Physician Advisor Jobs

Work closely with regulatory and quality assurance engineers to ensure development of quality software.

Facilitates Utilization Management Committee. Responsible for planning subject matter and agenda. Appropriately reviews, revises, and analyzes data prior to meeting. Ensures that avoidable and vari...

Applies individual reasoning to the solution of problems, devising or modifying processes and writing procedures as necessary. Maintains current knowledge of health plan benefits and provider network...

Assist the Chief Medical Officer in the identification and implementation of opportunities for improving the pre and post payment review process.

Assure staff have current licenses, certifications and are competent to provide care. Manage and lead staff to develop collaborative working relationships within department and with other departments...

Act as a bridge between medical staff and case management, interpreting the most complicated UM issues and serve as an expert resource for other clinicians...

Searching for Medical Director of Advisory Services.

Leverage and improve upon state-of-the-art methods to solve challenging problems across a variety of domains.

Searching for Medical Director of Advisory Services.

Ensure clinicians receive proper credit for the work they do through improved documentation.

Ensure clinicians receive proper credit for the work they do through improved documentation.

Ensure clinicians receive proper credit for the work they do through improved documentation.

Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services. Supports effective implementatio...

Works with Care Strategy Consultants in assignments with customers, prospective customers, and developing business products and opportunities especially those involving physician change management...

Serve as a Physician Utilization Management Advisor (PUMA) and collaborate with facility Utilization Management staff on referred cases that do not meet medical criteria, including evaluation and docu...

Provides management oversight of the daily operations of the clinical documentation program at assigned sites; responsible for interviewing, hiring, orientation, and ongoing competency assessment of C...

Design, code, test, develop and document application programs for complex computer systems running in the Cloud. Document technical designs and program logic...

Hands-on experience in building well-crafted APIs that make the front-end developers smile

Completes or facilitates the completion of Emergency Detention paperwork, as well as ensure its distribution and receipt by legally designated individuals. Provides physician ordered therapy in the ar...

Utilizing excellent interpersonal, collaborative, and conflict resolution skills, act in the capacity of liaison between the patient, medical provider, and the organization to achieve positive outcome...

The Case Manager is responsible to proactively plan, coordinate and negotiate efficient patient movement throughout the continuum of care. In general, the Case Manager functions in the role of clinici...

Position is responsible for the Clinical Documentation Program and the Clinical Documentation team of Registered Nurses. The CDI Director will work with the CDI Physician Advisor, clinicians, coders...

This position reports to the Senior Director of Performance and Quality. Integrating care management, utilization management, risk adjustment, annual wellness visit and quality initiatives into practi...

Playing a critical role in performance management by guiding actionable initiatives from data; measuring progress and outcomes and helping implement interventions where applicable...

Playing a critical role in performance management by guiding actionable initiatives from data; measuring progress and outcomes and helping implement interventions where applicable...