Remote Physician Advisor - Utilization Management Lead
$331.41k - $373.44kSwedish Medical Group
Swedish Medical Group is looking for a Physician Advisor to lead physician leadership within Utilization Management. This fully remote role supports Washington ministries and focuses on enhancing medical necessity practices, reducing denials, and improving patient flow. The ideal candidate will possess an MD or DO, be board certified, and have at least 5 years of clinical experience. You'll influence utilization management strategies, deliver education to staff, and collaborate with executive leaders to align goals. The position offers a competitive salary ranging between $331,411 and $373,442 annually. #J-18808-Ljbffr
- ...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 work
$331.41k - $373.44k
...Swedish Medical Group is seeking a Physician Advisor for a fully remote position supporting Washington... ...providing physician leadership within Utilization Management to improve patient flow and reduce... ...Advisor will review cases, lead denial prevention efforts, and utilize...Remote work- Swedish is seeking a Physician Advisor to provide physician leadership in Utilization Management. This fully remote position focuses on medical necessity practices and requires... ...state. The role includes reviewing cases, leading denial management, and collaborating with...Remote job
- ...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 work
$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$198.22k - $297.33k
...Position Overview The Physician Advisor works with Senior Medical Officers, Regional Medical... ...a liaison between the medical staff, utilization review and 3rd party payers to effectively... ...Team to develop case management protocols and provide oversight for NP...Remote work$198.22k - $297.33k
...E2E Alignment Healthcare USA, LLC is seeking a Physician Advisor to collaborate with medical officers and the healthcare services team. You will optimize institutional and outpatient services while ensuring quality of care. The ideal candidate has a minimum of 3 years...Remote work$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- ...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 work
- ...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 workWork from home
- ...Corewell Health is expanding its Utilization Management team and is seeking a collaborative and clinically driven Physician Advisor to support our East Region. Position Overview The Physician Advisor serves at the intersection of clinical operations and utilization management...Weekend work
- ...Full time Shift Description THIS IS A 1099 POSITION The Physician Advisor serves as a physician leader responsible for improving clinical... ..., case mix index (CMI), medical necessity compliance, utilization management, and hospital throughput. The Physician Advisor works...Full timeLocal areaShift workNight shift
- ...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...
$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...
$250k - $410k
...Beverly Hills, CA, United States Be the First to Apply 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...Full timeContract workPart timeRelocation package- ...A healthcare services company is seeking a full-time remote Utilization Management Physician Reviewer. The role requires a board-certified physician to perform thorough reviews of utilization management cases ensuring high standards of patient care. Responsibilities include...Remote workFull time
- ...A leading grid technology company is seeking a Business Development Manager for the West Coast. This role primarily involves leading the commercial entry into utilities and managing relationships to drive technology adoption. Candidates should have a background in business...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 workFull timeWork from home
- ...RemoteFetch is seeking a Utility Infrastructure Specialist to lead utility due diligence and engage with utility companies for site development across the United States. This role offers autonomy and the opportunity to impact infrastructure strategy for large scale real...Remote work
- ...Technical Implementation Consultant to lead technical deployments for their SaaS platform catering to the Utilities & Energy sector. This remote role requires technical ownership of... ...environments. Key responsibilities include managing customer integrations, data migration,...Remote 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...- ...Lead Change Management Consultant Apply ( remote type Hybrid locations Charlotte, NC Raleigh, NC St. Petersburg, FL Cincinnati, OH... ...Current Duke Energy Employees Current employees should utilize theinternal career page ( to apply for available job...Remote workFull timeContract workFor contractorsWork experience placementWork at officeLocal areaVisa sponsorshipRelocation packageFlexible hours
- ...A premier healthcare staffing firm in California is seeking a Care Progression Physician Advisor to provide clinical leadership in utilization review and care coordination. This role involves collaboration with physicians and clinical teams to promote quality patient care...
- ...are seeking a high-performing Physician Reviewer to join our Group... ...delivering timely, defensible utilization review determinations across... ...specific requirementsAbility to manage short-TAT and urgent cases... ...operating systems Work Environment Remote work from home Full-time,...Remote workFull timeTemporary workWork at officeWork from homeMonday to FridayNight 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... ...with medical leadership and managing documentation to optimize patient care...Full time
- ...General Motors is seeking an Activation Manager to enhance utility program enrollments and optimize marketing strategies. This role will develop... ...mindset and excellent communication skills are essential. Remote work available, with opportunities for local collaboration...Remote workLocal area
- ...happen. You'll be empowered to lead, supported to grow, and proud... ...to: Business Analyst Senior Manager Your role and... ...work model for the role is fully remote, as long as you can align with... ...employees worldwide. ABB enables utility, industry, and transport and infrastructure...Remote workWorldwide
- ...Providence Swedish Medical Center is seeking a remote Physician Advisor to lead utilization management efforts. This role involves working closely with medical staff and clinical teams to enhance patient care and optimize healthcare delivery. The Physician Advisor will...Remote work
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