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Physician Advisor Jobs (NOW HIRING)

Hurc LLC

Physician Advisor

Short Hills, NJ · On-site

The Physician Advisor provides physician-to-physician reviews, clinical guidance, education, and escalation support while promoting evidence-based practices and appropriate resource utilization. Key ...

CHRISTUS Health

Physician Advisor

Beaumont, TX · On-site

Roles and Responsibilities Overview The Physician Advisor is a .5 FTE administrative physician role serving CHRISTUS St. Elizabeth hospital and its affiliates through teaching, consulting, and ...

Centralized Review

Physician Advisor Coordinator

Lebanon, TN · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Physician Advisor Coordinator Job Summary and Qualifications The Physician Advisor Coordinator will assist in establishing communication between Physician Advisors and in-house insurance Medical ...

St. Joseph's Health

Physician Advisor

Paterson, NJ · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Physician Advisor serves as a clinical resource for medical necessity reviews, patient status determinations, denials prevention and appeals, physician education, and length-of-stay management.

St. Joseph's Health

Physician Advisor

Paterson, NJ · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Physician Advisor serves as a clinical resource for medical necessity reviews, patient status determinations, denials prevention and appeals, physician education, and length-of-stay management.

Riverside Healthcare

PHYSICIAN ADVISOR

Kankakee, IL · On-site

$95.38/hr

The Physician Advisor provides expertise in medical necessity, documentation, care progression, and denial management, working closely with Care Management, Utilization Review, Revenue Cycle, and ...

Med-Metrix

Physician Advisor - Remote

The Physician Advisor works closely with the Client's medical staff leadership, the entire medical staff, including resident physician house staff, all areas of resource management, case management ...

Med-Metrix

Physician Advisor - Remote

Chicago, IL · On-site +1

The Physician Advisor works closely with the Client's medical staff leadership, the entire medical staff, including resident physician house staff, all areas of resource management, case management ...

St. Joseph's Healthcare System

Physician Advisor

Paterson, NJ · On-site

$160 - $180/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Physician Advisor serves as a clinical resource for medical necessity reviews, patient status determinations, denials prevention and appeals, physician education, and length-of-stay management.

Highmark Health

Physician Advisor - Erie, Pa

Erie, PA

  • Medical

  • Retirement

The Physician Advisor is responsible for level of care reviews and peer-to-peer discussions with payers if denials do arise. The role requires significant collaboration with the hospital ...

Mission Hospital

Physician Advisor Coordinator

Nashville, TN · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Physician Advisor Coordinator Job Summary and Qualifications The Physician Advisor Coordinator will assist in establishing communication between Physician Advisors and in-house insurance Medical ...

Centralized Review

Physician Advisor Coordinator

Franklin, TN · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Physician Advisor Coordinator Job Summary and Qualifications The Physician Advisor Coordinator will assist in establishing communication between Physician Advisors and in-house insurance Medical ...

Rio Grande Regional Hospital

Physician Advisor Coordinator

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Physician Advisor Coordinator This work from home position requires that you live and will perform the duties of the position within 60 miles of an HCA Healthcare Hospital. Experience the HCA Health ...

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Physician Advisor information

See salary details

$50K

$204.2K

$355.5K

How much do physician advisor jobs pay per year?

As of Aug 17, 2026, the average yearly pay for physician advisor 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 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 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

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Physician Advisor jobs near you
Infographic showing various Physician Advisor job openings in the United States as of August 2026, with employment types broken down into 1% Locum Tenens, 5% As Needed, 76% Full Time, 14% Part Time, and 4% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $204,193 per year, or $98.2 per hour.

Physician Advisor

Hurc LLC

Short Hills, NJ • On-site

Other

Re-posted 20 days ago

Job description

***WE ARE CURRENTLY FULLY STAFFED, BUT OUR NEEDS CAN CHANGE AT ANY TIME,
AND WE ARE STILL ACCEPTING APPLICATIONS***
The Physician Advisor provides physician-to-physician reviews, clinical guidance, education, and escalation support while promoting evidence-based practices and appropriate resource utilization.
Key Responsibilities

  • Conduct physician-to-physician reviews for medical necessity, level of care, and denial prevention/appeals
  • Support utilization review and case management teams with complex clinical decision-making
  • Ensure appropriate admission status determinations (inpatient vs. observation) in alignment with CMS and payer guidelines
  • Provide clinical oversight related to length of stay, care progression, and discharge planning
  • Ensure adherence to CMS Conditions of Participation, Medicare regulations, and payer policies
  • Support compliance with medical necessity criteria (InterQual, MCG, or equivalent)
  • Assist with audit preparedness and response, including RAC, MAC, and commercial payer audits
  • Partner with HIM/CDI teams to improve documentation quality and clinical accuracy
Education & Physician Engagement
  • Serve as a trusted peer resource to attending physicians and advanced practice providers
  • Educate medical staff on regulatory requirements, utilization best practices, and documentation standards
  • Support change management initiatives related to clinical operations and compliance
Qualifications
Required
  • MD or DO with an active, unrestricted medical license
  • Board-certified or board-eligible in a recognized specialty
  • Clinical practice experience in an acute care or relevant healthcare setting
  • Strong knowledge of utilization management, medical necessity, and payer regulations
  • Excellent communication skills with the ability to conduct peer-to-peer discussions
Preferred
  • Prior experience as a Physician Advisor, Medical Director, or in Utilization Review
  • Familiarity with CMS guidelines, InterQual, MCG, and denial management processes
  • Experience working with case management, CDI, HIM, or revenue cycle teams
  • Experience in a remote or consulting healthcare environment
Skills & Competencies
  • Physician-to-physician negotiation and collaboration
  • Clinical judgment balanced with regulatory and financial awareness
  • Data-driven decision-making
  • Ability to influence without authority
  • Strong written and verbal communication

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