Remote Physician Advisor, Utilization Mgmt (CA Licensed)

Alignment Healthcare LLC; California (MO); Remote; USD 172,364 - 258,547; Full time

Job summary

A leading healthcare company is seeking a Physician Advisor for Utilization Management. The role requires a California license and significant experience in clinical care and utilization management. Responsibilities include processing reviews, liaising with medical staff, and overseeing case management protocols. The ideal candidate is skilled in communication and problem-solving. This position offers a competitive salary range between $172,364 and $258,547.

Qualifications

• Minimum of 3 years of experience in clinical care, quality management, or medical staff governance.
• Current, non-restricted California license required.
• Ability to communicate positively and effectively with others.

Responsibilities

• Process second level reviews for inpatient and outpatient services.
• Provide oversight for NP’s/PA’s training.
• Collaborate with interdisciplinary teams to optimize care.

Skills

Utilization Management Experience

Effective written and oral communication skills

Mathematical Skills

Problem-Solving Skills

Education

Completion of medical school and specialty residency

Job description

A leading healthcare company is seeking a Physician Advisor for Utilization Management. The role requires a California license and significant experience in clinical care and utilization management. Responsibilities include processing reviews, liaising with medical staff, and overseeing case management protocols. The ideal candidate is skilled in communication and problem-solving. This position offers a competitive salary range between $172,364 and $258,547.