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
