- Sharecare (Topeka, KS)
- …visit www.sharecare.com . **Job Summary:** CareLinx is looking for a Care Advisor to assist with CareLinx's Payer Operations line of business. CareLinx is ... hire process. Once a caregiver match is made, the Care Advisor will follow closely to ensure...be the place for you. **Location:** This role is remote , except for candidates located in the Mesa, AZ… more
- CommonSpirit Health (Englewood, CO)
- **Job Summary and Responsibilities** **Thi** **s is a remote position** The Utilization Management Physician Advisor II (PA) conducts clinical case reviews ... referred by case management staff and/or other health care professionals to meet regulatory requirements and in accordance with the system's objectives for assuring… more
- CommonSpirit Health (Salt Lake City, UT)
- …roles, preferred. + Experience as a Physician Advisor in the acute care setting and/or the payer environment, preferred. + Education and experience in ... position is a hybrid role requiring a mix of remote and on-site work at the five CommonSpirit Hospitals...relocate to the Salt Lake City Area._ The Physician Advisor reports directly to the Medical Director Physician … more
- R1 RCM (Boise, ID)
- …sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our **Physician Advisor ** , you will help our client facilities navigate the path ... documentation was available for the admission status, procedure, and care setting that was requested. You will also advise...basic computer skills is essential for excelling in this remote position. **Here's what you will experience working as… more
- Nuvance Health (Danbury, CT)
- *Description* *FULL TIME DAY SHIFTS- VARIABLE HOURS / WEEKEND ROTATIONS REQUIRED* * *Hybrid/ Remote * * *Summary:* The purpose of the Denial Prevention Nurse is to ... will require specialized system skills, best practice application of investigating payer practices, successfully challenging payers as they prevent obstacles and… more
- UNC Health Care (Chapel Hill, NC)
- …conditions, patient safety indicators, hierarchical condition categories and complexity of care rendered to all patients. Educates on proper creation of provider ... CPT codes in accordance with the Official Coding Guidelines, and third party payer , state and federal regulations. 10. Identifies cases for CDI Physician Advisor… more
- Surgery Care Affiliates (Philadelphia, PA)
- Overview At SCA Health, we believe health care is about people - the patients we serve, the physicians we support and the teammates who push us forward. Behind every ... our organization. As part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of… more
- Northwell Health (Melville, NY)
- …+ Serves as liaison between the patient and facility/physician and the third party payer . + Prepares and defends level of care and medical necessity for ... assigned case. + Collaborates with physician advisor , payor representative and site case managers to facilitate...Review experience, preferred. + Must have experience with Milliman Care Guidelines and/or InterQual. Hours/Shift + Fully remote… more
- Takeda Pharmaceuticals (Boston, MA)
- …aligned with brand strategy and objectives. + Facilitate speaker and advisor engagement, including contracting, onboarding, and communication of expectations and ... topics and participant selection. + Define and report on KPIs, including advisor engagement, insight quality, and impact on strategic decision-making. + Demonstrate… more
- Medexus Pharma (CT)
- Senior Medical Science Liaison remote Remote , NYC, NJ, CT, United States . full-time . December 3, 2025 Description **Company Bio** Medexus Pharma is a leading ... Affairs team. The MSL will serve as a scientific expert and trusted advisor , engaging with Key Opinion Leaders (KOLs), healthcare providers (HCPs), payors, and… more
- Amgen (Thousand Oaks, CA)
- …of multi-channel engagement strategies that elevate scientific understanding and patient care and drive the digital and technology roadmap to enable and ... enabling operational efficiency. + Serve as a thought partner and advisor to Therapeutic Area and regional leadership, guiding insight-driven and impact-oriented… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Medical Officer (ACMO) serves as a strategic clinical leader and trusted advisor , providing expert guidance across the organization and engaging with key external ... role supports the development of clinical strategies that promote high-quality, cost-effective, care for our members. The ACMO partners with internal teams and… more
- Humana (Pierre, SD)
- …and brand storytelling for CenterWell and its three lines of business - Primary Care , Home, and Pharmacy. The AVP will be a hands-on leader who can operate ... company objectives, purpose, and growth priorities. + Serve as a trusted advisor to executive leadership on reputation, messaging, and communications risks and… more
- TEKsystems (Baltimore, MD)
- …+ Strategy, Solutioning & Leadership + Engage with clients as a trusted advisor to understand their business goals, challenges, and strategic priorities and how they ... 7 or more years of broad healthcare experience knowledge ( Payer & Provider) + 5 or more years in.... Short and long-term disability . Health & Dependent Care Spending Accounts (HSA & DCFSA) . Transportation benefits… more
- TEKsystems (Boston, MA)
- …Strategy, Solutioning & Leadership o Engage with clients as a trusted advisor to understand their business goals, challenges, and strategic priorities and how ... 7 or more years of broad healthcare experience knowledge ( Payer & Provider) . 5 or more years in...& AD&D). Short and long-term disability. Health & Dependent Care Spending Accounts (HSA & DCFSA). Transportation benefits. Employee… more