Physician Advisor II – MD Required

🔥 22 hours ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 10%

What it means: the chance that no one is really hiring for this job.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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Med-Metrix

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2010

🏥 Healthcare

☁️ SaaS

💰 Private equity on 2025-09

Healthcare • SaaS

Med-Metrix is a company for which only a minimal web presence was provided (the page only displayed "Loading application... Your web browser must have JavaScript enabled... "). No product, market, or mission details were included in the supplied text. Based on the company name alone, it plausibly focuses on medical or clinical metrics, analytics, or healthcare software, but that is speculative and not confirmed by the provided information. Further public details would be required to be more specific.

📋 Description

• Lead the Physician Advisor team and mentor, teach, and educate Physician Advisors internally and externally • Perform case reviews of all case types to achieve compliance • Respond to clinical review assistance requests regarding medical necessity and other matters • Consult with attendings, nurses, and case management staff on complex clinical issues, continued-stay justification, medical necessity, and utilization management • Apply MCG/InterQual criteria and professional judgment to patient-specific cases • Support case management outcomes and clinical progression of patient care • Recommend improvements to health record documentation affecting ICD code capture, severity, acuity, risk of mortality, and DRG assignment • Participate in Physician Advisor, utilization management, care management, and related training • Meet production, quality, and performance standards • Maintain confidentiality and comply with HIPAA and information security policies • Facilitate, mentor, and educate physicians regarding payer requirements • Attend meetings and participate in peer review as requested • Manage PAOC client relationships, quarterly reports, and JOCs to support customer satisfaction and retention • Contribute to PAOC’s quality program and continuous Physician Advisor development • Educate client-facility staff on relevant topics • Mentor and train new and existing Physician Advisors for consistency and quality • Serve as Physician Advisor Team Lead for dashboard management when scheduled • Perform additional duties as assigned

🎯 Requirements

• Specialty Board Certified • Licensed to practice medicine in the US • 3+ years working as a Physician Advisor or UR/UM Medical Director performing case reviews • Basic technical skills with Hospital EMRs, Microsoft Office, and Teams • Hold and maintain an unrestricted medical license and Board Certification • Possess or acquire a solid foundation, knowledge, and/or experience in utilization management, quality improvement, and patient safety • Working knowledge of hospital organization, case management operations, and administrative standards and policies • Familiarity with MCG/InterQual placement status criteria preferred • Membership in the American College of Physician Advisors (ACPA) preferred • ABQAURP Board Certification preferred • ABQAURP Physician Advisor Sub-Specialty Certification preferred • Proficiency in Microsoft Office Suite • Strong interpersonal and communication skills • Strong problem-solving and creative skills; ability to exercise sound judgment and make decisions based on accurate and timely analyses • High level of integrity and dependability with a strong sense of urgency and results orientation • Excellent written and verbal communication skills required • Ability to work assigned Monday–Friday shifts from 8 a.m.–5 p.m. EST to 9 a.m.–6 p.m. EST • Ability to use a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes

🏖️ Benefits

• Holiday coverage requirement of up to 3 holidays per year • Monday to Friday assigned shifts • Remote work arrangement • Required smartphone or electronic device supplied/used for multifactor authentication and security purposes

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