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Physician Advisor Jobs in Delaware (NOW HIRING)

Dane Street

Otolaryngology Physician

Dover, DE

As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer ...

Westside Family Healthcare

Physician Assistant

Wilmington, DE

$97K - $131.40K/yr

... advising patients concerning diet, activity, hygiene, and disease prevention; referring patients to medical specialists or other practitioners when necessary; and participating in hospital admission ...

Westside Family Healthcare

Physician Assistant

Wilmington, DE

$97K - $131.40K/yr

... advising patients concerning diet, activity, hygiene, and disease prevention; referring patients to medical specialists or other practitioners when necessary; and participating in hospital admission ...

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Physician Advisor information

See Delaware salary details

$50K

$204.4K

$355.8K

How much do physician advisor jobs pay per year?

As of May 28, 2026, the average yearly pay for physician advisor in Delaware is $204,369.00, according to ZipRecruiter salary data. Most workers in this role earn between $164,600.00 and $233,200.00 per year, depending on experience, location, and employer.

What Is a Physician Advisor?

A physician advisor works with clinical medical staff, including physicians and nurses, to ensure compliance with administrative regulations and paperwork. Their duties include training medical staff regarding coding, policies, documentation, and clinical care protocols. They also assess current hospital practices and help employees and management provide the best patient care possible.

What are the key skills and qualifications needed to thrive as a Physician Advisor, and why are they important?

To thrive as a Physician Advisor, you need a strong clinical background as a licensed physician, in-depth knowledge of healthcare regulations, and experience with utilization management. Familiarity with electronic health record (EHR) systems, case management software, and relevant certifications such as CHCQM or CCDS are often required. Excellent communication, negotiation, and analytical skills are crucial for effectively collaborating with medical staff and influencing decision-making. These competencies ensure regulatory compliance, optimize patient care, and support organizational goals in a complex healthcare environment.

How does a Physician Advisor typically collaborate with clinical and administrative teams within a healthcare organization?

Physician Advisors work closely with both clinical staff, such as physicians and nurses, and administrative teams, including case management and compliance departments. Their primary role is to ensure proper utilization of healthcare resources by reviewing patient cases, providing guidance on documentation, and interpreting medical necessity criteria. They often participate in interdisciplinary meetings and serve as a bridge between medical teams and hospital administration, helping to align clinical practices with regulatory and reimbursement requirements. This collaboration is essential for improving patient care quality and ensuring the organization meets industry standards.

What are Physician Advisors?

Physician Advisors are medical doctors who work with hospitals and healthcare organizations to ensure clinical decisions align with regulatory, compliance, and reimbursement guidelines. They act as liaisons between medical staff, case management, and administrative departments to optimize patient care, documentation, and resource utilization. Their expertise helps hospitals comply with healthcare regulations, improve quality metrics, and navigate complex insurance requirements. Physician Advisors often review clinical cases, provide education to staff, and support the appeals process for denied insurance claims.

Is a PAC as good as a doctor?

A Physician Advisor is a healthcare professional who reviews medical cases, manages utilization, and ensures compliance, but they are not licensed to provide direct patient care or diagnose conditions like a doctor. While they have medical training, their role focuses on administrative and consultative functions within healthcare organizations. They often hold medical degrees and may have clinical experience, but they do not replace the clinical responsibilities of a licensed physician.

What is the difference between Physician Advisor vs Medical Director?

AspectPhysician AdvisorMedical Director
CredentialsMedical degree, board certification, clinical experienceMedical degree, often board-certified, leadership experience
Work EnvironmentClinical settings, hospital departments, utilization reviewExecutive leadership, hospital administration, policy development
Employer & Industry UsageHospitals, health systems, insurance companiesHospitals, health systems, healthcare organizations
Primary FocusUtilization management, compliance, clinical guidelinesStrategic planning, operational oversight, policy implementation

The Physician Advisor primarily focuses on clinical utilization, compliance, and supporting physicians within healthcare settings. In contrast, the Medical Director oversees broader hospital or department operations, including strategic planning and policy development. Both roles require medical credentials but differ in scope and responsibilities.

More about Physician Advisor jobs
What are the most commonly searched types of Physician Advisor jobs in Delaware? The most popular types of Physician Advisor jobs in Delaware are:
What are popular job titles related to Physician Advisor jobs in Delaware? For Physician Advisor jobs in Delaware, the most frequently searched job titles are:
What job categories do people searching Physician Advisor jobs in Delaware look for? The top searched job categories for Physician Advisor jobs in Delaware are:
What cities in Delaware are hiring for Physician Advisor jobs? Cities in Delaware with the most Physician Advisor job openings:
What are popular job titles related to Physician Advisor jobs in DE? For Physician Advisor jobs in DE, the most frequently searched job titles are:
Physician Advisor jobs near you
Infographic showing various Physician Advisor job openings in Delaware as of May 2026, with employment types broken down into 83% Full Time, 15% Part Time, and 2% Contract. Highlights an 76% Physical, 2% Hybrid, and 22% Remote job distribution, with an average salary of $204,369 per year, or $98.3 per hour.
Otolaryngology Physician

Otolaryngology Physician

Dane Street

Dover, DE

Full-time

Posted 25 days ago

Job description

As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the medical necessity of services provided by other healthcare professionals in compliance with client specific policies, nationally recognized evidence-based guidelines, and standards of care.

MAJOR DUTIES AND RESPONSIBILITIES:

    • Reviews all medical records and addresses each question posed by the client utilizing client specific criteria or other nationally recognized evidence-based criteria
    • Ensures that the rationale for the determination is clear, concise, and contains adequate supporting documentation to substantiate the decision
    • Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer-reviewed literature that support sound and objective decision-making and rationales in reviews; refrains from using case studies, cohorts, and the like to make decisions due to their limited sample sizes
    • Provides copies of any criteria utilized in a review with the report in a timely manner
    • Returns cases on or before the due date and time
    • Makes telephone calls as mandated by the state and/or client specifics
    • Maintains proper credentialing and state licenses and any special certifications or requirements necessary to perform the job
    • Attends all required orientation and training
    • Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits
  • Board certification required, active practice required

PLEASE BE AWARE: In the interest of the security of all parties, Dane Street will never conduct interviews via text or request checks from candidates for any reason including the purchase of equipment.

Benefits

  • Robust opportunity for supplemental income
  • Schedule flexibility and predictable work hours - You choose services and case types, dictate volume, and conduct exams and reviews based on your schedule availability
  • No doctor/patient relationship is established and no treatment is provided. These are advisory-only opinions.
  • Enhanced industry expertise strengthening your medical practice with medical necessity and utilization review/management expertise
  • Expanded credentials as an expert in Independent Medical Exams and physician advisor services
  • Fully prepped cases, streamlined case flow, transcription services at no cost, and user-friendly work portal

Dane Street supports all referral processes, scheduling, preps cases extensively, prepares all medical records, provides transcription services as applicable, facilitates all client communications, and ensures the quality and timeliness of all reports and report delivery.

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