Physician Advisor Jobs in Kalispell, MT

Partner with us to enhance our clinical decision support tools by guiding content development, collaborating across teams, and leveraging your clinical expertise to impact healthcare operations and in...

Join a team that's dedicated to optimizing managed care contracts, ensuring compliance, and fostering collaboration with payors. Utilize your expertise to negotiate favorable terms and enhance reimbur...

Transform health care delivery by harnessing clinical insights for case management and medical necessity reviews. Collaborate across teams to enhance patient outcomes and advocate for customer needs i...

Join us to lead a team of clinicians in delivering superior results while managing inpatient utilization and population health initiatives. Drive clinical excellence by collaborating across business u...

Join a dynamic team to conduct medical case reviews, collaborate with healthcare professionals, and leverage your clinical skills to ensure appropriate patient care through evidence-based decision-mak...

Tackle the challenges of utilization management by reviewing medical records and treatment plans to ensure compliance with CMS and Medicare Advantage standards. Contribute to patient-centered care in...

Join a team that's committed to excellence in clinical standards by overseeing utilization management. You'll review cases, guide a multidisciplinary team, and ensure compliance while impacting patien...

Lead the charge in transforming health technology with deep expertise in laboratory services. Guide client relationships, drive operational complexities, and implement Epic Beaker solutions to enhance...

Transform healthcare delivery by leading Medicare Advantage market expansions and enterprise technology implementations, ensuring compliance and operational success through effective governance and cr...

Engage with clinical services to ensure quality and consistency in Coding Validation processes. Collaborate with clients and internal teams, applying coding expertise to address inquiries, deliver tra...

Lead the charge in developing strategic medical content while collaborating cross-functionally and ensuring high standards of accuracy and clarity, influencing multiple therapeutic projects for a dive...

Shape the future of healthcare by providing expert guidance on Medicare Part D pharmacy benefits, ensuring compliance with clinical standards, and delivering a best-in-class service experience for mem...

Deliver strategic insights for population health initiatives by managing cross-functional teams, optimizing data management, and influencing key stakeholders to enhance clinical and operational perfor...

Lead and innovate strategies for Utilization Management, overseeing clinical teams to enhance efficiency and health outcomes across Medicaid and Medicare. Partner with stakeholders to drive operationa...

Lead the charge in enhancing behavioral health strategies and compliance, providing clinical consultation and oversight to ensure high-quality care and outcomes within a collaborative healthcare envir...

Support data governance practices to ensure data quality, accuracy, and compliance across healthcare operations. Collaborate with stakeholders to resolve data issues and maintain comprehensive metadat...

Join a dynamic team delivering exceptional urologic care and transform lives with your expertise. Leverage advanced technology and collaborate with experienced providers in a supportive environment de...

Provide strategic clinical leadership to cross-functional teams, ensuring product designs effectively address primary care needs, enhance user experience, drive quality, and leverage industry trends t...

Lead patient safety initiatives across global programs, driving collaboration, regulatory compliance, and quality in pharmacovigilance operations. Engage with clients, streamline project performance...

Drive clinical systems validation by leading testing, education, and development initiatives, collaborating across departments to ensure compliance and functionality of clinical information systems wi...

Lead clinical research initiatives in gene therapy, overseeing trial execution and data analysis. Collaborate with internal teams and external stakeholders to drive strategy and ensure compliance with...

Lead application strategy and implementation within healthcare, ensuring quality and providing expert mentorship to teams. Partner with stakeholders to innovate solutions impacting enterprise-wide per...

Champion initiatives to enhance provider engagement and quality metrics, leading risk adjustment strategies and education across teams. Drive operational excellence and improve healthcare outcomes thr...

Drive effective revenue management by collaborating with clinicians and leadership to optimize workflows, enhance communication, and deliver educational initiatives aimed at improving charge capture a...

Join a fast-paced team of medical professionals to evaluate and enhance service appropriateness through evidence-based guidelines, impacting quality patient outcomes across multiple specialties while...