35 physician advisor jobs found

Job Description Salary Range The expected base rate for this Glens Falls, New York, United States-based position is $40.83 to $60.74 per hour. (Exact rate is determined on a case-by-case basis commensurate with experience level, as well as education and certifications pertaining to each position which may be above the listed job requirements.) The Impact You Can Make The Case Manager (Acute Care) role must optimize and integrate the interface between clinical and financial systems supporting positive health outcomes. The Case Manager uses nursing and case management knowledge to promote appropriate allocation of hospital and other resources, while striving to provide high quality care to each patient in a cost effective and timely manner. Support services provided by the Case Manager include, but are not limited to, utilization review, case management, weekend and holiday case management, care transition, collaboration with physicians and social workers for care...

Join Tenet Healthcare as a Physician Advisor and Drive Meaningful Change (ON SITE) Come to Palm Beach Gardens, FLA and take your career to the next level! Tenet Healthcare is seeking a board certified, physician to join our leadership team. This is an ON-SITE, full-time position. While experience as a PA is preferred, candidates with a strong desire to succeed will be considered. In this pivotal role, youll influence utilization management, documentation integrity, and physician education to improve patient care and hospital performance. What Youll Do Review cases for appropriate Level of Care and monitor observation stays Educate physicians and committees on utilization and documentation best practices Lead daily huddles, complex case conferences, and peer education Chair the Utilization Management Committee quarterly Manage payer denials, including peer-to-peer reviews Partner with CDI/HIM teams to improve documentation quality Partner with administration in...

Department: 11210 Aurora St. Lukes Medical Center - Social Services Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: M-F 0800-1630 with availability/accountability to team during off hours and holidays. Pay Range:...

The On-Site Physician Advisor (OSPA) conducts timely and compliant medical necessity reviews and assists with denials management (facilitating and completing peer to peers, writing appeal letters) in support of the centralized system Utilization Review (UR) process for Sentara hospital facilities. The Physician Advisor serves an important role in ensuring compliant hospital status/billing for hospital patients and strengthening relationships between Clinical Revenue Cycle, UR, hospital leadership, medical staff, and hospital ICM. The On-Site Physician Advisor interfaces directly with the medical staff, providing concurrent communication and education to attending physicians (and their APCs) regarding recommended changes in hospital status, pertinent regulatory requirements and guidance impacting the determination, as well as documentation integrity to support medical necessity of services being delivered. As this role s duties include significant interpersonal and relational...

Join Tenet Healthcare as a Physician Advisor and Drive Meaningful Change (ON SITE) Come to Delray Beach, FLA and take your career to the next level! Tenet Healthcare is seeking a board certified, physician to join our leadership team. This is an ON-SITE, full-time position. While experience as a PA is preferred, candidates with a strong desire to succeed will be considered. In this pivotal role, youll influence utilization management, documentation integrity, and physician education to improve patient care and hospital performance. What Youll Do Review cases for appropriate Level of Care and monitor observation stays Educate physicians and committees on utilization and documentation best practices Lead daily huddles, complex case conferences, and peer education Chair the Utilization Management Committee quarterly Manage payer denials, including peer-to-peer reviews Partner with CDI/HIM teams to improve documentation quality Partner with administration in...

Join Tenet Healthcare as a Physician Advisor and Drive Meaningful Change (ON SITE) Come to Goodyear, Arizona and take your career to the next level! Tenet Healthcare is seeking a board certified, physician to join our leadership team. This is an ON-SITE, full-time position. While experience as a PA is preferred, candidates with a strong desire to succeed will be considered. In this pivotal role, youll influence utilization management, documentation integrity, and physician education to improve patient care and hospital performance. What Youll Do Review cases for appropriate Level of Care and monitor observation stays Educate physicians and committees on utilization and documentation best practices Lead daily huddles, complex case conferences, and peer education Chair the Utilization Management Committee quarterly Manage payer denials, including peer-to-peer reviews Partner with CDI/HIM teams to improve documentation quality Partner with administration in reducing...

