Physician Advisor, Physician

Tal Healthcare; New York (NY); On-site; USD 190,000 - 270,000; Full time

Benefits offered by this job

4 weeks PTO

30 days sick leave

13 paid holidays

CME leave with $2,000 allowance

403(b) employer contribution 10% after

457(b) savings option

Inclusive workplace

Professional growth opportunities

Job summary

Tal Healthcare's client, a leading academic medical center affiliated with a prominent university, seeks a Physician Advisor. The role balances clinical practice with administrative oversight to optimize hospital utilization, resource management, and financial sustainability while maintaining high-quality patient outcomes.

You will collaborate with multidisciplinary teams, develop protocols, monitor utilization data, lead denial management, and participate in quality improvement projects, while

Qualifications

• MD or DO degree with Board Certification.
• New York State medical license, DEA, and Medicaid number.
• Minimum five years of medical practice experience with utilization management and quality improvement.
• Knowledge of medical necessity criteria such as InterQual and MCG.
• Strong interpersonal and communication skills across departments.
• Proficiency in Excel, Epic, and Cisco WebEx.

Responsibilities

• Act as liaison between medical staff, case management, and finance to identify optimization opportunities.
• Develop and implement protocols, training programs to improve levels of care and documentation.
• Monitor provider practice patterns and utilization data to reduce over- and under-utilization.
• Collaborate with leadership to ensure adherence to medical necessity criteria and regulatory guidelines.
• Lead denial management efforts and contribute to coding accuracy.
• Participate in quality improvement projects and utilization review processes.
• Maintain clinical practice in the primary specialty while contributing to operations.

Skills

Utilization management

Quality improvement

Communication

Regulatory compliance

Education

MD or DO degree

Board Certification in specialty

Tools

Epic

Microsoft Excel

Cisco WebEx

Job description

Our client, a leading academic medical center affiliated with a prominent university and serving a diverse patient population, is hiring a Physician Advisor. This vital position offers a unique opportunity for an experienced physician to play a key role in optimizing hospital utilization and resource management. The Physician Advisor will serve as a strategic liaison, collaborating with multidisciplinary teams to enhance clinical operations, improve quality of care, and ensure compliance with regulatory and payer requirements. This role balances clinical practice with administrative oversight, promoting efficient hospital workflows and financial sustainability while maintaining a commitment to excellent patient outcomes.

Responsibilities

• Act as a liaison between medical staff, case management, and finance departments to identify opportunities for resource optimization.
• Develop and implement protocols, training programs, and initiatives to improve levels of care, length of stay, and documentation practices.
• Monitor provider practice patterns, utilization data, and compliance to reduce over- and under-utilization of services.
• Collaborate with hospital leadership and frontline medical staff to ensure adherence to medical necessity criteria, documentation standards, and regulatory guidelines, including payer-specific and governmental requirements.
• Lead denial management efforts and contribute to hospital coding accuracy to support financial performance.
• Participate in quality improvement projects and provide clinical expertise on utilization review processes.
• Maintain clinical practice in the primary specialty, contributing to both operational and clinical functions.

Requirements

• MD or DO degree with Board Certification in the preferred specialty.
• Valid New York State medical license, DEA, and Medicaid number.
• Minimum of five years of medical practice experience, with a background or strong foundation in utilization management and quality improvement.
• Demonstrated knowledge of medical necessity criteria, such as InterQual and MCG.
• Strong interpersonal and communication skills, with the ability to collaborate across multiple departments and specialties.
• Proficiency in Microsoft Excel, Epic, and Cisco WebEx preferred.
• Willingness to work clinically in the primary specialty.
• Additional desirable qualifications include experience with hospital operations, coding, and regulatory compliance.

Some Of The Benefits

• Competitive salary package commensurate with experience and qualifications.
• Generous paid time off, including 4 weeks of PTO, 30 days of sick leave, and 13 paid holidays.
• CME leave with a $2,000 allowance to support ongoing professional development.
• Retirement plans including a 403(b) plan with a 10% employer contribution after 12 months, and an additional 457(b) savings option.
• Supportive, inclusive workplace.
• Stable, collaborative work environment with opportunities for professional growth and development.

Salary: The posted range is not a guarantee. The actual salary will be based on qualifications, experience, and education and could fall outside of this range. Contact us for more information.