FL408d - Utilization Management Physician
Fsc Corporation
FL408D – Utilization Management Physician
Utilization Management Physician (UMP)
Before we talk mission statements…
This pays well. Very well. Strong six figures. Negotiable for the right person.
Now that we're all honest adults…
THE ROLE: Utilization Management Physician (UMP)
Full-time. 40 hours. Remote structure. Based out of Edgewater, Florida. Direct reporting to the CMO.
Yes — the actual CMO. Not "someone who reports to someone who reports to."
You'll be available for phone & Teams, with occasional in-person meetings (think strategic, not sweatpants-destroying daily commute).
WHAT YOU'LL ACTUALLY DO
- Review cases • Make smart, high-level utilization decisions • Use your clinical judgment • Help guide quality and outcomes
No floor rounding. No 2am calls. No hospital politics.
WHAT THEY NEED
- Minimum 3 years UM experience • Board Certified • Active Florida license • Independent thinker • Comfortable operating without being micromanaged
Translation: seasoned, steady, not chaotic.
WHY EDGEWATER?
Because some people like:
- Coastal Florida
- Executive-level visibility
- A stable schedule
- And getting paid appropriately for their expertise
Crazy concept.
If you're a UM physician who wants:
High pay. High trust. High-level reporting. Low nonsense.
Tagged as: Physician
- ...Description BIG PAYCHECK. EDGEWATER, FL. OUT BY 5. Utilization Management Physician (UMP) Before we talk mission statements... This... ...152 ext. 227 or email us at [email protected] regarding job FL408d - Utilization Management Physician , or apply below.SuggestedFull timeRemote work
- ...Utilization Management Physician Location US-AL-Birmingham ID 2026-29666 Category Provider Opportunities Position Type Full-Time Overview NaphCare is hiring a Utilization Management Physician to join our team at...SuggestedFull timeContract workWork at office
$240k
...Utilization Management Physician (UMP) Remote | Full-Time | Florida Compensation: $240,000 base + bonus Schedule: 40 hours/week Work Model: Remote (on-site meetings in Daytona Beach, FL ) Overview Seeking an experienced Utilization Management Physician...SuggestedFull timeRemote workRelocation- ...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...SuggestedFull timeRemote work
$248.5k - $373k
...WellMed, part of the Optum family of businesses, is seeking an internal medicine or family medicine physician to join our Utilization Management team. Optum is a clinician-led care organization that is changing the way clinicians work and live.The Medical Director for...SuggestedMinimum wageFull timeWork experience placementWork at officeLocal areaRemote workWork from home- ...A leading healthcare organization is seeking a RCS-Physician Advisor to join their Denial Management team. This full-time remote position requires a medical... ...and strong leadership abilities to help optimize hospital services and resource utilization. #J-18808-Ljbffr...Full timeRemote work
$172.36k - $258.55k
...Physician Advisor, Utilization Management (CA License Required) page is loaded## Physician Advisor, Utilization Management (CA License Required)remote type: Fully Remotelocations: Anywhere in the U.S.time type: Full timeposted on: Posted Yesterdayjob requisition id: R1...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- ...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...Full timeRemote workWork from home
- ...Shift: Description: THIS IS A 1099 POSITION The Physician Advisor serves as a physician leader responsible for improving... ..., case mix index (CMI), medical necessity compliance, utilization management, and hospital throughput. The Physician Advisor works collaboratively...Full timeLocal areaShift workNight shift
- ...Physician Advisor - Utilization Mgmt Physician Advisor - Utilization Mgmt - Erlanger Baroness Hospital Chattanooga, TN Job Summary: Provides... ...designee. Participate in peer-to-peer discussions with managed Medicaid, managed Medicare, and commercial insurance...Contract workNight shift
- ...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...Part timeMonday to FridayShift workWeekend work
$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...Full timeRemote work$174.07k - $374.92k
...simplify health care one person, one family and one community at a time. Company: Oak Street Health Title: Full-Time Utilization Management Physician Reviewer Location: Remote/ Treehouse Role Description: This full-time role is responsible for...Hourly payFull timeLocal areaRemote work- Hackensack Meridian Health Inc. is seeking a Senior Utilization Review Specialist in Hackensack, New Jersey, to collaborate with the healthcare team in managing and resolving utilization review activities and ensuring clinical record integrity. Candidates must hold a medical...Daily paidWeekend work
- ...Physician Reviewer – Utilization Management (Remote)-Full Time Overview We are seeking a Board-Certified Physician to support utilization management activities by reviewing clinical documentation and determining the medical appropriateness of inpatient, outpatient, and...Full timeLocal areaRemote workWeekend work
- ...IntePros is seeking a Physician Reviewer to provide remote support for a healthcare organization. The role involves reviewing medical... ...position offers a collaborative environment with opportunities to leverage clinical expertise in utilization management. #J-18808-Ljbffr...Remote work
- ...Remote Physician Reviewer – Utilization Management ****This Person Needs to sit in PA, NJ, or Delaware**** IntePros is seeking a Physician Reviewer to support a leading healthcare organization in a fully remote capacity. This role is responsible for reviewing medical necessity...Remote work
$211.2k - $277.2k
...Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Management team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the...Full timeLocal areaRemote workWork from homeHome officeWeekend work- ...A healthcare management organization is seeking experienced Physician Reviewers to join their Medicare Utilization Management team in a remote position. Responsibilities include reviewing clinical service requests, applying evidence-based guidelines, and collaborating...Remote work
- ...a certified “Great Place to Work” company is seeking a Physician to provide utilization review services for the Group Health Department. This role... ...business background required Experience in Utilization Management with criteria review utilizing standard practice guidelines...
$260k - $275k
...Medix™ is seeking a Board-Certified Physician for a fully remote, non-clinical role in Utilization Management. The position involves reviewing clinical documentation to determine the appropriateness of inpatient, outpatient, and pharmacy services. Ideal candidates will...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...Full timeRemote workWork from home
- ...A leading independent review organization is seeking a Utilization Management Physician Reviewer for a full-time remote role. Candidates must possess an active Nebraska medical license and have a minimum of 5 years clinical practice experience. Responsibilities include...Full timeCasual workRemote workMonday to Friday
$174.07k - $374.92k
...something bigger – helping to simplify health care one person, one family and one community at a time. The Physician Supervisor, Utilization Management is responsible for overseeing the day to day utilization management (UM) processes to ensure the delivery of...Hourly payFull timeTemporary workLocal areaFlexible hours- ...leading health system in New Jersey is currently seeking a Physician Advisor for full-time employment. The role involves establishing... ...least 2 years of clinical experience along with previous utilization management experience. Ideal candidates will be board certified and...Full time
- HonorHealth is seeking a Physician Advisor to join their administrative support team, primarily focusing on quality patient care and utilization management. This role necessitates extensive communication with physicians and case managers, ensuring effective patient care...
- The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical records for the patient population and Hackensack UMC. These include but are not limited to utilization review...Daily paidWeekend work
$103 per hour
Overview The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical... ...documentation requirements. Education/Advisory Physician Educator. Provide formal educational...Hourly payDaily paidFull timeContract workPart timeFor contractorsApprenticeshipWork experience placementShift workNight shiftWeekend workAfternoon shift$241k - $290.06k
A regional healthcare provider in New York seeks a Physician Advisor to join their Utilization Management team. This role involves optimizing care levels, regulatory compliance, and serving as a liaison for practice patterns and medical necessity issues. Candidates should...
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