Providence Swedish is seeking a Physician Advisor to provide physician leadership within Utilization Management, partnering closely with Care Management, Medical Staff, and executive leadership to drive high value care. This fully remote position supports Washington ministries and focuses on advancing medical necessity practices, reducing preventable denials, optimizing length of stay, and improving patient flow through data-driven and clinician-engaged strategies. The provider must reside in one of Providence's footprint states (Alaska, California, Montana, New Mexico, Oregon, Texas, or Washington). Position Highlights:

• Influence division-wide utilization management strategy and clinical practice patterns across physicians and advanced-practice clinicians (APCs)
• Partner across medical staff, care management, and revenue cycle to drive aligned outcomes
• Lead initiatives to improve length of stay, documentation integrity, and denial prevention at scale
• Play a key role in advancing a high-value, patient-centered model
• Compensation is between $331,411 and $373,442 per year

Key Responsibilities: Clinical & Operational Responsibilities

• Review cases for admission appropriateness, level of care, and medical necessity
• Lead denial prevention and management, including peer-to-peer discussions and appeals
• Support complex discharge planning and patient status determinations

Clinician Leadership & Program Impact

• Partner with care management and physician/APC teams to proactively reduce avoidable days and discharge barriers
• Use data and analytics to identify variation in LOS, denial trends, and documentation gaps, and drive targeted interventions
• Lead education and engagement initiatives across physicians and APCs to improve documentation, status decisions, and compliance with Medicare and payer requirements
• Collaborate with executive and operational leaders to align utilization management strategies with system goals for patient flow, access, and financial performance
• Serve as a liaison across medical staff, care management, and revenue cycle to drive consistent, compliant utilization practices

Required Qualifications:

• MD or DO from an accredited program
• Board certified in an ABMS clinical specialty
• Currently has, or has the ability to obtain, a Washington State physician license
• Prior experience as a Physician Advisor or equivalent
• Minimum of 5 years of clinical practice experience
• Working knowledge of utilization management and medical necessity
• Must reside in Alaska, California, Montana, New Mexico, Oregon, Texas, or Washington; position is remote

Preferred Qualifications:

• Master's degree in Healthcare Management, Business, or Public Health
• ABQAURP or HCQM certification
• Leadership experience in medical staff or hospital committees
• Strong understanding of utilization review and clinical documentation integrity

Where You'll Work Swedish Medical Group is an integrated team of more than 1,300 physicians and advanced practice clinicians serving the greater Seattle area. As part of Swedish Health System, medical group providers benefit from centralized system support and a shared EMR (Epic). With easy access to seven Swedish Medical Center campuses, providers are able to serve northwest Washington residents with superior integrated, coordinated care. Where You'll Live Connect with patients virtually no matter where you live in the United States. By utilizing Teladoc Health's industry-leading platform, you will have access to a reliable and growing patient panel, the flexibility to provide care to patients from anywhere in the U.S. and a dedicated support team focused on administrative tasks - ensuring you have everything you need to provide the highest quality of care possible. Who You'll Work For Swedish is a comprehensive health network with a long history of excellence. The Seattle-based system operates five hospitals with more than 1,500 beds, and more than 115 primary and specialty care clinics. Part of the Providence family, Swedish is world-renowned for its innovative and ground-breaking diagnoses, treatments and medical research at its five award-winning institutes: cancer, digestive health, heart and vascular, neuroscience and orthopedic. Its mission is to improve the health and well-being of each person it serves. Equal Opportunity Employer including disability/veteran Let's get in touch. If you have questions about this specific job or others, I'm all ears. Send me a note and we'll be one step closer to the right opportunity.

• Selina Irby
• Physician Recruiter
• (406) 285-8371
• [email protected]