Physician Advisor Jobs in Macon, GA

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...

Unlock potential by delivering high-quality utilization management in a collaborative environment. Review escalated cases, advise multidisciplinary teams, and ensure compliance with clinical standards...

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...

Unlock potential by leading clinical programs and managing health plan Medical Directors to drive quality, efficiency, and evidence-based care management initiatives across various healthcare settings...

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...

Champion financial integrity by providing strategic oversight for accounting operations, including budgeting, audits, and cash management, while partnering with leadership to enhance operational effec...

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...

Unlock potential by leading healthcare operations consulting engagements, optimizing claims processing, and driving improvements across client workflows. Collaborate with diverse teams in a dynamic en...

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...

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...

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...

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...

Explore the complexities of coding for surgical and complex specialties by providing education, support, and documentation feedback. Collaborate across departments to optimize workflows and ensure com...

Join a team that's transforming hospital medicine by leading a respected program, fostering collaborative care, and driving innovative practices in a regional healthcare leader. Make a meaningful impa...

Pioneer medical leadership and quality improvement initiatives, driving utilization management and coordination of care for diverse populations. Collaborate across teams to enhance patient outcomes an...

Grow your career with a role that enables evidence-based decision making in patient care through collaboration and clinical expertise, while working remotely with a structured training environment and...

Empower health outcomes by leading clinical strategy across post-acute care, utilizing your expertise to shape integrated health solutions. Drive quality improvements, access, and cost efficiency whil...

Champion high-quality patient care by conducting specialized medical case reviews and peer consultations. Leverage your clinical expertise while working 100% remote within a supportive environment, en...

Transform the landscape of patient access services by spearheading strategic business growth initiatives. Drive impactful relationships and lead innovative solutions, maximizing potential in a complex...