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Health Insurance Medical Advisor Jobs (NOW HIRING)

Essity is a global leader in health and hygiene headquartered in Stockholm, Sweden, and North ... The role of the Medical Advisor is to support the Western Region sales team by providing knowledge ...

Advise on clinical strategy and innovations in maternal-fetal health, contraception, reproductive ... Active medical license (Washington, DC preferred or ability to obtain). * Minimum of 5 years of ...

Advise on clinical strategy and innovations in maternal-fetal health, contraception, reproductive ... Active medical license (Washington, DC preferred or ability to obtain). * Minimum of 5 years of ...

WI · On-site

Build and maintain strong advocacy with Key Opinion Leaders (KOLs) and healthcare professionals in ... Represent Celltrion at medical / scientific conferences, medical society meetings and other ...

PUBLIC HEALTH / SCHOOL NURSE

Stamford, CT · On-site

$58K - $79K/yr

... Medical Advisor, and clinic physician, conducts public health programs in schools, homes, or institutions; does related work as required. Supervision Received: Under the general direction of the ...

Per Diem - Public Health Nurse

Stamford, CT · On-site

$39.52 - $53.78/hr

... Medical Advisor, and clinic physician, conducts public health programs in schools, homes, or institutions; does related work as required. EXAMPLES OF DUTIES Participates in the full spectrum of ...

This role will provide Medical Assistance and Claims Management services for insurers and brokers ... Provide remote health advice for some of our prestige clients. Knowledge, skills and experience ...

$21 - $23/hr

We are seeking a Licensed Life and Health Insurance Specialist who will play a vital role in educating and guiding customers to select the insurance policies that best meet their needs. To be ...

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Health Insurance Medical Advisor information

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$15

$53

$98

How much do health insurance medical advisor jobs pay per hour?

As of Sep 10, 2026, the average hourly pay for health insurance medical advisor in the United States is $53.85, according to ZipRecruiter salary data. Most workers in this role earn between $20.19 and $78.37 per hour, depending on experience, location, and employer.

What is a health insurance medical advisor?

A Health Insurance Medical Advisor is a healthcare professional, often a physician or nurse, who evaluates medical claims, provides guidance on coverage decisions, and ensures that treatments are medically necessary and comply with policy guidelines. They work for health insurance companies to review patient cases, collaborate with healthcare providers, and help manage costs by making recommendations based on clinical standards. Their expertise helps balance quality patient care with the responsible use of insurance resources. Health Insurance Medical Advisors also assist with appeals and provide input on policy development.

What are the key skills and qualifications needed to thrive as a health insurance medical advisor?

To thrive as a Health Insurance Medical Advisor, you need a solid background in medicine (MD, DO, RN, or similar qualification), knowledge of medical guidelines, and experience with insurance processes. Familiarity with claims management systems, ICD-10 coding, and utilization review tools is typically required, along with certifications like CMAS or URAC accreditation. Strong analytical skills, attention to detail, and effective communication are crucial for explaining decisions and collaborating with healthcare providers. These skills ensure accurate claim evaluations, compliance with regulations, and fair outcomes for both insurers and patients.

What are some common challenges health insurance medical advisors face when balancing clinical judgment with insurance policies?

Health Insurance Medical Advisors often encounter the challenge of aligning their clinical expertise with the specific guidelines and coverage limitations of insurance plans. While their medical background enables them to assess the medical necessity of treatments, they must also ensure that recommendations comply with policy terms and regulatory requirements. This can require clear communication with both healthcare providers and policyholders to explain decisions and advocate for appropriate care, all while navigating administrative processes and maintaining impartiality.

What is the difference between Health Insurance Medical Advisor vs Health Insurance Underwriter?

AspectHealth Insurance Medical AdvisorHealth Insurance Underwriter
CredentialsMedical degree, relevant certificationsBackground in finance, risk assessment, certifications
Work EnvironmentHealthcare settings, insurance companiesInsurance companies, risk assessment teams
Primary RoleAssess medical claims, provide medical expertiseEvaluate risks, determine policy eligibility and premiums

While both roles are integral to health insurance, the Health Insurance Medical Advisor focuses on medical assessments and claims, whereas the Health Insurance Underwriter evaluates risks and sets policy terms. Understanding these differences helps clarify career paths and employer expectations in the health insurance industry.

