Physician Advisor (Remote)

This remote role supports a leader in the Education, Government & Non-Profit sector, providing business-aligned guidance on governance, compliance, and operational risk management. You will collaborate with leaders, compliance stakeholders, and cross-functional teams to translate complex issues into practical recommendations, strengthening responsible execution and sustainable growth in a mission-driven environment.

Location: Remote – US-based candidates only; no visa sponsorship available.

Responsibilities

• Perform medical necessity reviews using MCG and/or InterQual
• Support CMS compliance, including the 2-Midnight Rule and inpatient status determinations
• Partner with Case Management, CDI, and physician teams to improve documentation and patient flow
• Provide physician education, documentation feedback, and CDI query support
• Conduct peer-to-peer reviews and assist with denial prevention and appeals
• Participate in quality, compliance, and operational improvement initiatives

Qualifications

• MD or DO degree
• Board Certified in Family Medicine, Internal Medicine, or Pediatrics
• Eligible for the company medical licensure
• Prior Utilization Management experience preferred
• Knowledge of CMS regulations and MCG/InterQual guidelines
• Excellent communication and collaboration skills

Benefits

• Fully remote position with minimal on-site meetings
• Collaboration with multidisciplinary teams across UVA Health
• Opportunity to improve clinical documentation and patient outcomes
• Involvement in shaping system-wide initiatives in quality, compliance, and stewardship

Pay

$250,000 – $350,000 annually