Physician Advisor

🔥 12 hours ago

🇺🇸 United States – Remote

⏱ Part Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 10%

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

• Render compliant status determinations for hospitalized patients • Conduct peer-to-peer reviews with payors' medical directors • Serve as a subject matter expert on utilization management issues • Review short inpatient stays and observation patients daily • Build relationships with medical staff and leadership to support utilization management initiatives • Attend utilization management committees • Assist with denials and appeals • Educate medical staff on utilization management topics • Partner with utilization review nurses, insurance authorization staff, and Case Management to strengthen utilization management processes • Track denial trends and help the team adapt to evolving payor challenges

🎯 Requirements

• Physician role involving utilization management and physician advisory responsibilities • Must reside and be authorized to work within the United States • Applications from outside the United States will not be considered • Knowledge of utilization management issues • Ability to conduct peer-to-peer reviews with payors' medical directors • Ability to review short inpatient stays and observation patients • Ability to collaborate with utilization review nurses, insurance authorization staff, and Case Management • Ability to attend utilization management committees • Ability to assist with denials and appeals • Ability to educate medical staff on utilization management topics • Ability to track denial trends and adapt to evolving payor challenges

🏖️ 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 for employees who go beyond expectations • Work-life flexibility • Professional development opportunities