Physician Advisor Lead

Overview Job Title: Physician Advisor Lead. Start Date: ASAP. Pay Rate: $280,000 - $300,000. Nuvance Health, now a part of Northwell Health, is seeking their next Physician Advisor Lead in Danbury, Connecticut. The Position The Physician Advisor will provide clinical leadership and expertise in utilization management, level-of-care determinations, and clinical documentation across the organization. This physician leader will oversee approximately 10+ FTEs including two direct physician reports, and will work closely with medical staff, case management, and revenue cycle teams to ensure appropriate utilization of healthcare resources while maintaining high standards of patient care and regulatory compliance. This individual will provide oversight for other physician advisors for both the centralized denial prevention unit and the local hospitals. This role will serve as a key clinical resource for physicians and care teams, providing guidance related to hospitalization appropriateness, level-of-care status, length-of-stay management, and continued stay reviews. The Physician Advisor will support care teams in navigating complex cases and ensuring appropriate patient placement and discharge planning. The Physician Advisor will play an important role in supporting the organization’s denial prevention and denial management strategies. This includes conducting peer-to-peer reviews with payers, assisting with complex appeals, and providing clinical expertise to overturn denied or downgraded coverage determinations. This leader will work closely with utilization management and clinical documentation teams to promote best practices, ensure compliance with regulatory and accreditation standards, and improve documentation integrity across the medical staff. The Physician Advisor will also serve as a consultant and mentor to other Physician Advisors and attending physicians, helping to standardize workflows, policies, and approaches related to utilization review, clinical documentation, and payer interactions. A key priority for this role will be educating and engaging physicians throughout the organization, strengthening understanding of utilization management processes, regulatory requirements, and documentation expectations. The ideal candidate is a collaborative and respected physician leader who can build strong relationships across departments, communicate effectively with both clinical and administrative teams, and support high-quality, efficient patient care. Requirements MD/DO is required. Completion of specialty residency (e.g. Internal Medicine) Board Certified/Eligible Physician licensed in the applicable states American College of Physician Advisors (ACPA) certification preferred Minimum of three years of physician advisor experience preferred Minimum of five years of Hospitalist and/or Internal Medicine experience is strongly preferred. Strong clinical acumen, knowledge of care management/utilization review, third payor guidelines, medical necessity criteria, denials management, clinical documentation requirements This position requires relocation to the local area and onsite presence. Compensation Details The base salary range for this position is $280,000 to $300,000 annually. In addition, a leader may be eligible for other benefits, including but not limited to health insurance coverage, retirement benefits, and bonuses. The total compensation for the finalist selected for this role will be determined based on various factors, including but not limited to scope of role, level of experience, education, accomplishments, internal equity, budget, and subject to Fair Market Value evaluation. The base salary range listed above is a good faith determination of potential base compensation at the time of this job advertisement and may be modified in the future. The Organization Nuvance Health, (Nuvance), now part of Northwell Health, is an innovative, award-winning, non-profit health system, formed in April 2019 through the merger of Health Quest and Western Connecticut Health Network. Its name, derived from a combination of the words “new” and “advance,” reflects a mission to continually progress and pursue improvements in health and well-being across the communities served. The newly created health system provides communities across New York’s Hudson Valley and western Connecticut with more convenient, accessible, and affordable care. Nuvance Health is governed by a 17-member Board of Trustees, with seven hospitals, more than 2,600 aligned physicians, and 11,000 employees. Nuvance Health serves more than 1.5 million residents across western Connecticut and the Hudson River Valley. The Community Danbury, located in Fairfield County, Connecticut, is a vibrant city known for its history, thriving economy, and proximity to both natural beauty and urban amenities. Danbury offers a variety of attractions including the Danbury Railway Museum, Tarrywile Park & Mansion, Danbury Fair Mall, and the Danbury Ice Museum. Served by a well-regarded public school system, Danbury offers educational opportunities including Danbury Public Schools, Western Connecticut State University, and Sacred Heart University, as well as private and charter schools including St. Gregory the Great School. Danbury offers a wide variety of family activities including Danbury Library, Danbury Farmer’s Market, The Danbury Music Centre, and many annual cultural, music, and food festivals. Inquiries and Referrals Christine Young, Executive Recruiter View email address on click.appcast.io View phone number on click.appcast.io #BESrecruitment #J-18808-Ljbffr