What are popular job titles related to Health Insurance Medical Advisor jobs?

For Health Insurance Medical Advisor jobs, the most frequently searched job titles are:

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Posted 4 days ago


Job description

Essity is a global leader in health and hygiene headquartered in Stockholm, Sweden, and North American headquarters in Philadelphia, PA. We are a multi-billion-dollar company that is committed to breaking barriers to well-being through innovation in Professional Hygiene, Consumer Goods, and Health & Medical Solutions.

Working at Essity is not just a career, it’s where you’ll play your part in a better future, making the world a healthier, more hygienic, and safer place. With impactful innovations coupled with sustainable solutions, we strive to reach more people every year with the necessary and essential solutions for well-being. At Essity, there’s shared belonging and individual growth. Our culture grows with you.

About the Role

Essity’s Health and Medical team is looking for an experienced Medical Advisor. The role of the Medical Advisor is to support the Western Region sales team by providing knowledge, training, guidance, and support to the sales team with Compression solutions, to ensure strategic market development. Also advising internal and external target groups about medical products and product applications in line with sales plan, to ensure knowledge transfer and to convince external target groups and professional users of the benefits of our medical range and linked services.

This will be a remote position responsible for covering Minneapolis, Milwaukee, Omaha, and parts of Iowa.

We’re looking for people who embody our values, aren’t afraid to challenge, innovate, experiment, and move at a fast pace. We’re always looking for ways to improve our products and ourselves. If this is you, we’d love to talk.

What You Will Do
  • Provide training on the measuring and fitting for JOBST® compression garments.
  • Supportclinicians/therapists/certifiedlymphedema therapists in garment fitting and troubleshooting.
  • Host events and speak publicly in front of small to large groups of industry and clinical professionals.
  • Develop and implement strategies to maximize territory and companyobjectives,includinganalyzing sales and marketing data to determine the key opportunities in the territory.
  • Increase overall sales volume of Essity products by attaining or exceeding established sales objectives by implementing sales plans and marketing programs.
  • Collaborate in the development of internal and external training and education programs for various Essity assigned disease treatment therapies for customers.
  • Conduct in-services, seminars, presentations, and training of Essity products for key customers.
  • Attend territory and regional industry trade shows and symposiums.
  • Remain cognizant of trends and developments in field by monitoring competitor activities and products, and trade magazines throughout assigned territory.
  • Collaborate with internal and external partners to successfully represent and grow the Essity business.
  • Provide up to date and accurate forecasting and sales funnel activity for the assigned territory to Regional Sales Manager in a timely fashion.
  • Maintaining account records and track calls in CRM of all territory activity.
  • Submit all reports and administrative tasks accurately and on time.
Who You Are
  • Four (4)-year college or university degree is preferred.
  • Minimum 2 years of experience with compression garments and fitting preferred.
  • Minimum 2 years of clinical experience or medical sales preferred.
  • Excellent communication and presentation skills.
  • Proficient in Microsoft Office applications including but not limited to, Excel, Word and Outlook.
  • Ability to plan and organize time, schedules, and effective use of company resources.
  • Experience with customer relationship management (CRM) systems or customer contact database applications.
  • Proven problem-solving abilities and excellent people skills.
  • Ability to demonstrate a strong work ethic.
  • Strong time and territory management skills are a must.
  • Must live in the assigned territory.
  • Valid US driver’s license and must meet Essity's Corporate Vehicle Policy Standards.
  • Ability to travel up to50%
Additional Information

The Company is committed to equal employment opportunity and providing reasonable accommodations to qualified candidates and employees pursuant to applicable law. We value and encourage diversity and solicit applications from all qualified applicants without regard to race, color, gender, sex, age, religion, creed, national origin, ancestry, citizenship, marital status, sexual orientation, physical or mental disability, medical condition, military and veteran status, gender identity or expression, genetic information, or any other characteristic protected by federal, state, or local law.

Together, we are improving lives, every day

Working at Essity is not just a career; it is a chance to directly make the world a healthier, more hygienic and safer place. With impactful innovations coupled with sustainable solutions, we strive to reach more people every year with the necessary and essential solutions for well-being.

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