Part Time Physician Advisor

The Part Time Physician Advisor role supports Forbes Hospital and Allegheny Valley Hospital within the AHN East regional model, focusing on advancing quality, utilization, and patient-flow priorities. The position promotes clinically appropriate, cost-effective care by aligning patient needs with regulatory and payer requirements for medical necessity and level of care. This role involves performing level-of-care reviews, supporting denial prevention and appeals, and conducting peer-to-peer discussions with payer medical directors. The Physician Advisor collaborates with various hospital departments and leadership to improve quality, care coordination, and throughput.