Physician Advisor: Utilization, Denials and Quality Care

AdventHealth; Florida; On-site; USD 207,000 - 413,000; Full time

Benefits offered by this job

Medical/Dental/Vision benefits

PTO from day one

403-B retirement plan

Parental leave—4 weeks

Career development

Well-being resources

Mental health support

Pet benefits

Job summary

AdventHealth seeks an experienced Physician Advisor to lead utilization management and provide expert clinical guidance across inpatient and outpatient services. You will partner with Utilization Management, HIM, Revenue Cycle and medical staff to optimize care quality and cost-effectiveness.

The role requires a practicing MD/DO with leadership experience, strong communication, and the ability to navigate a matrix environment across a Florida-based health system.

Qualifications

• MD/DO Doctorate required and board eligibility or equivalent.
• Minimum 5+ years of clinical practice with leadership experience.
• Experience as a Physician Advisor or in Utilization Management preferred.
• Strong communication and collaboration skills in a matrix environment.

Responsibilities

• Provide physician-level reviews of utilization, admissions, and care pathways.
• Educate and guide clinical teams on UM protocols and regulatory changes.
• Collaborate with Utilization Management, HIM, Revenue Cycle and payers as a clinical liaison.
• Identify utilization improvement opportunities and contribute to benchmarking and policy updates.
• Support denial prevention strategies and participate in hospital committees.

Skills

Relationship building

Practicing physician

Organization

Analytical/problem solving

Communication

Matrix-management

Policy interpretation

MS Office proficiency

Education

Doctorate (MD/DO)

Master's in Healthcare Administration or Business (Preferred)

Tools

Microsoft Office (Outlook/Word/Excel/PowerPoint)

Job description

AdventHealth seeks an experienced Physician Advisor to lead utilization management and provide expert clinical guidance across inpatient and outpatient services. You will partner with Utilization Management, HIM, Revenue Cycle and medical staff to optimize care quality and cost-effectiveness.

The role requires a practicing MD/DO with leadership experience, strong communication, and the ability to navigate a matrix environment across a Florida-based health system.