Physician Advisor Remote Jobs

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

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...

Educate and empower healthcare providers on coding and documentation best practices. Collaborate with stakeholders to ensure compliance and enhance coding accuracy while facilitating training and work...

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...

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...

Engage in advanced clinical leadership by shaping medical policies and programs. Drive initiatives that integrate utilization review with population health strategies, influencing quality and market o...

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...

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...

Pioneer the optimization of inpatient clinical applications, collaborating with end-users and operational leaders to enhance workflows and support Epic EHR systems. Drive impactful communication and a...

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...

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...

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...

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...