Physician Advisor

Job Title: Physician Advisor

Job Summary This role acts as a vital bridge between clinical medicine and hospital operations, serving as the primary liaison between attending physicians, executive leadership, and managed care payers. The Physician Advisor focuses on Utilization Management, denial prevention, and the optimization of patient throughput to ensure the delivery of high-quality, cost-effective care.

Responsibilities

• Utilization and Claims Management: Perform clinical reviews of inpatient, outpatient, and observation stays. Authorize inpatient days and identify patterns to improve specialty-specific utilization benchmarks.
• Denial Prevention and Interventions: Review concurrent payer denials and intervene directly with attending physicians and Managed Care Medical Directors to facilitate reconsiderations and avoid denials.
• Strategic Throughput: Lead Length of Stay strategies and "avoidable day" reductions. Collaborate closely with Case Management and UM staff to drive efficient patient progression.
• Physician Leadership and Education: Educate the Medical Staff on UM protocols, regulatory updates, and the documentation of acuity, severity, and risk of mortality.
• Committee and Regulatory Oversight: Serve as a subject matter expert on the Utilization Management Committee, using statistical trending and denial data to influence provider practice patterns.
• Operational Support: Support the Chief Medical Officer by ensuring delivery of efficient healthcare services across the continuum of care.

Required Skills and Qualifications

• Education: Graduate from an accredited medical school and residency program.
• Licensure: MD or DO Physician with an active license in the state of Florida.
• Clinical Experience: Minimum of 10 years of inpatient clinical practice experience.
• Specialized Experience: At least 3 years of experience in a Physician Advisor role.
• Background: Strong Hospitalist background is highly preferred to ensure a deep understanding of inpatient workflows.
• Attributes: Highly flexible and adaptable to rapid pivots based on executive priorities and evolving facility needs.

Schedule and Location

• Shift: Monday – Friday, Standard Business Hours.
• Location: Greater Orlando

Compensation and Benefits

• Incentives: Eligible for a 15% leadership bonus.
• Comprehensive Benefits: Medical, Dental, and Vision insurance available from day one.
• Retirement: 403-B retirement plan options.
• Life and Disability: Company-provided life and disability insurance.
• Paid Time Off: Accrual of PTO begins on day one of employment.