HURC Healthcare Solutions

Physician

• Provide clinical leadership, mentorship, and day-to-day support to HURC Physician Advisors
• Maintain an active production workload and perform Physician Advisor duties on assigned client accounts
• Serve as a senior clinical resource for complex, high-priority, and escalated utilization review, medical necessity, and P2P cases
• Establish and promote consistent clinical, documentation, communication, and client-service standards
• Conduct and oversee regular Physician Advisor quality and call audits
• Monitor KPIs including P2P completion, callback responsiveness, overturn rates, quality, timeliness, and client service
• Identify performance trends and opportunities for coaching, education, and process improvement
• Partner with HR and Operations on performance reporting, management, and improvement initiatives
• Support Physician Advisor onboarding, training, and ongoing professional development
• Develop and maintain educational resources, reference materials, and standardized best practices
• Serve as a senior clinical resource for clients regarding escalated clinical and operational issues
• Participate in client meetings, operational reviews, and clinical discussions as needed
• Identify trends in denials, medical necessity determinations, payer behavior, and utilization management practices
• Collaborate with HURC leadership to develop clinical recommendations, improve workflows, and expand Physician Advisor services and specialized clinical programs
• Support the ongoing development and standardization of HURC’s Physician Advisor program

Explore Physician Advisor Lead at HURC Healthcare Solutions. Review requirements and application details.