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Remote Physician Advisor Jobs in San Ramon, CA (NOW HIRING)

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Remote Physician Advisor information

See San Ramon, CA salary details

$55.9K

$228.2K

$397.3K

How much do remote physician advisor jobs pay per year?

As of Aug 26, 2026, the average yearly pay for remote physician advisor in San Ramon, CA is $228,189.00, according to ZipRecruiter salary data. Most workers in this role earn between $183,800.00 and $260,400.00 per year, depending on experience, location, and employer.

What is a remote physician advisor?

A Remote Physician Advisor is a licensed physician who provides clinical guidance and expertise to healthcare organizations, typically from a remote location. Their main responsibilities include reviewing medical records, advising on medical necessity and documentation, ensuring compliance with regulations, and supporting utilization management. They help bridge communication between clinical staff and administrative departments to optimize patient care and resource use. This role is vital for improving healthcare quality, reducing costs, and maintaining regulatory compliance, all while offering the flexibility of working remotely.

What does a remote physician advisor do?

As a remote physician advisor, your job duties involve acting as a liaison between administrative personnel, clinical staff, and support workers at a hospital, clinic, or other medical facilities. In this work from home position, your responsibilities include assessing compliance with healthcare regulations, educating staff on documentation requirements, helping physicians make decisions about medical necessity and denial or care, and facilitating process improvement for healthcare operations, either in a specific department or throughout the entire facility. Some hospitals call a physician advisor a utilization review director.

What skills and qualifications are needed to thrive as a remote physician advisor?

To thrive as a Remote Physician Advisor, you need a medical degree (MD or DO), active medical license, strong clinical knowledge, and experience with utilization management. Familiarity with electronic medical records (EMRs), clinical documentation improvement (CDI) software, and knowledge of coding systems like ICD-10 and DRG are typically required. Excellent analytical thinking, communication, and collaboration skills help you effectively review cases and interact with healthcare teams remotely. These qualifications ensure accurate clinical assessments, regulatory compliance, and optimal patient care outcomes from a distance.

How do remote physician advisors typically collaborate with hospital staff and case management teams while working off-site?

Remote Physician Advisors regularly communicate with hospital staff, case managers, and utilization review teams through secure electronic platforms, emails, and scheduled virtual meetings. They often review patient records and offer guidance on clinical documentation, medical necessity, and regulatory compliance, providing timely feedback to on-site teams. Effective collaboration relies on strong communication skills, responsiveness, and the ability to interpret and explain complex medical guidelines. Remote advisors may also participate in case discussions and provide education, helping to ensure quality care and compliance from a distance.

What is the difference between Remote Physician Advisor vs Remote Medical Director?

AspectRemote Physician AdvisorRemote Medical Director
CredentialsMedical degree, medical license, often board-certifiedMedical degree, medical license, often board-certified, leadership experience
Work EnvironmentHealthcare organizations, insurance companies, utilization reviewHealthcare organizations, hospital systems, administrative leadership
Employer & Industry UsageUsed for clinical review, compliance, and coding supportUsed for strategic oversight, policy development, and management
Search & Comparison IntentUnderstanding clinical review roles, certification requirementsExploring leadership roles, administrative responsibilities

The Remote Physician Advisor primarily focuses on clinical review, utilization management, and compliance, requiring medical credentials and clinical expertise. In contrast, the Remote Medical Director often holds leadership responsibilities, overseeing clinical teams and strategic initiatives. Both roles are vital in healthcare but differ in scope, responsibilities, and level of administrative involvement.

More about Remote Physician Advisor jobs

What cities near San Ramon, CA are hiring for Remote Physician Advisor jobs?

Cities near San Ramon, CA with the most Remote Physician Advisor job openings:

Remote Physician Advisor jobs near you
Infographic showing various Remote Physician Advisor job openings in San Ramon, CA as of August 2026, with employment types broken down into 1% Locum Tenens, 3% As Needed, 76% Full Time, 16% Part Time, and 4% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $228,189 per year, or $109.7 per hour.

Case Management Leader - Fully Remote | Upto $150/hr

San Francisco, CA • Remote

Mercor
See more jobs at Mercorexternal

$150/hr

Full-time

Re-posted 25 days ago

Job description

About the job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.

Position: Utilisation Management / Case Management leader (RN/Physician-advisor)
Type: Contract
Compensation: $100–$150/hour
Location: Remote

Role Responsibilities

  • Lead utilisation management and case management operations, including concurrent review, retrospective review, discharge planning, and care coordination.
  • Evaluate AI-generated medical necessity determinations and clinical review outputs for accuracy and clinical appropriateness.
  • Conduct and oversee clinical reviews against InterQual, MCG, or Milliman care guidelines to support admission and level-of-care determinations.
  • Manage the physician advisor program to support complex UM cases, peer-to-peer review requests, and denial appeals.
  • Coordinate with clinical teams, payers, and post-acute providers to facilitate appropriate care transitions and discharge planning.
  • Annotate AI outputs and provide structured clinical feedback to support AI training datasets.

Qualifications

Must-Have

  • 5+ years of experience in utilisation management, case management, or clinical review, with at least 2 years in a leadership role.
  • Active clinical licensure (RN required; physician advisor/MD preferred) with strong medical necessity review expertise.
  • Deep knowledge of InterQual, MCG, or Milliman clinical review criteria.
  • Expertise in CMS Two-Midnight Rule, observation status regulations, and inpatient criteria.
  • Experience managing physician advisor programs and peer-to-peer review processes with payers.
  • Exceptional written and verbal English communication skills.
  • High attention to detail with the ability to critically evaluate clinical documentation and AI-generated UM outputs.

Preferred

  • CPUR, ACM, or CCM credential.
  • MD or DO with UM/physician advisor experience preferred for physician advisor roles.
  • Experience with UM software platforms (Allscripts, Utilisation Management software, or equivalent).
  • Familiarity with AI tools and comfort evaluating AI-generated clinical review content.
  • Background in health system, ACO, or value-based care organisation UM programs.

Resources & Support

  • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
  • For any help or support, reach out to: support@mercor.com

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.