• Physician - Physician Advisor

    Ascension Health (Jacksonville, FL)
    …5 years of recent work experience in a hospital setting, preferably with some Physician Advisory/ Utilization Management work experience. If you are ready to ... the offer._ **Responsibilities** **Position Highlights** Ascension St. Vincent is looking for a Physician Advisor to join our team. We are looking for a Physician more
    Ascension Health (08/02/25)
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  • Licensed Physician Reviewer - Ortho…

    ChenMed (Miami, FL)
    …to join our team. The Physician Reviewer is the primary physician reviewer for Utilization Management/Clinical Appropriateness review cases in our ... organization. Other duties include advising other physician reviewers and attending daily calls with health plan teams and our local teams assisting with this… more
    ChenMed (06/05/25)
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  • Director Physician Services I

    HCA Healthcare (Palm Harbor, FL)
    …such as patient flow, patient satisfaction, practice volume, billing and collections, service utilization , coding, physician and staff training + You will have ... over 156,000 hours impacting our communities. As a Director Physician Services I with HCA Healthcare, you can be...medical records, nursing, and ancillary services to ensure maximum utilization of resources and the efficient delivery of services… more
    HCA Healthcare (06/21/25)
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  • Supervisor ED Utilization Management

    AdventHealth (Tampa, FL)
    …Serves as an initial point of contact for all identified stakeholders [i.e. Utilization Management staff, Physician Advisor(s), payors, leadership]. Serves as a ... heart failure, cancer and other diseases. **The role you'll contribute:** The Utilization Management RN Supervisor reports directly to the Divisional Utilization more
    AdventHealth (08/08/25)
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  • Chief Medical Officer

    HCA Healthcare (Gainesville, FL)
    …affairs. + Serves as a consultant to hospital Medical Staff Services regarding physician credentialing, utilization , and quality profiling. Serves as a member of ... quality management and promote optimum patient experience. Major Responsibilities: Physician Alignment + Leads clinical performance expectations that support the… more
    HCA Healthcare (08/03/25)
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  • Medical Director Physician Advisor UM

    AdventHealth (Altamonte Springs, FL)
    …**Job Location** : Altamonte Springs, FL **The role you will contribute:** The Physician Advisor provides primary support for Utilization Management (UM) and ... documentation, patient safety, and quality outcomes. Through primary support of Utilization Management, the Physician Advisor is responsible for providing… more
    AdventHealth (08/07/25)
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  • Senior Health Economics Analyst

    ChenMed (Miami, FL)
    …spot trends + Extensive knowledge of healthcare/medical economics data such as hospital/ physician /ASC claims, utilization data, and healthcare industry coding ... JOB DUTIES/RESPONSIBILITIES:** + Analyzes and interpret enrollment, revenue, and claims ( utilization and unit cost) data to identify and solve business problems… more
    ChenMed (07/15/25)
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  • Medical Director, Clinical Services

    Highmark Health (Tallahassee, FL)
    …Inc. **Job Description :** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in ... and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician... utilization review, the incumbent participates as the physician member of the multidisciplinary team for case and… more
    Highmark Health (07/29/25)
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  • Territory Account Manager - 64

    Rep-Lite (Orlando, FL)
    …improving patient access and outcomes Performance Metrics Include + Revenue and utilization growth + Physician referral network expansion + Report attribution ... conditions. You will be responsible for expanding awareness, increasing treatment utilization in established accounts, and building a strong network of referring… more
    Rep-Lite (06/13/25)
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  • Observation Utilization Review RN

    Trinity Health (Fort Lauderdale, FL)
    …for Observation services. * Maintains a working relationship with onsite Physician Advisor * Educates Observation Case Managers, including week-end staff regarding ... status in accordance with Indicia/InterQual criteria and to assure that the physician admits patient under the guidelines of the Managed Care Companies thus… more
    Trinity Health (08/02/25)
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