About this opportunity
AdventHealth lists this Physician Advisor opportunity in orlando, Florida. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Our promise to you:
nJoining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
nAll the benefits and perks you need for you and your family:
nnnBenefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
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nnPaid Time Off from Day One
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nn403-B Retirement Plan
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nn4 Weeks 100% Paid Parental Leave
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nnCareer Development
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nnWhole Person Well-being Resources
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nnMental Health Resources and Support
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nnPet Benefits
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n nSchedule:
nFull time
nShift:
nDay (United States of America)
nAddress:
n7727 LAKE UNDERHILL RD
nCity:
nORLANDO
nState:
nFlorida
nPostal Code:
n32822
nJob Description:
nLocation: East Orlando - 7727 Lake Underhill Rd, Orlando, FL 32822
nFulltime Onsite - 8am - 5pm, Monday - Friday
nThe Physician Advisor educates and advises Utilization Management, HIM, Revenue Cycle, Patient Access, Managed Care teams, and medical staff on updates and trends related to utilization and denial prevention. The role provides physician-level review of utilization, claims management, and quality assurance for inpatient, outpatient/observation, and referral services. It supports Chief Medical Officer functions across the region to ensure high‑quality, efficient care throughout the continuum and serves as a key contact for clinicians, payers, external providers, and regulatory entities. The Physician Advisor acts as a subject matter expert, offering clinical and business guidance to promote high‑quality, patient‑focused, cost‑effective care while maintaining respectful, collaborative relationships.
nnnReviews and authorizes inpatient days, evaluates utilization patterns, and ensures appropriate inpatient/outpatient determinations.
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nnWorks closely with Utilization Management staff on process improvement, case reviews, and continuity of care efforts.
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nnServes as a clinical liaison with attending physicians and medical staff to support decision-making and accurate documentation.
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nnCollaborates with managed care payers and their medical directors on denials, appeals, and utilization criteria.
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nnAnalyzes data and trends to identify utilization improvement opportunities, develop benchmarking, and monitor outliers.
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nnProvides education to physicians and clinical teams on UM protocols, regulatory changes, and documentation requirements.
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nnReviews concurrent and post-acute payer denials, intervenes with providers and payers, and supports denial prevention strategies.
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nnParticipates in Utilization Management and hospital committees, sharing trends and supporting quality and operational initiatives.
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nnSupports organizational goals related to length of stay, quality, responsible resource stewardship, and overall performance.
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nnPerforms other duties as assigned.
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n nKnowledge, Skills, and Abilities:
nnnStrong ability to build and sustain relationships in the medical community and a corporate environment (Required)
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nnSuccessful history as a practicing physician (Required)
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nnStrong organization skills with attention to detail (Required)
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nnExcellent analytical and problem-solving skills (Required)
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nnEffective oral and written communication skills, with the ability to articulate complex information in understandable terms to all levels of staff (Required)
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nnAbility to work in a matrix-management environment to achieve organizational goals (Required)
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nnAbility to translate ethical and legal requirements into practical and sustainable policies, balancing the needs of the business and the interest of patients and member physicians alike (Required)
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nnAbility to provide expert medical advice and explain complex medical situation (Required)
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nnHealth plan experience in operations (Preferred)
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nnExperience in a physician group model, leadership experience (Preferred)
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nnEffective computer skills, particularly Microsoft Office Outlook, Word, Excel, PowerPoint (Preferred)
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n nEducation:
nnnDoctorate (Required)
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nnMaster's (Preferred)
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n nField of Study:
nnnGraduate of an accredited Medical School
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nnin Business or Healthcare Administration
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n nWork Experience:
nnn5+ years recent clinical practice experience (Required)
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nn2+ years or greater experience as a Physician Advisor (Preferred)
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nn3+ years of leadership experience (Preferred)
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n nLicenses and Certifications:
nnnMedical Doctor (MD) (Required) OR Doctor of Osteopathic Medicine (DO) (Required)
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nnBasic Life Support (BLS) (Preferred)
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n nPhysical Requirements: (Please click the link below to view work requirements)
nnPhysical Requirements -
n nPay Range:
n$208,665.60 - $417,352.00
nBackground Screening Requirement (Florida Law)
nCertain positions are subject to Florida Level 2 background screening , including fingerprinting, as required by state law.
nApplicants may review general information about Florida's background screening requirements at the Florida Care Provider Background Screening Clearinghouse :
n nThis facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
nCategory: Physicians & Providers
nOrganization: AdventHealth East Orlando
nSchedule: Full time
nShift: Day
nReq ID:
Worksite address
orlando, FL, 32885, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.