Physician Advisor – Exempt

🔥 8 minutes ago

🇺🇸 United States – Remote

💵 $198k - $297k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 1%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Ensemble Health Partners

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

💼 Consulting

🛡️ Insurance

📦 Logistics

💰 Private Equity Round on 2022-03

Consulting • Insurance • Logistics

Ensemble Health Partners is a leading provider of revenue cycle management (RCM) services for healthcare organizations. They offer an end-to-end RCM solution that helps hospitals, health systems, and affiliated physician groups optimize their revenue cycles, reduce denials and underpayments, and enhance patient experiences using a combination of expert management and advanced technology. Ensemble Health Partners leverages certified operators and AI to deliver consistent results, improve collections, and support future growth for healthcare providers. They are recognized for their robust client partnerships and commitment to delivering reliable revenue lift and cost savings for their clients.

📋 Description

• 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

• 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

• 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