Physician Advisor Lead
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HURC Healthcare SolutionsCore Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates clinical leadership and mentorship while managing complex clinical cases and utilization management processes. Proficient in P2P reviews, medical necessity determinations, and enhancing Physician Advisor services through effective communication and collaboration.
Highest-signal resume keywords
Active U.S. Physician LicenseBoard Certification in SpecialtyPhysician Advisor ExperienceUtilization Management ExpertiseEpic EHR Experience
About the role
Key responsibilities & impact- 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
Requirements
What you’ll need- Active, unrestricted U.S. physician license
- Board certification in an appropriate specialty
- Significant Physician Advisor experience, including the ability to maintain an active production workload
- Strong background in utilization management, hospital medicine, healthcare revenue cycle, or a related clinical setting
- Demonstrated expertise in P2P reviews, medical necessity determinations, inpatient admission criteria, continued stay reviews, denials, appeals, and payer processes
- Experience managing complex clinical cases and conducting payer-to-provider negotiations
- Strong written and verbal communication, negotiation, and collaboration skills
- Ability to work effectively in a remote, client-facing environment while meeting clinical leadership, production, quality, timeliness, and client-service expectations
- Experience mentoring, coaching, or leading physicians preferred
- Experience with Epic or other major EHR platforms preferred
Benefits
Comp & perks- Remote work arrangement
- Professional development through onboarding, training, coaching, and ongoing development
- Travel as needed
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
P2P ReviewsMedical Necessity DeterminationsInpatient Admission CriteriaDenials ManagementAppeals ProcessHealthcare Revenue CycleComplex Clinical Case ManagementPerformance MonitoringQuality AuditsProcess Improvement
Soft Skills
Strong Written CommunicationStrong Verbal CommunicationNegotiation SkillsCollaboration SkillsMentoring Skills
Tools & Technologies
Epic EHRHealthcare Management Systems
Certifications & Qualifications
Board Certification in Appropriate Specialty
Industry Keywords
Utilization ManagementClinical LeadershipClient Service StandardsKPI MonitoringPhysician Advisor Program