About Troy Hospital Recognized by the US News & World Report as one of the best in the nation for orthopedics and urological services. It has also been ranked on the World's Best Hospitals list by Newsweek. This state-of-the-art center provides advanced specialty and routine care with an emphasis on patient satisfaction and a focus on medical advancement. Scope of Work The Physician Lead, Length of Stay is responsible for advancing inpatient throughput, optimizing length of stay (LOS), and improving patient flow across the assigned hospital(s). This role serves as a real-time physician leader embedded with frontline teams, partnering closely with case management, Mission Control, nursing, and physician leaders to identify, escalate, and resolve barriers to efficient care progression. The Physician Lead works in partnership with LOS Administrative Leader. This position functions as a throughput-focused Physician Lead, partnering and collaborating closely with...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The Executive Director of Utilization Management (UM) provides strategic and operational leadership for the enterprise UM program across all Beth Israel Lahey Health (BILH) facilities. This role will lead the transformation of UM operations from a decentralized model to an integrated, centralized enterprise function with standardized processes, shared best practices, and consistent performance across all facilities. This executive-level position is responsible for developing and executing comprehensive utilization management strategies that ensure appropriate care delivery in the most clinically and financially optimal settings while maintaining regulatory compliance and optimizing reimbursement. The Executive Director partners with senior clinical and operational leaders, including the Chief Nursing Officers, Chief Medical Officers, Physician Advisors, and payer...

Overview About the Role: The primary purpose of the Case Management Coordinator position is to coordinate the patient’s progress through the system. He/she collaborates with physicians and clinical staff to ensure resource utilization is appropriate to the patient’s clinical and psychosocial needs and that it remains within covered benefits. The Case Management Coordinator seeks creative solutions to process and system issues, which create a barrier to the delivery of medically appropriate, cost-effective care. He/she is responsible to ensure compliance with regulatory standards related to level of care determinations, utilization and discharge planning. The Case Management Coordinator performs transitions of care and discharge planning, and supports the mission of University Hospital. Responsibilities What You’ll Do: Service provided is patient centered; actively contributes to creating a friendly, welcoming and...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The Director, Denials Prevention & Performance Improvement leads the enterprise-wide strategy for reducing denials, improving upstream workflows, and driving systemic performance improvement across all Revenue Cycle functions. This role oversees denial analytics, cross-functional remediation efforts, clinical and operational partnerships, and digital enablement strategies to strengthen financial outcomes and reduce revenue leakage. The Director aligns facility-specific needs with enterprise priorities and ensures visibility, accountability, and measurable operational improvement across Beth Israel Lahey Health (BILH). Job Description: Essential Duties & Responsibilities including but not limited to: Lead the development and execution of an enterprise denials prevention strategy across hospital and professional billing environments. Analyze...

This Jobot Job is hosted by: Forrest Mack Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $150,000 - $400,000 per year A bit about us: A nationally recognized law firm with deep roots in the healthcare industry, the firm has built a reputation for advising clients on some of the most complex regulatory, litigation, transactional, and compliance matters in the market. Its attorneys represent healthcare providers, health plans, life sciences companies, private equity sponsors, and other industry leaders across a broad range of legal disciplines. Known for its collaborative culture and industry-focused approach, the firm combines sophisticated legal counsel with practical business insight to help clients navigate evolving regulatory environments and high-stakes business challenges. The firm has earned national recognition for its strength in healthcare, government investigations, litigation, corporate transactions, and regulatory...

This Jobot Job is hosted by: Forrest Mack Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $150,000 - $400,000 per year A bit about us: A nationally recognized law firm with deep roots in the healthcare industry, the firm has built a reputation for advising clients on some of the most complex regulatory, litigation, transactional, and compliance matters in the market. Its attorneys represent healthcare providers, health plans, life sciences companies, private equity sponsors, and other industry leaders across a broad range of legal disciplines. Known for its collaborative culture and industry-focused approach, the firm combines sophisticated legal counsel with practical business insight to help clients navigate evolving regulatory environments and high-stakes business challenges. The firm has earned national recognition for its strength in healthcare, government investigations, litigation, corporate transactions, and regulatory...

Southeast Medical Group (SEMG) is a physician-led, multi-site healthcare organization dedicated to delivering exceptional patient care through clinical excellence, innovation, collaboration, and operational excellence. We are seeking an experienced physician executive to join our leadership team as a Regional Medical Director. Position Summary The Regional Medical Director (RMD) serves as the senior physician leader for an assigned region of approximately outpatient practice locations, depending on geographic area and practice size. Reporting directly to the Chief Medical Officer, the RMD partners with physicians, Advanced Practice Providers (APPs), practice administrators, clinical managers, and executive leadership to advance clinical quality, operational performance, provider engagement, patient experience, and strategic growth. This is a leadership-focused role requiring approximately 95% administrative responsibilities with regular travel throughout the assigned region....

