Physician Advisor Lead

The Physician Advisor Lead provides clinical leadership, mentorship, quality oversight, and operational support to HURC ’s Physician Advisor team while maintaining an active production workload. Serving as a senior Physician Advisor and clinical subject matter expert, this role promotes consistent clinical decision-making, effective payer-to-provider communication, and high-quality utilization management outcomes across HURC client engagements. The Physician Advisor Lead partners with HURC leadership, Physician Advisors, Utilization Review teams, and clients to improve medical necessity determinations, peer-to-peer (P2P) performance, denial prevention, and overall utilization management outcomes. Key Responsibilities Provide clinical leadership, mentorship, and day-to-day support to HURC Physician Advisors. Maintain an active production workload and perform Physician Advisor duties on assigned client accounts. Serve as a senior clinical resource for complex, high-priority, and escalated utilization review, medical necessity, and P2P cases. Establish and promote consistent clinical, documentation, communication, and client-service standards. Conduct and oversee regular Physician Advisor quality and call audits. Monitor key performance indicators, including P2P completion, callback responsiveness, overturn rates, quality, timeliness, and client service. Identify performance trends and opportunities for coaching, education, and process improvement. Partner with HR and Operations