Physician Advisor Remote Jobs

Manage the litigation process for healthcare claims, ensuring effective resolution through negotiation and analysis for policyholders. Provide exceptional service and support to insured clients while...

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...

Drive improvements in medical policies and programs, conduct reviews, and collaborate with provider communities to enhance service delivery and patient outcomes, leveraging your clinical expertise and...

Join a team that plays a key role in shaping medical policies and programs. Engage with provider communities while conducting medical reviews to ensure high-quality healthcare delivery across assigned...

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...

Seeking a proactive Clinical Performance Lead to enhance care for renal disease patients. Collaborate with clinicians, perform quality assurance, and drive clinical interventions to improve patient ou...

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...

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...

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 dedicated to enhancing healthcare delivery through the implementation and support of Epic systems. Your role will encompass system analysis, project management, and user training to...

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...

Engage with healthcare leaders to drive financial strategies and enhance performance. Collaborate on complex analyses, deliver actionable insights, and support organizational growth amid financial cha...

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...

Transform the Solution Advisor function across Pricing Solutions, ensuring scalable growth and compliance through strategic design, execution, and cross-functional collaboration, while enhancing clien...

Engage as a senior expert to analyze complex data, design predictive models, and drive innovative solutions for healthcare information systems while supporting training and documentation efforts acros...

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...

Elevate patient support services by leading teams to provide exemplary care, driving operational efficiency and performance metrics while fostering a culture of continuous improvement and collaboratio...

Unlock potential by leading revenue integrity initiatives to optimize charge capture, ensuring compliance and operational efficiency across clinical departments while managing market-level strategy an...