Mid Level Physician Advisor Jobs
Mid level physician advisor jobs go to clinicians ready to lead utilization reviews independently, mentor peers, and shape care management decisions without close supervision. Roles run 25% remote or hybrid across Healthcare & Medical Services, Education, and Technology & Software, with employers like R1 RCM, Kaweah Health, and Sutter Health hiring at this level now.
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INTRODUCTION
Allegheny Health Network (AHN) is seeking a part-time (.5 FTE) Physician Advisor for AHN East, supporting Forbes Hospital in Monroeville as the primary site and Allegheny Valley Hospital in Natrona Heights as the secondary site.
ROLE OVERVIEW
AHN’s regional model aligns hospitals within defined geographic markets to strengthen local leadership, operational coordination, and access to consistent network resources and standards. Within AHN East, this Physician Advisor supports both Forbes Hospital and Allegheny Valley Hospital while working with site leaders and network partners to advance shared quality, utilization, and patient-flow priorities. The Physician Advisor promotes clinically appropriate, cost-effective care by aligning patient needs with regulatory and payer requirements for medical necessity, level of care, and care setting. The role performs level-of-care reviews, supports denial prevention and appeals, and conducts peer-to-peer discussions with payer medical directors. Working closely with physicians, case management, utilization management, nursing, coding, clinical documentation, and hospital leadership, the Physician Advisor also contributes to quality and patient-throughput initiatives and serves as an active member of the Utilization Management Committee. The position reports to the Chief Quality Officer and the Medical Director of Physician Advisors.
KEY RESPONSIBILITIES
- Maintain a regular onsite presence primarily at Forbes Hospital within a hybrid work model, with intermittent presence at Allegheny Valley Hospital focused largely on education and engagement with hospital executive leadership.
- Review admissions, observation services, continued stays, and ancillary services for medical necessity, level-of-care accuracy, and appropriate care setting.
- Collaborate with attending physicians, case managers, utilization management nurses, nursing leaders, and hospital leadership to resolve complex cases and support timely care progression.
- Conduct peer-to-peer discussions with payer medical directors and support authorization, denial prevention, and appeal activities.
- Monitor observation cases, communicate status recommendations, and facilitate established escalation and review processes.
- Participate in interdisciplinary rounds to improve quality, care coordination, throughput, and length of stay.
- Provide clinical expertise and education to medical staff, residents, case management, and utilization management teams on medical necessity, documentation, observation status, and payer requirements.
- Partner with coding and clinical documentation specialists to strengthen documentation accuracy and support appropriate reimbursement.
- Serve as an active member of the Utilization Management Committee and provide physician leadership for case management, observation, and throughput priorities.
- Review performance dashboards, identify trends, and lead action plans when utilization or throughput goals are not met.
QUALIFICATIONS
Required:
- MD or DO degree.
- Board certification in a medical specialty or subspecialty.
- At least five years of clinical practice experience in a hospital setting.
- Eligibility for an unrestricted Pennsylvania medical license, with licensure required before employment.
- Ability to obtain and maintain medical staff credentials within Allegheny Health Network.
Preferred:
- Certification or advanced training in physician advising, healthcare quality, or utilization management.
- Experience as a Physician Advisor in an acute-care setting.
- Experience leading cross-functional work within a large health system.
- Experience working within an integrated payer-provider organization.
WHAT AHN OFFERS
- Competitive compensation and comprehensive medical benefits.
- Sign-on bonus.
- CME allowance.
- EY financial-planning services, including student-loan and Public Service Loan Forgiveness support.
- 401(k) and 457(b) retirement plans with immediate vesting.
- Malpractice insurance with tail coverage.
- Loan-repayment assistance for qualified candidates.
- A diverse and inclusive workplace.
WHY AHN?
AHN is an integrated healthcare network with a century-long commitment to exceptional care. Across 14 hospitals, more than 250 care locations, and 3,000+ physicians, AHN combines clinical expertise, innovation, and strategic partnerships to improve the health experience for patients and communities.
WHY PITTSBURGH?
Pittsburgh offers a vibrant, affordable place to live and work, with nationally recognized healthcare innovation, highly regarded universities, diverse neighborhoods, professional sports, a strong culinary scene, and abundant indoor and outdoor activities.
Apply or Learn More
Carissa Johnston | Physician Recruiter | Carissa.Johnston@ahn.org | 412-527-5941
INTRODUCTION
Allegheny Health Network (AHN) is seeking a part-time (.5 FTE) Physician Advisor for AHN East, supporting Forbes Hospital in Monroeville as the primary site and Allegheny Valley Hospital in Natrona Heights as the secondary site.
ROLE OVERVIEW
AHN’s regional model aligns hospitals within defined geographic markets to strengthen local leadership, operational coordination, and access to consistent network resources and standards. Within AHN East, this Physician Advisor supports both Forbes Hospital and Allegheny Valley Hospital while working with site leaders and network partners to advance shared quality, utilization, and patient-flow priorities. The Physician Advisor promotes clinically appropriate, cost-effective care by aligning patient needs with regulatory and payer requirements for medical necessity, level of care, and care setting. The role performs level-of-care reviews, supports denial prevention and appeals, and conducts peer-to-peer discussions with payer medical directors. Working closely with physicians, case management, utilization management, nursing, coding, clinical documentation, and hospital leadership, the Physician Advisor also contributes to quality and patient-throughput initiatives and serves as an active member of the Utilization Management Committee. The position reports to the Chief Quality Officer and the Medical Director of Physician Advisors.
