Physician Advisor

University Health

Physician Advisor for Utilization Management coordinating services at WVU Medicine. Overseeing utilization protocols and supporting medical staff in achieving patient care standards.

Posted 7/29/2026full-timeRemote • Virginia, West Virginia • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Utilization Management, including strategic planning, resource allocation, and physician education. Possesses strong clinical experience and knowledge of medical practice models and regulatory requirements.

Highest-signal resume keywords

Doctorate Of MedicineBoard CertifiedMedical Licensure In West VirginiaClinical ExperienceUtilization Management

ATS Keywords

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Applicant Tracking System Keywords

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Industry Keywords

Physician AdvisorPatient Care ProgramsDenial TrendsCase ManagementHospital AdministrationPractice PatternsRegulatory RequirementsThird Party CoverageConsulting RepresentativeCredentialed Member

About the role

Key responsibilities & impact

Provides regular input into the strategic planning and resource allocation processes of WVU Medicine as it applies to Utilization Management.
Conducts physician education sessions to share data, trends, practice patterns, and other relevant information as requested.
Investigates avoidable delay concerns referred by case management & utilization management staff that affect patients’ outcomes during their hospital stay.
Investigates and studies new developments in medical practice models, regulatory requirements, and third party coverage as assigned by the Chief.
Participates in the development and implementation of new patient care programs, and consideration of hospital/medical staff ventures.
Identifies denial trends and works with the medical staff and hospital administration to resolve the issue.
Reports practice pattern trends and opportunities to service line or department specific meetings at the request of the CMO or hospital leadership.
The Physician Advisor will be required to submit quarterly time sheets verifying successful completion of the number of contractually agreed upon hours to this pursuit.
He/she will be a credentialed member of all system hospitals.
The physician advisor will travel to and be a consulting representative.
He/she will also represent Utilization Management at various hospital assigned committees.

Requirements

What you’ll need

Doctorate of Medicine from an accredited School of Medicine or Osteopathy and board certified by a board recognized by the American Board of Medical Specialties.
Holds or eligible for Medical licensure in the State of West Virginia.
Minimum 5 years clinical experience in the practice of medicine is preferred.

Benefits

Comp & perks

Doctorate of Medicine from an accredited School of Medicine or Osteopathy and board certified by a board recognized by the American Board of Medical Specialties.
Holds or eligible for Medical licensure in the State of West Virginia.
Minimum 5 years clinical experience in the practice of medicine is preferred.