Remote Physician Advisor: Revenue Cycle Leader

Ensemblehp; United States; Remote; USD 198,000 - 297,000; Full time

Benefits offered by this job

Healthcare benefits

Tuition reimbursement

Professional certifications support

Incentive programs

Job summary

Ensemble is seeking a Physician Advisor to lead resource and utilization management across hospital settings. You will collaborate with medical staff leadership to optimize care, insuring appropriate levels of care, supporting documentation, coding improvements, and compliance.

Strong leadership, communication, and peer-to-peer review skills are essential. The role is remote within the United States with travel as needed, focusing on driving cost-effective care and facilitating education for

Qualifications

• MD/DO Physician required.
• Demonstrated advanced usage of AI and ability to translate AI into business outcomes, scaling initiatives.

Responsibilities

• Status determinations for hospitalized patients.
• Peer-to-peer reviews with payors’ medical directors.
• Short inpatient stay reviews.
• Review observation patients daily.
• Build relationships with medical staff and leadership to gain buy-in with UM issues.
• Attend UM Committees as subject matter expert.
• Assist with denials and appeals as appropriate.
• Educate medical staff on UM topics.
• Collaborate with UR nurses, IA staff, and Case Management to improve the UM process.
• Track denial trends to evolve to payor challenges.

Skills

AI in business outcomes

Education

MD/DO Physician

Job description

Ensemble is seeking a Physician Advisor to lead resource and utilization management across hospital settings. You will collaborate with medical staff leadership to optimize care, insuring appropriate levels of care, supporting documentation, coding improvements, and compliance.

Strong leadership, communication, and peer-to-peer review skills are essential. The role is remote within the United States with travel as needed, focusing on driving cost-effective care and facilitating education for