Physician Advisor Lead

🔥 2 minutes ago

🏖️ New Jersey – Remote

🏖️ New Jersey – Remote

⏰ Full Time

🟠 Senior

👻 Ghost score 11%

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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HURC Healthcare Solutions

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2018

🏥 Healthcare

⚕️ Healthcare Insurance

🎯 Recruiter

Healthcare • Healthcare Insurance • Recruitment

HURC Healthcare Solutions is a B2B healthcare services firm that partners with hospitals and provider organizations to manage utilization review, clinical revenue cycle operations, and population health outreach. The company provides centralized Utilization Review (CŪR), revenue cycle management that combines domestic oversight with offshore resources, and staff augmentation and automation services to maximize net patient revenue and reduce operational burdens. HURC emphasizes people-powered, customizable services that integrate with clients' existing systems and bridge the payer-provider gap so clinicians can focus on patient care.

📋 Description

• 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

• 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

• Remote work arrangement • Professional development through onboarding, training, coaching, and ongoing development • Travel as needed