Position Title: Vice President - VP - Clinical Delivery Applications Department: IT Care Delivery Applications Job Description: The VP Applications will be a leader and advisor, with proven experience in building a team in support of the suite of patient care applications.  The VP Applications is accountable and responsible for overseeing the suite of clinical and revenue cycle applications and modules that have been deployed within the organization. The individual in this role will provide leadership around the development, implementation, optimization and maintenance of those applications that are part of the Epic suite, as well as any other adjacent applications and modules, such as Pharmacy, Lab, Enterprise Imaging, and other applications as assigned, in a customer-oriented manner. This VP ensures that the clinical and revenue cycle applications needed to support the mission, goals and operations of the organization are provided in a timely, accurate, creative,...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession:  Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas:  Continuously innovate by embracing emerging technology and fostering a culture of creativity and...

The Director, Administration and Operations, is a mission-driven leader and trusted advisor to the Chair of the Department of Data Science at Dana-Farber Cancer Institute. In this pivotal role, the Director provides comprehensive oversight of all administrative, financial, operational, and compliance functions, ensuring the department’s infrastructure empowers faculty, staff, and trainees to advance scientific discovery and innovation in cancer research. Serving as a visible partner to departmental, institutional, and external stakeholders, the Director plays a vital role in shaping and implementing strategic initiatives, driving operational excellence, and fostering an inclusive, collaborative, and high-performance culture. The Director leads and mentors a diverse administrative team, facilitates cross-departmental collaboration, and proactively addresses challenges to ensure the Department of Data Science remains at the forefront of research and discovery. The Director is...

The Vice President, Strategic Planning is a key leader in advancing Dana-Farber Cancer Institute's mission and strategic growth. Reporting to the Senior Vice President/Chief Communications & Marketing Officer, this executive role provides strategic leadership for department and Institute planning, operational excellence, organizational effectiveness and integrated communications planning across the Communications & Marketing Department. The Vice President leads the department’s strategic planning processes, performance measurement, resource and budget planning, operational integration across the Communications and Marketing Department. Serving as a trusted advisor to Institute senior leadership, this role fosters collaboration across clinical, research, administrative, and business functions while strengthening governance, decision support, and organizational capabilities that improve performance, reputation, and long-term departmental success. As a member of the CCMO’s...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Coordinates the scheduling for patient procedures and services in a high-volume division. Job Description: Essential Responsibilities including but not limited to: 1.    Schedules patients for procedures; post-operative appointments, pre-admission testing, testing, surgery, follow up and wait list process. Notify patients in-person and via mail of scheduled procedures. Ensures all communications are timely and provide complete details of procedure, location, and time and required. Provides patients with information pertaining to testing and surgery.  2.    Maintains multiple applications for scheduling of procedures & collection of patient data. Schedules location of procedure, medical staff & clinical resources. Completes accurate & timely journal entries. Collaborates with both internal & external partners to obtain resources....

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The Scheduler II will support the Cardiothoracic Surgery Department at The Lahey Clinic in Burlington, MA. This is a full time opportunity, working fully onsite Monday through Friday, day shift. Job Description: Coordinates the scheduling for patient procedures and services. Essential Responsibilities including but not limited to: Schedules patients for procedures; post-operative appointments, pre-admission testing, testing, surgery, follow up and wait list process. Notify patients in-person and via mail of scheduled procedures. Ensures all communications are timely and provide complete details of procedure, location, and time and required. Provides patients with information pertaining to testing and surgery.  Maintains multiple applications for scheduling of procedures & collection of patient data. Schedules location of procedure, medical...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Coordinates the scheduling for patient procedures and services. Job Description: Essential Responsibilities including but not limited to: 1.    Schedules patients for procedures; post-operative appointments, pre-admission testing, testing, surgery, follow up and wait list process. Notify patients in-person and via mail of scheduled procedures. Ensures all communications are timely and provide complete details of procedure, location, and time and required. Provides patients with information pertaining to testing and surgery.  2.    Maintains multiple applications for scheduling of procedures & collection of patient data. Schedules location of procedure, medical staff & clinical resources. Completes accurate & timely journal entries. Collaborates with both internal & external partners to obtain resources. Maintains...