Physician Advisor-Lead, Utilization Management

UF Health • Gainesville, FL

6d • Onsite

About The Position

UF Health is a leading academic health center serving Florida, the Southeast and beyond. Across our hospitals, colleges and research centers and institutes, experts collaborate to advance medicine through a shared mission and vision. Utilization Management is seeking a Physician Advisor-Lead to join their team! This full-time position will be instrumental in leading and building our enterprise Physician Advisor program. The PA Lead sets the clinical review standard for Physician Advisors across all UF Health facilities, represents the Physician Advisor function in UM Committee governance, and owns the system-wide physician education curriculum. This role carries program-level accountability outcomes, escalation resolution, and coordination with any Physician Advisor vendor partners.

Requirements

• Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO)
• 5+ years of utilization review / utilization management or hospital medicine experience
• Active, unrestricted Florida medical license
• Board certification in Internal Medicine, Hospital Medicine, Emergency Medicine, or Family Medicine
• Possess or acquires a solid foundation, knowledge, and/or experience in the areas of utilization management, and clinical documentation integrity.
• Possess a working knowledge of organization & case management operations and administrative standards and policies.
• Strong computer skills and working knowledge of EMRs (EPIC preferred).

Nice To Haves

• Board Certification by the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) or the American College of Physician Advisors (ACPA-C) preferred.
• Prior UM Committee leadership or Physician Advisor program leadership experience preferred
• Demonstrated ability to lead, develop a clinical team and manage vendor relationships
• Ability to build rapport with medical staff and hospital leadership to obtain the buy-in and collaboration necessary to achieve desired outcomes.

Responsibilities

• Sets the clinical review standard for Physician Advisors across all UF Health facilities.
• Represents the Physician Advisor function in UM Committee governance.
• Owns the system-wide physician education curriculum.
• Carries program-level accountability outcomes.
• Handles escalation resolution.
• Coordinates with any Physician Advisor vendor partners.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Ph.D. or professional degree