Physician Advisor
HURC · United States · US
Utilization Review
Remote
physician
Demand78
Career growth65
Healthcare fit86
Remote potential65
5-year outlook
Demand should remain stable due to payer audits, utilization management, CMS compliance, and denial prevention. Compensation is generally competitive for licensed physicians but varies by employer, region, and whether the role is remote, consulting, or health-system based.
Clinical license
Required
Applicant reach
narrow
Seniority
senior
Employment type
–
Date found
2026-10-25
Intelligence details
Flexible work details
- Side income
- Classified as side-income friendly
- Engagement type
- Contract
- Hours
- Variable hours
- Eligible countries
- United States
- License jurisdiction
- US
- Profession fit
- physician
- Rate period
- Annual
Why this was classified this way
- Contractor
Listing via Himalayas.
Eligibility, licensing, and location restrictions can change. Always confirm details on the source posting before applying.
Why this is worth applying to
Worth applying for licensed, board-certified physicians who want utilization management, payer compliance, and peer-review work. It is less suitable for clinicians seeking direct patient care or those without an active unrestricted license.
Who should apply
Board-certified or board-eligible physicians with acute care experience, especially hospitalists, internists, family medicine physicians, and other specialists; IMGs with an active unrestricted license; physicians with prior utilization review, CDI, case management, payer audit, or medical director exposure.
CV angle
Frame acute-care clinical practice as evidence of medical necessity judgment and peer credibility. Highlight real experience with level-of-care decisions, denial/appeal support, CMS or payer compliance, InterQual/MCG use, documentation improvement, multidisciplinary case management, and physician education; do not claim formal utilization review experience unless it is genuine.
Skills to highlight
- Utilization management
- Medical necessity criteria such as InterQual or MCG
- CMS Conditions of Participation and payer regulations
- Denial prevention and appeals
- Peer-to-peer physician communication
- Case management and discharge planning collaboration
- CDI/HIM documentation improvement
- Audit preparedness including RAC, MAC, and commercial payer audits
Role summary
A physician advisor role focused on peer-to-peer clinical reviews, medical necessity and level-of-care determinations, denial prevention, utilization review support, regulatory education, and collaboration with case management, CDI, HIM, and revenue cycle teams.
We publish our own intelligence summary, never the full job description. Always confirm details with the employer when you apply.