Physician Advisor

AdventHealth; Florida; On-site; USD 209,000 - 417,000; Full time

Benefits offered by this job

Medical, Dental, Vision Insurance

Paid Time Off from Day One

403-B Retirement Plan

Parental Leave

Job summary

AdventHealth in Florida is seeking a Physician Advisor to lead utilization management initiatives across inpatient and outpatient care. You will collaborate with medical staff, payers, and hospital leadership to ensure appropriate decisions, documentation, and compliance with regulatory requirements.

Ideal candidates have 5+ years of clinical practice, MD or DO, and 2+ years in a Physician Advisor role or 3+ years leadership, with strong analytical and communication skills.

Qualifications

• MD or DO with current license to practice medicine.
• 5+ years of recent clinical practice.
• 2+ years as a Physician Advisor (Preferred).
• 3+ years of leadership experience (Preferred).

Responsibilities

• Review and authorize inpatient days and utilization patterns.
• Collaborate with Utilization Management for process improvement and care continuity.
• Serve as clinical liaison with attending physicians and medical staff.
• Collaborate with managed care payers on denials, appeals, and criteria.
• Analyze data to identify utilization improvements and benchmarking.
• Educate physicians and clinical teams on UM protocols and regulatory changes.
• Review payer denials and support denial-prevention strategies.
• Participate in Utilization Management and hospital committees.
• Support goals for length of stay, quality, and resource stewardship.
• Perform other duties as assigned.

Skills

Relationship building

Physician advisor

Organization and attention to detail

Analytical/problem-solving

Communication skills

Matrix-management

Policy translation

Medical advising

Microsoft Office Suite

Education

Doctorate

Master's (Preferred)

Tools

Microsoft Office Suite

Job description

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

All the benefits and perks you need for you and your family:

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
• Paid Time Off from Day One
• 403-B Retirement Plan
• 4 Weeks 100% Paid Parental Leave
• Career Development
• Whole Person Well-being Resources
• Mental Health Resources and Support
• Pet Benefits

Schedule:

Full time

Shift:

Day (United States of America)

Address:

2000 FOWLER GROVE BLVD

City:

WINTER GARDEN

State:

Florida

Postal Code:

34787

Job Description:

• Reviews and authorizes inpatient days, evaluates utilization patterns, and ensures appropriate inpatient/outpatient determinations.
• Works closely with Utilization Management staff on process improvement, case reviews, and continuity of care efforts.
• Serves as a clinical liaison with attending physicians and medical staff to support decision-making and accurate documentation.
• Collaborates with managed care payers and their medical directors on denials, appeals, and utilization criteria.
• Analyzes data and trends to identify utilization improvement opportunities, develop benchmarking, and monitor outliers.
• Provides education to physicians and clinical teams on UM protocols, regulatory changes, and documentation requirements.
• Reviews concurrent and post-acute payer denials, intervenes with providers and payers, and supports denial prevention strategies.
• Participates in Utilization Management and hospital committees, sharing trends and supporting quality and operational initiatives.
• Supports organizational goals related to length of stay, quality, responsible resource stewardship, and overall performance.
• Performs other duties as assigned.

Knowledge, Skills, and Abilities:

• Strong ability to build and sustain relationships in the medical community and a corporate environment [Required]
• Successful history as a practicing physician [Required]
• Strong organization skills with attention to detail [Required]
• Excellent analytical and problem-solving skills [Required]
• Effective oral and written communication skills, with the ability to articulate complex information in understandable terms to all levels of staff [Required]
• Ability to work in a matrix-management environment to achieve organizational goals [Required]
• Ability to translate ethical and legal requirements into practical and sustainable policies, balancing the needs of the business and the interest of patients and member physicians alike [Required]
• Ability to provide expert medical advice and explain complex medical situation [Required]
• Health plan experience in operations [Preferred]
• Experience in a physician group model, leadership experience [Preferred]
• Effective computer skills, particularly Microsoft Office Outlook, Word, Excel, PowerPoint [Preferred]

Education:

• Doctorate [Required]
• Master's [Preferred]

Field of Study:

• Graduate of an accredited Medical School
• in Business or Healthcare Administration

Work Experience:

• 5+ years recent clinical practice experience [Required]
• 2+ years or greater experience as a Physician Advisor [Preferred]
• 3+ years of leadership experience [Preferred]

Additional Information:

• N/A

Licenses and Certifications:

• Medical Doctor (MD) [Required] OR Doctor of Osteopathic Medicine (DO) [Required]
• Basic Life Support (BLS) [Preferred]

Physical Requirements:

(Please click the link below to view work requirements)

• Physical Requirements - https://tinyurl.com/23km2677

Pay Range:

$208,665.60 - $417,352.00

Background Screening Requirement (Florida Law)

Certain positions are subject Florida Level 2 background screening, including fingerprinting, as required by state law.

Applicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse: https://info.flclearinghouse.com/

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.