Physician Advisor

🔥 12 hours ago

🇺🇸 United States – Remote

💵 $198k - $297k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

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 efficiently managing resource and utilization to deliver quality, cost-effective care in the most appropriate setting • Work with medical staff leadership, medical staff, and resident physician house staff on resource/utilization management • Develop and implement methods to optimize use of hospital services • Develop care management protocols with 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 • Provide periodic reports to the Board, MEC, and Joint Conference • Make day-to-day leadership decisions and drive results • Coach and develop leaders and associates • Delegate authority and responsibilities while maintaining ownership of outcomes • Lead teams to achieve results through productive relationships and work • Communicate information and ideas clearly and compellingly • Manage programs and projects from inception through completion and implementation • Make status determinations for hospitalized patients • Perform peer-to-peer reviews with payors’ medical directors • Conduct short inpatient stay reviews • 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 • Educate medical staff on utilization management topics • Partner with UR nurses, IA staff, and Case Management to maintain and improve the utilization management process • Track denial trends to help the team address new payor challenges

🎯 Requirements

• MD/DO Physician (MUST have) • Must reside and be authorized to work within the United States • Applications generated from outside the United States will not be considered

🏖️ Benefits

• Comprehensive healthcare benefits • Time off • Retirement benefits • Well-being programs • Professional certification relevant to the associate’s field • Tuition reimbursement • Quarterly incentive programs • Annual incentive programs • Work-life flexibility • Professional development opportunities