Physician Advisor

1103 Team Member Services; Orlando (FL); On-site; USD 209,000 - 417,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Paid Time Off from Day One

403-B Retirement Plan

4 Weeks Paid Parental Leave

Career Development

Whole Person Well-being Resources

Mental Health Resources and Support

Pet Benefits

Job summary

AdventHealth in Orlando, FL seeks a Physician Advisor to lead utilization management and physician engagement across departments. This full-time onsite role requires MD/DO, 5+ years of clinical practice, and leadership experience to promote high-quality, cost-effective care.

The position collaborates with HIM, Revenue Cycle, and Managed Care teams, reviews inpatient days and denials, and provides education on UM protocols. Background checks and Florida background screening apply.

Qualifications

• MD/DO with current medical license and board certification preferred
• 5+ years recent clinical practice experience
• Experience as a Physician Advisor or in a leadership role within healthcare organizations
• Strong communication and analytical skills to support utilization management and payer interactions

Responsibilities

• Educates and advises Utilization Management, HIM, Revenue Cycle, Patient Access, Managed Care teams on UM updates and trends.
• Provides physician-level review of utilization, claims management, and quality assurance for inpatient and outpatient services.
• Supports Chief Medical Officer functions and serves as clinical liaison for clinicians, payers, external providers, and regulatory entities.
• Reviews inpatient days, evaluates utilization patterns, and assists with denial prevention strategies.
• Collaborates with managed care payers and medical directors on denials, appeals, and utilization criteria.

Skills

Relationship building

Physician collaboration

Organization skills

Analytical thinking

Communication skills

Matrix management

Policy interpretation

Medical advice

Education

Doctorate

Master's

Medical School in Healthcare Administration

5+ years clinical practice

Physician Advisor leadership

Leadership experience

Tools

Outlook

Word

Excel

PowerPoint

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.

Benefits

• Medical Insurance
• Dental Insurance
• 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: 7727 LAKE UNDERHILL RD City: ORLANDO State: Florida Postal Code: 32822

Job Description

Location: East Orlando - 7727 Lake Underhill Rd, Orlando, FL 32822 Fulltime Onsite - 8am - 5pm, Monday - Friday

Responsibilities

• The Physician Advisor educates and advises Utilization Management, HIM, Revenue Cycle, Patient Access, Managed Care teams, and medical staff on updates and trends related to utilization and denial prevention.
• The role provides physician-level review of utilization, claims management, and quality assurance for inpatient, outpatient/observation, and referral services.
• It supports Chief Medical Officer functions across the region to ensure high-quality, efficient care throughout the continuum and serves as a key contact for clinicians, payers, external providers, and regulatory entities.
• The Physician Advisor acts as a subject matter expert, offering clinical and business guidance to promote high-quality, patient-focused, cost-effective care while maintaining respectful, collaborative relationships.
• 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]

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 to 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.

Every day, our fellow team members show up to work, unified by one shared mission: Extending the Healing Ministry of Jesus Christ. As a faith-based health care organization, our story is one of hope as we strive to heal and restore the body, mind and spirit. Though our facilities are spread across the country, this unwavering belief binds us together. Across every office, exam and patient room, we’re committed to providing individualized, holistic care. This is our Christian mission, and it inspires us to help make communities healthier and happier.