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Full Time Physician Advisor Utilization Review Jobs

Medix

Physician Advisor Medical Director

Torrance, CA · On-site

$156.25 - $182.69/hr

None Employment Type: Full-Time (0.8, 0.9, or 1.0 FTE options available) Compensation: $325,000 ... Conduct utilization management reviews and peer-to-peer insurance appeals. * Provide clinical ...

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Full Time Physician Advisor Utilization Review information

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$50K

$204.2K

$355.5K

How much do full time physician advisor utilization review jobs pay per year?

As of Sep 3, 2026, the average yearly pay for full time physician advisor utilization review in the United States is $204,193.00, according to ZipRecruiter salary data. Most workers in this role earn between $164,500.00 and $233,000.00 per year, depending on experience, location, and employer.

What is a full time physician advisor utilization review?

Full Time Physician Advisor Utilization Review jobs involve physicians working within hospitals or healthcare organizations to oversee and guide the clinical utilization review process. These professionals ensure that patient care is medically necessary, efficient, and compliant with regulatory standards. They collaborate with clinical staff, case managers, and insurance providers to optimize healthcare delivery and reduce unnecessary costs. Physician Advisors also help interpret clinical guidelines, manage appeals, and provide education to medical teams on documentation and utilization management.

What are the key skills and qualifications needed to thrive as a full time physician advisor utilization review?

To thrive as a Full Time Physician Advisor Utilization Review, you need a medical degree (MD or DO), active physician licensure, and in-depth knowledge of clinical care standards and healthcare regulations. Familiarity with utilization management platforms, electronic health records (EHRs), and relevant certifications such as CHCQM (Certified in Healthcare Quality Management) is highly beneficial. Strong analytical thinking, negotiation, and communication skills set exceptional candidates apart, enabling effective collaboration with medical staff and administrators. These skills ensure appropriate patient care, regulatory compliance, and optimal resource utilization within healthcare organizations.

What are some common challenges full time physician advisors face in utilization review, and how can they effectively address them?

Full Time Physician Advisors in utilization review often encounter challenges such as balancing clinical decision-making with regulatory requirements and communicating effectively with both clinical staff and insurance providers. Navigating complex cases where medical necessity is unclear requires strong analytical skills and up-to-date knowledge of payer guidelines. Building collaborative relationships with case managers, coding teams, and attending physicians is essential for resolving disputes efficiently. Regularly participating in training and interdisciplinary meetings can help Physician Advisors stay informed and maintain a smooth workflow.

What is the difference between Full Time Physician Advisor Utilization Review vs Full Time Medical Director?

AspectFull Time Physician Advisor Utilization ReviewFull Time Medical Director
Primary RoleReviewing medical necessity and optimizing patient care through utilization managementOverseeing clinical operations, policy development, and overall medical staff management
CertificationsMedical license, often board-certified in a specialtyMedical license, often board-certified, with leadership experience
Work EnvironmentUtilization review departments, hospitals, insurance companiesHospital administration, executive offices, healthcare organizations
FocusUtilization review, compliance, cost containmentClinical governance, strategic planning, staff oversight

While both roles require medical credentials and involve healthcare management, the Full Time Physician Advisor Utilization Review focuses on reviewing cases for appropriate resource use, whereas the Full Time Medical Director oversees broader clinical operations and policy development within healthcare organizations.

More about Full Time Physician Advisor Utilization Review jobs

What cities are hiring for Full Time Physician Advisor Utilization Review jobs?

Cities with the most Full Time Physician Advisor Utilization Review job openings:

What are the most commonly searched types of Physician Advisor Utilization Review jobs?

The most popular types of Physician Advisor Utilization Review jobs are:

What states have the most Full Time Physician Advisor Utilization Review jobs?

States with the most job openings for Full Time Physician Advisor Utilization Review jobs include:

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The top searched job categories for Full Time Physician Advisor Utilization Review jobs are:

Full Time Physician Advisor Utilization Review jobs near you
Infographic showing various Full Time Physician Advisor Utilization Review job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 88% In-person, 2% Hybrid, and 10% Remote job distribution, with an average salary of $204,193 per year, or $98.2 per hour.

Physician Advisor Medical Director

Medix

Torrance, CA • On-site

$156.25 - $182.69/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 22 days ago

Key responsibilities

  • Serve as the physician leader for Utilization Management (UM) and physician advisory services.

  • Conduct utilization management reviews and peer-to-peer insurance appeals.

