Physician Advisor (2026-50438)

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When you join the UMass Chan Medical School team, you join us in advancing together to improve the health and well-being of our diverse communities throughout Massachusetts and across the US and the world. Together, we lead in education, research, health care delivery, and public service. Your life's work is more than a career. It's an expression of your passion, intellect, skill, and drive. UMass Chan"s commitment to excellence, innovation, competitive benefits, and work-life integration will allow you to build a professionally rewarding career as we work together to better or improve the health of people around the globe.

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Physician Advisor

Job Number: 2026-50438

Category: Healthcare

Location: Westborough, MA

Shift: Day

Exempt/Non-Exempt: Exempt

Business Unit: ForHealth Consulting

Department: ForHealth Consulting - Disability Services - W401800

Job Type: Full-Time

Num. Openings: 1

Post Date: Aug. 10, 2026

Work Location: 100% Remote

Salary Minimum: USD $185,000.00/Yr.

Salary Maximum: USD $250,000.00/Yr.

GENERAL SUMMARY OF POSITION:

Under the general direction of the Medical Director, Director, or designee, the Physician Advisor is responsible for reviewing applicant medical records and making a clinical determination of eligibility for applicants seeking benefits and/or long term care services based on clinical guidelines. The Physician Advisor also provides clinical guidance reviewers and quality improvement initiatives as appropriate.

MAJOR RESPONSIBILITIES:

• Responsible for determining whether an individual applying for and/or receiving public assistance benefits/services meets specific clinical and functional criteria outlined in federal and state regulations
• Review medical records, approves or denies recommendations made by Registered Nurse Reviewers regarding the status of an applicant or member
• Participates in and advises review team regarding the functional capability of an applicant based upon a comprehensive review of all records
• Contributes to quality improvement initiatives developed within the program or department
• Participates in quality team case reviews
• Collaborate with department leadership in the interpretation of all applicable regulations, development of clinical policies and quality evaluations, and provide feedback to clinical staff regarding clinical policies and the outcomes of quality evaluations
• Evaluates and develops alternatives to address problems and issues as they arise on a case by case basis
• Participates as a member of clinical or case review teams
• Responsible for training new Physician Advisors
• Performs other duties as assigned.

REQUIRED QUALIFICATIONS:

• Board eligible or certified in area of specialty
• Minimum of 5 years of experience in direct patient care
• Proven ability to plan and prioritize work in order to meet position objectives or job responsibilities
• Excellent problem solving and decision making capabilities

Posting Disclaimer:

This job posting outlines the primary responsibilities and qualifications for the role but is not intended to be an exhaustive list. Duties and expectations may evolve in response to the needs of the department and the broader institution.

In alignment with our commitment to pay transparency, the base salary range for this position is listed above (exclusive of benefits and retirement). At UMass Chan Medical School, final base salary offers are determined based on a combination of factors, including your skills, education, and relevant experience. We also consider internal equity to ensure fair and consistent compensation across our teams.

Please note that the range provided reflects the full base salary range for this position. Offers are typically made within the midrange to allow for future growth and development within the role.

In addition to base pay, UMass Chan offers a comprehensive Total Rewards package, which includes paid time off, medical, dental, and vision coverage, and participation in a 401(a)-retirement plan, with the option to contribute to a voluntary 403(b) plan.

UMass Chan welcomes all qualified applicants and complies with all state and federal anti-discrimination laws.

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