• Physician Advisor Denials Management

    CommonSpirit Health (Phoenix, AZ)
    **Responsibilities** The Utilization Management Physician Advisor II (PA) conducts clinical case reviews referred by case management staff and/or other health ... and understanding of documentation importance + Assists in communications of internal physician advisor services in the hospital newsletters and other… more
    CommonSpirit Health (04/11/25)
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  • Physician Advisor

    Dignity Health (Prescott, AZ)
    **Responsibilities** Reporting to our CMO, the Physician Advisor plays a critical role in promoting evidence-based standards of medical care while maintaining ... to practice medicine without restrictions in the State where performing Physician Advisor duties: MD:AZ or DO:AZ. **Minimum Special Skills:** + Strong clinical… more
    Dignity Health (04/11/25)
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  • Medical Director, Care Coordination

    Banner Health (Mesa, AZ)
    …Board Certification. Must obtain Health Care Quality and Management Certification with Physician Advisor sub-specialty certification within 3 years of hire. Must ... to our award-winning patient care. POSITION SUMMARY This position acts as a physician executive to ensure the appropriate and efficient medical management of cases… more
    Banner Health (05/01/25)
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  • Utilization Review Specialist

    HonorHealth (AZ)
    …Initiates chart reviews, conducts follow-up reviews, and escalates secondary reviews to Physician Advisor as necessary. Maintains a system to identify admissions ... issues related to contract guidelines. Works with medical records, finance and physician groups to develop systems to facilitate complete documentation for data… more
    HonorHealth (05/11/25)
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  • Nurse Practitioner (NP) Traveler, Advertised…

    Vighter Medical Group (Phoenix, AZ)
    …and adults, to include emergency and urgent care. + Consults with the Supervising Physician , Physician , or Pediatric Advisor for complex medical, pediatric, ... services under the medical direction of the National Medical Director and Physician Supervisors who collaborate with CBP's Office of the Chief Medical Officer… more
    Vighter Medical Group (05/09/25)
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  • Clinic Nurse Medical Case Manager - Workers…

    Travelers Insurance Company (Phoenix, AZ)
    …+ Engage specialty resources as needed to achieve optimal resolution (Dial-a-doc, physician advisor , peer reviews, MCU). + Partner with Claim Professional ... to provide medical information and disability status necessary to create an overall strategy to achieve an optimal outcome. + Utilize internal Claim Platform Systems to manage all claim activities on a timely basis. + Utilize Preferred Provider Network per… more
    Travelers Insurance Company (05/16/25)
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  • Medical Director

    CVS Health (Phoenix, AZ)
    …Previous UM experience with a Health Plan / Payor. Previous UM experience as a Physician Advisor in a Health / Hospital system. Board Certification in Internal ... Medicine, Family Medicine, or Emergency Medicine **Education:** Medical Doctor or Doctor of Osteopathic Medicine **Pay Range** The typical pay range for this role is: $174,070.00 - $374,920.00 This pay range represents the base hourly rate or base annual… more
    CVS Health (05/11/25)
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  • Practice Performance Advisor (Must Reside…

    Evolent (Phoenix, AZ)
    Advisor will be primarily responsible for primary care physician IPA (Individual Practice Association and/or MSO (Management Services Organization) engagement ... more connected care journey. We are hiring for a Practice Performance Advisor to join our Provider Relations Team. **Collaboration Opportunities:** The Practice… more
    Evolent (03/09/25)
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  • Supervisory Behavioral Health Advisor

    Vighter Medical Group (Tucson, AZ)
    Supervisory Behavioral Health Advisor (SBHA), Local, Tucson, Arizona Job Details Job Location Tucson, AZ - Tucson, AZ Position Type Full Time Education Level ... Any Job Category Health Care Description Title:Supervisory Behavioral Health Advisor (SBHA) Location: Tucson, Arizona Position Type:Full time (30-40+ hours/week),… more
    Vighter Medical Group (05/06/25)
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  • Regional Physician Supervisor (RSMD),…

    Vighter Medical Group (Yuma, AZ)
    Regional Physician Supervisor (RSMD), Local, Yuma, Arizona Job Details Job Location Yuma, AZ - Yuma, AZ Position Type Full Time Education Level Certification Travel ... 25% Job Shift Any Job Category Health Care Description Title:Regional Physician Supervisor (RSMD) Location: Yuma, Arizona Position Type:Full Time (30-40+… more
    Vighter Medical Group (05/09/25)
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