Physician Advisor Jobs in Durham, NC

Lead with your clinical expertise to conduct evidence-based medical reviews, collaborating with healthcare providers to enhance patient care. This role offers growth while ensuring high standards and...

Lead evidence-based medical case reviews and provider consultations, leveraging your clinical expertise to ensure proper care. Collaborate with a network of physicians while enjoying a structured remo...

Unlock new opportunities in healthcare as you build relationships with physicians, drive referrals, and enhance market presence. Collaborate across teams to strategize outreach efforts and improve com...

Reimagine patient care by leveraging clinical expertise to conduct medical reviews, provide peer consultations, and collaborate with a network of physicians, ensuring evidence-based decision-making an...

Join a team that's redefining patient care by leading innovative virtual health initiatives, ensuring quality and safety across a national acute care model, and leveraging AI technologies to improve o...

Drive excellence in quality, risk adjustment, and documentation, integrating critical functions to improve payer performance and financial sustainability in value-based care. Lead a transformative str...

Join us to lead the analysis and improvement of denial prevention strategies within healthcare, employing data analytics and process improvement to enhance revenue cycle management and client relation...

Elevate your career by joining a dedicated physician team focused on utilization management. You'll play a crucial role in reviewing cases for medical necessity, ensuring compliance with regulations...

Manage utilization review processes while ensuring adherence to clinical standards. Collaborate with multidisciplinary teams on high-risk cases, support case and disease management, and participate in...

Join a dynamic team to extract insights from healthcare data, ensuring alignment with clinical, regulatory, and business goals. Drive data-informed decisions in drug development and patient care strat...

Empower the health plan as a Medical Policy Director, guiding coding and payment policy strategies while collaborating with diverse teams to optimize client solutions and deliver impactful presentatio...

Develop and maintain strong physician relationships to enhance referral networks. Conduct assessments to identify strategic opportunities, deliver exceptional service, and execute outreach initiatives...

Innovate in healthcare by overseeing Utilization Management programs, driving clinical accuracy, and collaborating for measurable outcomes. Support strategic direction and ensure compliance while enha...

Accelerate healthcare improvement by joining our consulting team, enhancing revenue cycle operations and bridging gaps between clinical care and finance. Engage with diverse organizations, driving eff...

Lead the charge in optimizing laboratory operations while ensuring compliance and quality standards. Direct departmental goals, staffing activities, and budgets to foster an environment focused on gro...

Join a dynamic team as you lead urology appeal reviews, enhancing clinical operations, guiding quality improvements, and ensuring effective medical care delivery. Collaborate with clinicians and drive...

Elevate healthcare outcomes by utilizing your expertise as a DRG Downgrade Appeals Clinician, performing clinical reviews and crafting compelling appeal documentation to support medical necessity and...

The Executive System Director of Utilization Management is a strategic leader responsible for standardizing utilization management functions across a large healthcare system. This role involves overse...

Investigate and adjust complex MPL and General Liability claims. Collaborate with insureds and stakeholders, develop negotiation strategies, and ensure timely documentation while maintaining strong co...

Champion revenue growth by owning complex sales opportunities and strategic account planning within a defined territory, leveraging consultative selling to drive customer outcomes and elevate executiv...

Transform stroke care as an Associate Program Director, leading research initiatives focused on health equity, comprehensive data-driven strategies, and partnerships to enhance clinical outcomes and r...

Engage in high-level EHR implementations for health systems, driving success from design to sustained adoption. This director-level role focuses on executive relationships, delivery excellence, and op...

Shape the future of healthcare by leveraging your clinical expertise to conduct evidence-based case reviews and collaborate with physicians to ensure optimal patient care...

Join a dynamic primary care practice offering comprehensive outpatient services. Deliver quality care to both pediatric and adult patients, leveraging a strong support system and innovative technology...

Unlock potential by leading medical management initiatives remotely, supporting member needs and optimizing clinical services for optimal care. Leverage your expertise in Orthopedic Spine or Neurosurg...