  • Partner with Care Management to resolve discharge barriers and improve patient throughput.

Job description

Physician Advisor / Utilization Management (UM) Medical Director
Location: Torrance, CA
Schedule: Monday-Friday | 8:00 AM-5:00 PM
Work Setting: 100% On-Site
Travel: None
Employment Type: Full-Time (0.8, 0.9, or 1.0 FTE options available)
Compensation: $325,000-$380,000 annually + up to 12% performance bonus + potential sign-on bonus
About the Opportunity
A leading Southern California health system is seeking a Physician Advisor / Utilization Management (UM) Medical Director to join an established executive leadership team dedicated to advancing high-value, patient-centered care.
This highly visible leadership role partners closely with physician leadership, Care Management, and executive leaders-including the Chief Medical Officer, Chief Nursing Officer, and Chief Financial Officer-to improve clinical quality, optimize resource utilization, and strengthen organizational performance while maintaining exceptional patient outcomes.
This position is ideal for a collaborative physician leader who enjoys operational excellence, interdisciplinary partnership, and making a measurable impact across the hospital.
Key Responsibilities
  • Serve as the physician leader for Utilization Management (UM) and physician advisory services.
  • Conduct utilization management reviews and peer-to-peer insurance appeals.
  • Provide clinical guidance on admission status determinations, denial prevention, and denial management.
  • Partner with Care Management to resolve discharge barriers and improve patient throughput.
  • Attend daily 8:30 AM leadership huddles and 10:00 AM multidisciplinary rounds.
  • Maintain an active presence throughout the hospital by collaborating with clinical teams across departments.
  • Support Clinical Documentation Integrity (CDI) initiatives and regulatory compliance.
  • Identify opportunities related to patient safety, quality improvement, resource utilization, risk management, and regulatory compliance.
  • Educate and mentor physicians on utilization management best practices and successful peer-to-peer review strategies.
  • Oversee utilization management activities for approximately 18,000 annual admissions across two hospital campuses.

Qualifications
Required
  • MD or DO from an accredited medical school.
  • Board Certified physician.
  • Active California medical license or eligibility for licensure.
  • Minimum of 3 years of physician leadership or medical group management experience.
  • Strong knowledge of Utilization Management and Utilization Review.
  • Understanding of Clinical Documentation Integrity (CDI) workflows.
  • Knowledge of healthcare regulations, reimbursement, and operational performance.
  • Ability to build strong relationships with physicians, executive leadership, and hospital administration.
  • Excellent communication and collaboration skills.

Preferred
  • Hospital Medicine/Hospitalist background strongly preferred, though physicians from all specialties are encouraged to apply.
  • Experience serving as a Physician Advisor or Utilization Management Medical Director.

Ideal Candidate
We're looking for a physician leader who:
  • Is collaborative, approachable, and relationship-focused.
  • Thrives in an operational leadership role.
  • Enjoys being visible and engaged throughout the hospital.
  • Takes a hands-on approach to solving complex clinical and operational challenges.
  • Can effectively balance quality care, compliance, and financial stewardship.

Compensation & Benefits
  • Base salary: $325,000-$380,000
  • Up to 12% annual performance bonus
  • Potential sign-on bonus
  • Comprehensive health, dental, and vision insurance
  • 401(k) with employer match
  • Paid Time Off (PTO)
  • CME allowance
  • Full benefits package

Additional Highlights
  • Stable Monday-Friday schedule with no travel required.
  • 100% on-site leadership position in Torrance, California.
  • Optional opportunity to maintain limited clinical practice while serving in the leadership role.
  • Join a highly respected executive team committed to collaboration, physician engagement, and continuous improvement.

* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
* As a job position within our Care Management division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, access and handling of patient medical records, providing medical care inside a patient's residential address, driving, prescription and other drug access and administration, and working with vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
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About Medix Staffing Solutions

Sourced by ZipRecruiter

Since 2001, we’ve been dedicated to helping you achieve your goals. Medix was created to become a leading provider of workforce solutions for clients and candidates across the healthcare and life sciences industries. Today, we are that leader. Headquartered in Chicago, we have 23 offices across the United States, and staff talent around the world. Medix is committed to fulfilling our core purpose as an organization: to positively impact the lives of our talent, clients, and teammates through employment, philanthropy, and opportunity. The combination of purpose and values has nurtured our thriving culture that encourages our internal team to excel at work and in everyday life.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Chicago, IL, US

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