Physician Advisor

Ensemble Health Partners

Physician Advisor optimizing hospital resource utilization and care levels for Ensemble’s healthcare revenue-cycle clients. Leading utilization management reviews, physician education, denials support, and medical staff collaboration.

Posted 8/5/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $198,000 - $297,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in resource utilization management, care management protocols, and compliance within a hospital setting. Proven ability to lead teams, educate medical staff, and collaborate effectively with various stakeholders to optimize patient care and operational efficiency.

Highest-signal resume keywords

MD/DO PhysicianUtilization ManagementResource Utilization ManagementPeer-to-Peer ReviewsLeadership Decision-Making

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care Management ProtocolsDocumentation ImprovementCoding ComplianceDenials and Appeals AssistanceInpatient Stay ReviewsObservation ReviewsUtilization Management Processes

Soft Skills

CoachingDelegationExecutive CommunicationTeam LeadershipCollaboration

Certifications & Qualifications

Physician Qualification and Licensure

Industry Keywords

Utilization Management CommitteesMedical Staff LeadershipResource UtilizationPayor ChallengesPatient Care Levels

About the role

Key responsibilities & impact

Provide leadership for efficiently managing resource utilization and delivering quality, cost-effective care in the appropriate setting
Work with medical staff leadership, physicians, and resident physician house staff on resource and utilization management
Develop and implement methods to optimize hospital service utilization
Develop care management protocols with hospital leadership and physicians
Ensure patients are placed in the appropriate level of care
Support documentation, coding improvements, and compliance
Perform peer-to-peer reviews with payors’ medical directors
Conduct short inpatient stay reviews and daily observation patient reviews
Build relationships with medical staff and leadership to gain buy-in on utilization management issues
Attend utilization management committees as a subject matter expert
Assist with denials and appeals
Educate medical staff on utilization management topics
Partner with UR nurses, IA staff, and Case Management to maintain and improve the utilization management process
Track denial trends to help the team address evolving payor challenges
Provide periodic reports to the Board, MEC, and Joint Conference as necessary
Lead and develop teams through coaching, delegation, communication, and program/project management

Requirements

What you’ll need

MD/DO Physician (MUST have)
Physician qualification and licensure as applicable to the role
Ability to manage hospital resource utilization and utilization management processes
Knowledge of status determinations, peer-to-peer reviews, short inpatient stays, and observation reviews
Ability to support documentation, coding improvements, and compliance
Ability to assist with denials and appeals
Ability to educate medical staff on utilization management topics
Ability to collaborate with UR nurses, IA staff, Case Management, medical staff, and hospital leadership
Leadership decision-making, coaching, delegation, team leadership, executive communication, and program/project management skills

Benefits

Comp & perks

Comprehensive benefits package including healthcare, time off, retirement, and well-being programs
Professional certification relevant to the associate's field
Tuition reimbursement
Quarterly and annual incentive programs for employees
Work-life flexibility
Professional development and growth opportunities