Executive Physician Leader, Revenue Cycle & Utilization

AdventHealth; Florida; On-site; USD 250,000 - 350,000; Full time

Benefits offered by this job

Benefits from Day One

Paid Time Off from Day One

403-B Retirement Plan

Parental Leave (4 weeks)

Career Development

Whole Person Well-being Resources

Mental Health Resources and Support

Pet Benefits

Job summary

AdventHealth in Maitland, Florida seeks an Executive Medical Director of Revenue Cycle to educate and advise on denial prevention, utilization review, and quality assurance for inpatient and outpatient care. You will partner with Case Management, PFS, Revenue Cycle, and Medical Staff across Central Florida Division – North to optimize patient care and cost efficiency.

The role requires a Physician Advisor with deep clinical expertise, leadership experience, and strong collaboration with payers,

Qualifications

• Graduate from medical school with residency.
• Board certified or eligible for hospital medical staff.
• Florida license to practice medicine.
• 10 years of recent clinical practice experience.
• 7 years of leadership experience.
• Knowledge of health plan operations.
• Two years or greater experience as a Physician Advisor.

Responsibilities

• Review inpatient days and utilization patterns; coordinate with managed care payers.
• Develop medical guidelines and educate Care Managers.
• Analyze data to identify utilization improvement opportunities.
• Collaborate with physicians, payers, and hospital leadership on care management.

Skills

Organizational skills

Analytical skills

Communication skills

Leadership

Microsoft Office

Education

MD/DO

Residency training

Board certified / eligible

Master’s in Business or Healthcare Administration

Tools

Microsoft Office

PowerPoint

Excel

Job description

AdventHealth in Maitland, Florida seeks an Executive Medical Director of Revenue Cycle to educate and advise on denial prevention, utilization review, and quality assurance for inpatient and outpatient care. You will partner with Case Management, PFS, Revenue Cycle, and Medical Staff across Central Florida Division – North to optimize patient care and cost efficiency.

The role requires a Physician Advisor with deep clinical expertise, leadership experience, and strong collaboration with payers,