Physician Advisor

{
  "content_hash": "6ea1a36a0ad233c91a6b9e031bb0b85f45ea4e81d4b0cc62a0d9bc4a5d306aea",
  "source_hash": "d36dd6ffd4ec7cd632283e0db41a721fbfc997bcabcb98241aba202be43dd827",
  "last_changed_at": "2026-05-30T05:45:45.388Z",
  "active_status": "active"
}

{
  "language": "en",
  "location": {
    "raw": "Short Hills, New Jersey, United States",
    "city": "Short Hills",
    "region": "NJ",
    "country": "United States",
    "is_remote": true,
    "confidence": 0.8
  },
  "salary_max": null,
  "salary_min": null,
  "inferred_at": "2026-06-06T20:27:58.787Z",
  "launch_scope": {
    "reason": "bamboohr_production_catalog",
    "included": true,
    "location": {
      "raw": "Short Hills, New Jersey, United States",
      "city": "Short Hills",
      "region": "NJ",
      "country": "United States",
      "is_remote": true,
      "confidence": 0.8
    },
    "countries": [
      "United States"
    ]
  },
  "remote_policy": "remote",
  "salary_period": null,
  "workplace_type": "remote",
  "salary_currency": null
}

{}

{
  "list_job": {
    "id": "34",
    "isRemote": null,
    "location": {
      "city": null,
      "state": null
    },
    "atsLocation": {
      "city": "Short Hills",
      "state": "New Jersey",
      "country": "United States",
      "province": null
    },
    "departmentId": "18687",
    "locationType": "1",
    "jobOpeningName": "Physician Advisor",
    "departmentLabel": "CUR",
    "employmentStatusLabel": "Contractor"
  },
  "detail_errors": [],
  "detail_job_opening": {
    "location": {
      "city": null,
      "state": null,
      "postalCode": null,
      "addressCountry": null
    },
    "datePosted": "2026-04-06",
    "atsLocation": {
      "city": "Short Hills",
      "state": "New Jersey",
      "country": "United States",
      "countryId": "1"
    },
    "description": "<p>The Physician Advisor provides physician-to-physician reviews, clinical guidance, education, and escalation support while promoting evidence-based practices and appropriate resource utilization.</p>\n<p> </p>\n<p>Key Responsibilities</p>\n<ul>\n<li>Conduct physician-to-physician reviews for medical necessity, level of care, and denial prevention/appeals</li>\n<li>Support utilization review and case management teams with complex clinical decision-making</li>\n<li>Ensure appropriate admission status determinations (inpatient vs. observation) in alignment with CMS and payer guidelines</li>\n<li>Provide clinical oversight related to length of stay, care progression, and discharge planning</li>\n</ul>\n<ul>\n<li>Ensure adherence to CMS Conditions of Participation, Medicare regulations, and payer policies</li>\n<li>Support compliance with medical necessity criteria (InterQual, MCG, or equivalent)</li>\n<li>Assist with audit preparedness and response, including RAC, MAC, and commercial payer audits</li>\n<li>Partner with HIM/CDI teams to improve documentation quality and clinical accuracy</li>\n</ul>\n<p><br></p>\n<p>Education &amp; Physician Engagement</p>\n<ul>\n<li>Serve as a trusted peer resource to attending physicians and advanced practice providers</li>\n<li>Educate medical staff on regulatory requirements, utilization best practices, and documentation standards</li>\n<li>Support change management initiatives related to clinical operations and compliance</li>\n</ul>\n<p> </p>\n<p>Qualifications</p>\n<p><br></p>\n<p>Required</p>\n<ul>\n<li>MD or DO with an active, unrestricted medical license</li>\n<li>Board-certified or board-eligible in a recognized specialty</li>\n<li>Clinical practice experience in an acute care or relevant healthcare setting</li>\n<li>Strong knowledge of utilization management, medical necessity, and payer regulations</li>\n<li>Excellent communication skills with the ability to conduct peer-to-peer discussions</li>\n</ul>\n<p><br></p>\n<p>Preferred</p>\n<ul>\n<li>Prior experience as a Physician Advisor, Medical Director, or in Utilization Review</li>\n<li>Familiarity with CMS guidelines, InterQual, MCG, and denial management processes</li>\n<li>Experience working with case management, CDI, HIM, or revenue cycle teams</li>\n<li>Experience in a remote or consulting healthcare environment</li>\n</ul>\n<p> </p>\n<p>Skills &amp; Competencies</p>\n<ul>\n<li>Physician-to-physician negotiation and collaboration</li>\n<li>Clinical judgment balanced with regulatory and financial awareness</li>\n<li>Data-driven decision-making</li>\n<li>Ability to influence without authority</li>\n<li>Strong written and verbal communication</li>\n</ul>\n<p> </p>",
    "compensation": null,
    "departmentId": "18687",
    "locationType": "1",
    "seekPromoted": false,
    "jobCategoryId": "18493",
    "jobOpeningName": "Physician Advisor",
    "departmentLabel": "CUR",
    "jobOpeningStatus": "Open",
    "minimumExperience": "Experienced",
    "jobOpeningShareUrl": "https://hurc.bamboohr.com/careers/34",
    "employmentStatusLabel": "Contractor"
  }
}