Physician Advisor - Remote

Lensa; Newtown Square (Delaware County); Remote; USD 269,000 - 426,000; Full time

Job summary

A leading healthcare organization is seeking a Physician Advisor to enhance clinical care and ensure regulatory compliance. This role offers the flexibility to work remotely and requires an MD or DO with strong communication skills. Join a diverse team dedicated to improving health outcomes and advancing health equity.

Benefits

Comprehensive benefits

Incentives

Stock purchase options

401k contributions

Qualifications

• Current, unrestricted medical license in your state of residence.
• 3+ years of hospital-based practice experience.

Responsibilities

• Promote efficient and effective clinical care of hospitalized patients.
• Ensure payor and provider adherence to regulatory standards.
• Collaborate as part of a team with Physician Advisors and Nurses.

Skills

Communication

Problem-solving

Organization

Education

MD or DO

Tools

EMRs

Job description

Lensa is the leading career site for job seekers at every stage of their career. Our client, UnitedHealth Group, is seeking professionals. Apply via Lensa today!

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

Coverage spans from 6 pm to 3 am EST, Monday through Friday. One Monday off per 4-week cycle, replaced by Saturday or Sunday. Schedules are set based on business needs to ensure adequate staffing across all shifts. There is shared responsibility for weekend and holiday coverage among Physician Advisors.

You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities

1. Promote efficient and effective clinical care of hospitalized patients delivered in a timely, appropriate, and cost-effective manner, guided by evidence-based medicine and regulatory requirements, via review of clinical documentation, telephonic communication, and other interactions with hospital case managers and physicians.
2. Ensure payor and provider adherence to all applicable regulatory standards and CMS policies regarding inpatient admissions, observation/outpatient status, and hospital stay appropriateness.
3. Provide in-depth clinical expertise in managing specific patient populations to effectively manage length of stay, discussing documented concerns and care plans with treating physicians related to utilization review.
4. Meet performance and quality metrics, incorporate feedback from quality improvement reports, and provide exceptional customer service.
5. Collaborate as part of a team with Physician Advisors, Nurses, Administrative Assistants, Clinical Relationship Managers, and Team Leaders, responding promptly to requests for assistance.
6. Perform administrative tasks, stay updated on internal policies, regulatory changes, and complete mandatory training modules.
7. Prioritize engagement with organization, colleagues, team members, and clients.

You’ll be rewarded and recognized for your performance in an environment that challenges you and provides clear pathways for success and development.

Required Qualifications

1. MD or DO
2. Current, unrestricted medical license in your state of residence
3. Ability to build rapport with medical staff and hospital leadership
4. Proven computer skills and knowledge of EMRs
5. Ability to work remotely from 6 pm to 3 am EST, Monday through Friday, with weekend rotation

Preferred Qualifications

1. Board Certified or Eligible
2. 3+ years of hospital-based practice experience
3. Strong organization and communication skills
4. Problem-solving skills
5. Team-oriented mentality
6. Solid clinical knowledge and documentation skills
7. Proficiency with computers
8. Ability to conduct meaningful discussions with Case Managers and Physicians
9. Adherence to UnitedHealth Group’s Telecommuter Policy for remote employees

The salary range for this role is $269,500 to $425,500 annually, based on full-time employment, with potential bonuses based on performance. Compensation factors include local labor markets, education, experience, and certifications. Benefits include a comprehensive package, incentives, stock purchase options, and 401k contributions, subject to eligibility.

The application will be posted for at least 2 business days or until a sufficient candidate pool is reached. Early removal is possible depending on applicant volume.

At UnitedHealth Group, our mission is to help people live healthier lives and improve the health system for all. We are committed to addressing health disparities and promoting health equity, reflecting our enterprise priorities.

We are an Equal Employment Opportunity/Affirmative Action employer and a drug-free workplace. All candidates must pass a drug test before employment.