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Health Insurance Physician Jobs (NOW HIRING)

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Health Insurance Physician information

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$97.5K

$217.4K

$350K

How much do health insurance physician jobs pay per year?

As of Aug 7, 2026, the average yearly pay for health insurance physician in the United States is $217,445.00, according to ZipRecruiter salary data. Most workers in this role earn between $190,000.00 and $244,500.00 per year, depending on experience, location, and employer.

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

To thrive as a Health Insurance Physician, you need a medical degree, board certification, and in-depth knowledge of clinical guidelines and health policy. Familiarity with utilization management software, electronic medical records, and claims review systems is typically required. Strong analytical skills, attention to detail, and effective communication are vital soft skills for evaluating medical necessity and interacting with healthcare providers. These skills ensure appropriate, evidence-based decision-making, support cost-effective care, and facilitate clear communication between insurers, providers, and patients.

How does a health insurance physician collaborate with other departments within an insurance company?

Health Insurance Physicians work closely with claims adjusters, case managers, and underwriters to review medical claims, assess medical necessity, and ensure policy compliance. They often participate in interdisciplinary meetings to discuss complex cases and provide medical expertise on coverage decisions. This collaborative environment helps ensure that policyholders receive appropriate care while managing costs, and it offers physicians exposure to a broad range of medical and administrative challenges.

What is the difference between Health Insurance Physician vs Medical Director?

AspectHealth Insurance PhysicianMedical Director
CredentialsMedical degree, medical license, often board-certifiedMedical degree, medical license, often board-certified, plus leadership experience
Work EnvironmentClinics, insurance companies, telehealth settingsHospitals, healthcare organizations, insurance companies
Primary ResponsibilitiesEvaluating medical claims, reviewing patient cases, providing medical opinions for insurance coverageOverseeing clinical operations, developing policies, managing medical staff

While both roles require medical credentials, a Health Insurance Physician primarily focuses on evaluating claims and providing medical expertise for insurance purposes. In contrast, a Medical Director oversees clinical operations and manages healthcare teams, often with broader administrative duties.

What is a health insurance physician?

Health Insurance Physicians are medical doctors who work with health insurance companies to review and assess medical claims, determine the medical necessity of treatments, and help design healthcare policies. They use their clinical knowledge to ensure that patients receive appropriate care while helping insurers manage costs and comply with regulations. These physicians may also advise on coverage decisions, develop medical guidelines, and sometimes interact with healthcare providers regarding claims or appeals.
More about Health Insurance Physician jobs
What cities are hiring for Health Insurance Physician jobs? Cities with the most Health Insurance Physician job openings:
What are the most commonly searched types of Health Insurance Physician jobs? The most popular types of Health Insurance Physician jobs are:
What states have the most Health Insurance Physician jobs? States with the most job openings for Health Insurance Physician jobs include:
What job categories do people searching Health Insurance Physician jobs look for? The top searched job categories for Health Insurance Physician jobs are:
Health Insurance Physician jobs near you
Infographic showing various Health Insurance Physician job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 17% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $217,445 per year, or $104.5 per hour.

Physician Assistant Gastroenterology

Private Inc.

Monterey Park, CA • On-site

$125K/yr

Other

Medical, Dental, Retirement, PTO

Posted 4 days ago

Job description

Benefits:

Health insurance

Paid time off

Training & development

Competitive salary

Dental insurance

Physician Assistant – Gastroenterology

Location: CA (rotating coverage at designated locations) Employment Type: Full-time Salary: $125,000/year, paid biweekly

About the Role

We're seeking a licensed Physician Assistant to join our gastroenterology practice on a full-time basis. You'll be part of a collaborative care team supporting a busy GI practice across multiple hospital affiliations, working under physician supervision.

Schedule

Core hours: 9:30 AM – 6:30 PM, Monday–Friday (schedule might vary)

May include holidays, Saturdays, Sundays, and evenings as needed for patient care

Weekend call coverage can be required, rotated equitably among PA staff

Hospital active-staff obligations at designated facilities

Key Responsibilities

Provide professional medical services within GI specialty scope

Provide patient care and perform all related and derivative clinical duties, under the supervision of a physician

Provide consults to requesting physicians

Maintain timely, accurate medical and billing records; review billings under your name/provider number and flag errors

Supervise and review care rendered by non-PA staff involved in direct patient care

Participate in compliance programs, peer review, and administrative/medical education duties as assigned

Maintain active staff privileges at designated hospitals: White Memorial Medical Center, Beverly Hospital, Monterey Park Hospital, East Los Angeles Doctor's Hospital

Cooperate with billing/compliance requirements tied to payor contracts (HMOs, PPOs, IPAs, MSOs, etc.)

Compensation & Benefits

$125,000/year base salary, payment frequency biweekly

Health & Dental Insurance

Retirement plan

Vacation

Sick Time

Required Certifications & Qualifications

NCCPA Certification — Must have passed the Physician Assistant National Certifying Exam (PANCE) / hold current NCCPA certification.

California PA License — Must be licensed or become licensed to practice as a PA in California

NPI Number — Must have an active National Provider Identifier (NPI) for billing and provider identification purposes.

DEA Registration — Active DEA controlled substance registration in California required and must be maintained throughout employment (at candidate's own expense).

Board Eligibility/Certification — Must maintain board eligibility or certification unless waived in writing by employer.

Hospital Privileges — Ability to obtain and maintain medical staff membership/privileges at the four designated hospitals listed above.

Payor Credentialing — Must be eligible (or become eligible) for credentialing with the practice's managed care contracts (HMOs, PPOs, IPAs, MSOs, etc.); at least 75% of practice patient coverage eligibility expected within 6 months.

Spanish Fluent

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