Physician Advisor Jobs in Pittsburgh, PA

Shape the future of healthcare by driving digital transformation and clinical innovation, optimizing workflows, and fostering collaboration between clinical, technical, and operational teams to enhanc...

Drive transformative strategies for enterprise risk adjustment, overseeing operations to achieve financial and operational goals while fostering collaboration across teams and providers for sustainabl...

Lead the charge in delivering compassionate end-of-life care by collaborating with a multidisciplinary team to provide holistic support and individualized care plans for patients and families during t...

Advance innovative healthcare analytics programs by leading evaluations of clinical outcomes, ensuring clear metrics, and establishing best practices. Collaborate with cross-functional teams to drive...

Innovate with a dynamic team to shape enterprise strategy and drive key initiatives across the organization. Collaborate closely with leadership to enhance strategic thinking and ensure effective stra...

Drive improvements in denial prevention by analyzing clinical and technical data, leading process assessments, and collaborating with stakeholders to enhance operational efficiency and client relation...

Empower patient care by providing specialty and critical healthcare services, focusing on chronic health conditions in diverse settings, ensuring compliance with scope and standards of practice while...

Drive resource optimization and capacity planning for a global workforce, ensuring the right talent is deployed for client projects. Collaborate with cross-functional teams to enhance operational effi...

Take ownership of inpatient utilization reviews, ensure medical necessity, and collaborate effectively with care teams to enhance patient transitions and outcomes while maintaining compliance with hea...

Advance healthcare performance by leading advisory consulting engagements, managing resources, and nurturing client relationships. Oversee deliverables and lead a team to enhance service quality and d...

Join a dynamic care delivery team dedicated to providing specialty inpatient care. Leverage your expertise in patient assessment, treatment planning, and emergency response to enhance patient outcomes...

Unlock potential by leveraging healthcare data analytics to extract insights from real-world data, ensuring data alignment with research and regulatory objectives to support clinical development and p...

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...

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...

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...

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...

Take ownership of patient care within a collaborative team, focusing on rehabilitation and musculoskeletal treatment. Enhance skills while managing outpatient care, developing treatment plans, and ens...

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...