Payer Peer to Peer Physician Advisor

R1 RCM

Physician Advisor reviewing payor peer-to-peer cases for authorization in healthcare revenue management. Evaluating documentation and advising clients on authorization statuses.

Posted 7/12/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $150,075 - $199,070 per yearWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in reviewing payor peer-to-peer cases and evaluating clinical documentation for authorization and admission status. Provides clinical guidance and written analysis to support medical and case management staff.

Highest-signal resume keywords

Active MD Or DO Medical LicensureClinical Experience Post-ResidencyCase Review And AnalysisEngagement With Payor Medical DirectorsDocumentation Evaluation

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Certifications & Qualifications

Active MD Or DO Medical Licensure

Industry Keywords

Payor Peer-To-Peer CasesAuthorization StatusClinical ResourceMedical And Case ManagementDocumentation EvaluationAdmission StatusProcedureCare SettingWritten AnalysisSpecialties

About the role

Key responsibilities & impact

Review payor peer-to-peer cases for authorization status
Evaluate documentation for admission status, procedure, and care setting
Advise clients on appropriateness of requests based on documentation
Engage with payor medical directors regarding authorization status
Provide written analysis of cases and perform reviews across specialties
Serve as a clinical resource for medical and case management staff

Requirements

What you’ll need

Active, unrestricted MD or DO medical licensure
Minimum 3+ years of clinical experience post-residency completion

Benefits

Comp & perks

Job is eligible to participate in our annual bonus plan at a target of 10.00%
Competitive benefits package