Physician Advisor – Exempt

Ensemble Health Partners

. Provide leadership for resource and utilization management to deliver quality, cost-effective care in the appropriate setting .

Posted 10/14/2026full-timeRemote • United StatesMid-LevelSenior💰 $198,000 - $297,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in resource and utilization management, ensuring quality and cost-effective care while optimizing hospital service utilization. Strong ability to collaborate with medical staff and leadership to develop care management protocols and improve compliance.

Highest-signal resume keywords

MD/DO PHYSICIANMEDICAL LICENSURERESOURCE AND UTILIZATION MANAGEMENTCARE MANAGEMENT PROTOCOLSCOMPLIANCE IMPROVEMENTS

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Utilization ManagementPeer-to-Peer ReviewsShort-Stay ReviewsExtended Observation ReviewsDocumentation SupportCoding ImprovementsDenial ManagementPayer Challenges ResponsePatient Status DeterminationReport Preparation

Soft Skills

LeadershipCollaborationRelationship BuildingEducation and TrainingCommunication

Certifications & Qualifications

Medical Licensure

Industry Keywords

Cost-Effective CareHospital Service UtilizationMedical Staff LeadershipUtilization Management CommitteesDenials and Appeals

About the role

Key responsibilities & impact

Provide leadership for resource and utilization management to deliver quality, cost-effective care in the appropriate setting
Work with medical staff leadership, physicians, and resident house staff on resource and utilization management
Develop and implement methods to optimize hospital service utilization
Develop care management protocols with hospital leadership, physicians, and others
Ensure patients are in the appropriate level of care
Support documentation, coding improvements, and compliance
Perform peer-to-peer reviews, short-stay reviews, and extended observation reviews
Provide medical staff education and training
Prepare periodic reports for the Board, MEC, and Joint Conference
Determine status for hospitalized patients
Review observation patients daily
Build relationships with medical staff and leadership regarding utilization management issues
Attend utilization management committees as a subject matter expert
Assist with denials and appeals
Partner with UR nurses, IA staff, and Case Management to improve the utilization management process
Track denial trends and help the team respond to payer challenges

Requirements

What you’ll need

MD/DO Physician (MUST have)
Must reside and be authorized to work within the United States
Experience relevant to compensation determination
Medical licensure required to practice as an MD/DO physician (implied by the mandatory physician qualification)

Benefits

Comp & perks

Comprehensive benefits package including healthcare, time off, retirement, and well-being programs
Professional certification relevant to the associate’s field
Tuition reimbursement
Quarterly and annual incentive programs
Work-life flexibility
Professional development opportunities
Reasonable accommodations for qualified individuals with disabilities