KEY RESPONSIBILITIES
- Maintain a regular onsite presence primarily at Forbes Hospital within a hybrid work model, with intermittent presence at Allegheny Valley Hospital focused largely on education and engagement with hospital executive leadership.
- Review admissions, observation services, continued stays, and ancillary services for medical necessity, level-of-care accuracy, and appropriate care setting.
- Collaborate with attending physicians, case managers, utilization management nurses, nursing leaders, and hospital leadership to resolve complex cases and support timely care progression.
- Conduct peer-to-peer discussions with payer medical directors and support authorization, denial prevention, and appeal activities.
- Monitor observation cases, communicate status recommendations, and facilitate established escalation and review processes.
- Participate in interdisciplinary rounds to improve quality, care coordination, throughput, and length of stay.
- Provide clinical expertise and education to medical staff, residents, case management, and utilization management teams on medical necessity, documentation, observation status, and payer requirements.
- Partner with coding and clinical documentation specialists to strengthen documentation accuracy and support appropriate reimbursement.
- Serve as an active member of the Utilization Management Committee and provide physician leadership for case management, observation, and throughput priorities.
- Review performance dashboards, identify trends, and lead action plans when utilization or throughput goals are not met.
QUALIFICATIONS
Required:
- MD or DO degree.
- Board certification in a medical specialty or subspecialty.
- At least five years of clinical practice experience in a hospital setting.
- Eligibility for an unrestricted Pennsylvania medical license, with licensure required before employment.
- Ability to obtain and maintain medical staff credentials within Allegheny Health Network.
Preferred:
- Certification or advanced training in physician advising, healthcare quality, or utilization management.
- Experience as a Physician Advisor in an acute-care setting.
- Experience leading cross-functional work within a large health system.
- Experience working within an integrated payer-provider organization.
WHAT AHN OFFERS
- Competitive compensation and comprehensive medical benefits.
- Sign-on bonus.
- CME allowance.
- EY financial-planning services, including student-loan and Public Service Loan Forgiveness support.
- 401(k) and 457(b) retirement plans with immediate vesting.
- Malpractice insurance with tail coverage.
- Loan-repayment assistance for qualified candidates.
- A diverse and inclusive workplace.
WHY AHN?
AHN is an integrated healthcare network with a century-long commitment to exceptional care. Across 14 hospitals, more than 250 care locations, and 3,000+ physicians, AHN combines clinical expertise, innovation, and strategic partnerships to improve the health experience for patients and communities.
WHY PITTSBURGH?
Pittsburgh offers a vibrant, affordable place to live and work, with nationally recognized healthcare innovation, highly regarded universities, diverse neighborhoods, professional sports, a strong culinary scene, and abundant indoor and outdoor activities.
Apply or Learn More
Carissa Johnston | Physician Recruiter | Carissa.Johnston@ahn.org | 412-527-5941
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Mid Level Physician Advisor Jobs: Frequently Asked Questions
How do I get a mid level physician advisor job?
Position yourself around independent clinical decision-making, not just participation. Highlight cases where you led utilization review, applied InterQual or Milliman criteria without escalation, or drove denial management outcomes. Tailor your resume to show ownership of the full review cycle, your familiarity with payer guidelines, and any cross-functional collaboration with case managers or quality teams. Specificity about outcomes matters more than tenure.
Which companies hire mid level physician advisors?
Companies hiring mid level physician advisors right now include R1 RCM, Kaweah Health, and Sutter Health, based on current listings on Migrate Mate as of November 2026. Hiring at this level comes primarily from health plans, hospital systems, and managed care organizations that need physicians who can work independently through complex clinical and coverage decisions.
Are there remote mid level physician advisor jobs?
Yes, remote work is well established in this field. About 25% of mid level physician advisor openings are remote or hybrid as of November 2026, reflecting how thoroughly payer and utilization management work has shifted away from on-site requirements. Fully remote roles are common across both health plans and third-party review organizations.
How do I move up to a mid level physician advisor role?
Moving from early clinical or advisory work into a mid level physician advisor role comes from building depth in utilization management, demonstrating consistent independent judgment on complex cases, and taking ownership of denial appeals or peer-to-peer reviews. Physicians who pursue formal UM or managed care exposure, earn relevant credentials, and show measurable impact on length-of-stay or denial rates position themselves well for this step.
Which industries hire the most mid level physician advisors?
Mid Level physician advisor roles concentrate in Healthcare & Medical Services, Education, and Technology & Software, based on current listings on Migrate Mate as of November 2026. These sectors drive hiring at this level because they handle the highest volumes of utilization review, prior authorization, and clinical appeals work, all of which require physicians experienced enough to make defensible coverage decisions independently.