Physician Advisor / Utilization Management (UM) Medical DirectorLocation: Torrance, CA
Schedule: Monday-Friday | 8:00 AM-5:00 PM
Work Setting: 100% On-Site
Travel: None
Employment Type: Full-Time (0.8, 0.9, or 1.0 FTE options available)
Compensation: $325,000-$380,000 annually + up to 12% performance bonus + potential sign-on bonus
Key Responsibilities - Serve as the physician leader for Utilization Management (UM) and physician advisory services.
- Conduct utilization management reviews and peer-to-peer insurance appeals.
- Provide clinical guidance on admission status determinations, denial prevention, and denial management.
- Partner with Care Management to resolve discharge barriers and improve patient throughput.
- Attend daily 8:30 AM leadership huddles and 10:00 AM multidisciplinary rounds.
- Maintain an active presence throughout the hospital by collaborating with clinical teams across departments.
- Support Clinical Documentation Integrity (CDI) initiatives and regulatory compliance.
- Identify opportunities related to patient safety, quality improvement, resource utilization, risk management, and regulatory compliance.
- Educate and mentor physicians on utilization management best practices and successful peer-to-peer review strategies.
- Oversee utilization management activities for approximately 18,000 annual admissions across two hospital campuses.
Qualifications Required - MD or DO from an accredited medical school.
- Board Certified physician.
- Active California medical license or eligibility for licensure.
- Minimum of 3 years of physician leadership or medical group management experience.
- Strong knowledge of Utilization Management and Utilization Review.
- Understanding of Clinical Documentation Integrity (CDI) workflows.
- Knowledge of healthcare regulations, reimbursement, and operational performance.
- Ability to build strong relationships with physicians, executive leadership, and hospital administration.
- Excellent communication and collaboration skills.
Preferred - Hospital Medicine/Hospitalist background strongly preferred, though physicians from all specialties are encouraged to apply.
- Experience serving as a Physician Advisor or Utilization Management Medical Director.
Ideal Candidate We're looking for a physician leader who: - Is collaborative, approachable, and relationship-focused.
- Thrives in an operational leadership role.
- Enjoys being visible and engaged throughout the hospital.
- Takes a hands-on approach to solving complex clinical and operational challenges.
- Can effectively balance quality care, compliance, and financial stewardship.
Compensation & Benefits - Base salary: $325,000-$380,000
- Up to 12% annual performance bonus
- Potential sign-on bonus
- Comprehensive health, dental, and vision insurance
- 401(k) with employer match
- Paid Time Off (PTO)
- CME allowance
- Full benefits package
Additional Highlights - Stable Monday-Friday schedule with no travel required.
- 100% on-site leadership position in Torrance, California.
- Optional opportunity to maintain limited clinical practice while serving in the leadership role.
- Join a highly respected executive team committed to collaboration, physician engagement, and continuous improvement.
