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1–2 jobs· newest first

Physician Advisor Per Diem - Clinical Resource Management
The Hospital of Central Connecticut · Wethersfield, US
Senior Health Management Consultant
Mercer · Saddle Brook, US
$92K–$172KHybrid · Full-time · Senior

+10K new in the last hour

Physician Advisor Per Diem - Clinical Resource Management

The Hospital of Central Connecticut · Posted Oct 22, 2026

Wethersfield, Connecticut, United States
3–5 years

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Physician Advisor provides physician leadership in utilization management, level-of-care determinations, regulatory compliance, and payer interactions within the Clinical Resource Management team.

Responsibilities

Perform second-level physician reviews for level-of-care determinations and appropriate utilization of healthcare resources.
Respond promptly to requests from Clinical Resource Management nurses for physician review.
Collaborate with attending physicians to resolve level-of-care questions and address opportunities for appropriate resource utilization.
Conduct peer-to-peer discussions with insurance payers and provide support for appeals and denial management.
Maintain current knowledge of regulatory requirements, utilization management standards, and payer guidelines.

Requirements

Doctor of Medicine
Doctor of Osteopathic Medicine

Skills

influence negotiate educate understand patient data finance utilization reports understand government and payer coverage criteria regulatory requirements

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Senior Health Management Consultant

Mercer · Posted Nov 5, 2026

Saddle Brook, New Jersey, United States
Hybrid
Full-time · Senior
$92K–$172K per year
4+ years

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Lead and develop health and well‑being programs for clients, leveraging data and compliance expertise to deliver strategic recommendations.

Compensation

The applicable base salary range for this role is $92,400 to $172,100.

Responsibilities

Develop and deliver health and well‑being programs and solutions for assigned clients
Leverage carrier data, claims and utilization reports to identify trends and improve client engagement
Partner with EH&B service managers and external vendors to develop and deliver strategic program recommendations
Lead local and national health management workgroups and collaborate with the national HMC team
Explain relevant regulations to clients

Requirements

Bachelor’s Degree in Risk Management, Insurance, Business Administration or other related programs
Nice to have: Active Life and Health license or willingness to obtain one within initial 90 days

Skills

Data analysis Carrier data Claims analysis Utilization reports

Health management program development

Compliance knowledge

RFP process management

Price negotiations

Benefits

Generous time off
Tuition reimbursement
Professional development opportunities
Hybrid charitable contribution match programs
Stock purchase opportunities

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