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Physician Advisor Lead

US · Remote · Full-time · Others

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About the role

Quality AssuranceMentoring
This position is listed on behalf of a partner company, which manages all applications and next steps. Our partner is looking for a Physician Advisor Lead based in the United States. This is an opportunity for an experienced physician to combine clinical expertise with leadership, mentorship, and operational excellence in a remote healthcare environment. You will guide a team of Physician Advisors while maintaining an active clinical workload and supporting complex utilization management cases. The role focuses on improving medical necessity determinations, peer-to-peer reviews, denial prevention, and communication between healthcare providers and payers. You will establish consistent clinical standards, strengthen quality assurance, and use performance insights to drive continuous improvement. Working closely with leadership, operations teams, and healthcare clients, you will help develop effective workflows, educational resources, and specialized clinical programs. This position is ideal for a physician leader who values clinical rigor, collaborative problem-solving, and measurable improvements in healthcare outcomes.