct clinical case reviews in a remote capacity. This role entails ensuring effective utilization of healthcare services, communicating with medical staff, and making recommendations regarding patient care....Remote jobHourly pay$250k - $410k
...The Academy of Managed Care Pharmacy seeks an Associate Medical Director, Physician Advisor to provide clinical oversight in Utilization Management. This role collaborates with medical staff and leadership to optimize patient care while ensuring compliance with CMS regulations...- ...Physician Advisor The Physician Advisor (PA) is a key member of the hospital's leadership... ...for ensuring the effective, efficient utilization of health care services. The PA will develop... ..., level of care progression, denial management and compliance with governmental...
- Corewell Health is expanding its Care Management team and is seeking a collaborative and clinically driven Physician Advisor to support our East Region. Position Overview... ...the intersection of clinical operations and utilization management. Physician Advisors are...Full timeMonday to FridayShift workWeekend work
$298k - $409.8k
...our caring community The National Physician Leader relies on medical background and reviews... ...across home health and post-acute utilization management, while also driving strategic initiatives... ...-level compensation + bonus Remote flexibility with national scope Strong...Remote workFull timeTemporary workShift work- Cedars-Sinai Medical Center is seeking an Associate Medical Director, Physician Advisor to support Utilization Management by providing clinical oversight and compliance guidance. The role involves collaboration with medical staff and hospital leadership to optimize patient...
- Humana Inc is seeking a National Physician Leader to provide clinical leadership across home health and post-acute utilization management. This role involves overseeing the medical director... ...offers competitive compensation and remote flexibility. Candidates should have an...Remote work
$106k - $161k
...A leading utility services provider is seeking an experienced Utility Practice Leader for Technical Presales to drive transformation initiatives across the North American utility sector. You will advise clients, tailor solutions, and ensure delivery excellence in a client...Remote work- ...Osmose Utilities is looking for a Safety Manager Leader in Jackson, Mississippi, to develop safety plans and collaborate with operations leadership. Candidates must have safety management experience and be comfortable with a distributed workforce. This role demands strong...Remote work
- ...the Role The UUPS Construction Manager leads field execution for... ...and transmission electrical and utility projects across an assigned territory... ...for a hands‑on construction leader who excels in fast‑paced... ...when needed. Ability to work at remote job sites and navigate uneven...Remote workContract workFor contractorsLocal area
- ...met. Currently employed physician(s) in VA who met the... ...Community (CITC) using lean management principles to measure... ...quality standards and utilization management for the... ...a vital resource and advisor for programmatic - clinical... ...MEDVAMC clinical leaders Work Schedule: Monday-...Full timeContract workFreelanceInternshipLocal areaMonday to Friday
$250k - $410k
Job Description Overview The Associate Medical Director, Physician Advisor supports Utilization Management by providing clinical oversight, education, and guidance on medical necessity, Centers for Medicare and Medicaid Services (CMS) compliance, documentation, and resource...Full timeContract workPart timeRelocation package- A leading healthcare organization is seeking a Per Diem Medical Director to oversee Utilization Management. The role involves collaborating with physicians, enhancing care quality, and developing policies within a managed care environment. Candidates should have at least...Remote workHourly payDaily paid
$148.14k - $266.65k
...Boston Medical Center is seeking an experienced Physician Advisor Director to lead and support case management, coding, and utilization review teams. This role requires oversight of clinical direction, development of policies, and collaboration with medical staff to ensure...- Acentra Health, LLC is seeking a Clinical Supervisor - RN - Full-time to oversee Utilization Management activities. This remote position requires strong clinical and leadership skills to manage UM processes, improve care management, and ensure compliance with standards...Remote jobFull time
- ...Job Posting: Medical Director – Utilization Management (Remote) Pay: up to $200 an hour Position: Medical Director – Utilization Management Location... ...the professional autonomy and structural balance many physicians look for when transitioning to payer-side role s.Seamless...Remote workFull timeContract work
$150k - $300k
Tetra Tech is seeking a Power and Utility Sales Leader for a remote/flexible position in the U.S. The role involves leading business development activities to win clients and projects in the power sector, focusing on solution selling and building relationships. Candidates...Remote jobFlexible hours- Community Health Plan of Washington is looking for a Manager of Clinical Utilization Management & Transitions of Care. This role leads a team overseeing... ...of relevant management experience. The position includes remote working options, competitive salary, and comprehensive...Remote job
- ...A leading health insurance company is hiring a remote Physician Reviewer to join their Utilization Management team. This role involves determining the medical appropriateness of services based on clinical information and evidence-based guidelines. Candidates should have...Remote work
- A peer review organization is seeking a full-time remote Utilization Management Physician Reviewer. Ideal candidates must hold an MD, DO, or DPM degree with active board certification and unrestricted medical license in relevant states. The role involves performing detailed...Remote jobFull timeWork from home
$174.07k - $374.92k
Oak Street Health, part of CVS Health, is seeking a Full-Time Utilization Management Physician Reviewer to ensure accurate coverage determinations for inpatient and outpatient services. This role requires at least one year of Utilization Management experience in Medicare...Remote workFull time$250k - $410k
...Cedars-Sinai Medical Center in Beverly Hills is seeking an Associate Medical Director, Physician Advisor, to lead Utilization Management. This position involves ensuring compliance with medical necessity, guiding a team through complex case reviews, and enhancing care...- ...Review Organization (IRO) and leading provider of Utilization Review (UR) services, is expanding its panel of physician reviewers. We are currently seeking Board-... ...license to perform Utilization Reviews on a flexible, remote basis. This is a non-clinical, contract...Remote workExtra incomeContract workFor contractorsFlexible hours
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