Physician Advisor - Pittsburgh, PA

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Physician Advisor - Pittsburgh, PA

2570 Haymaker Road, Monroeville PA 15146, United States

Full time

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Job DescriptionWorking with UsBenefits & PerksHear From Our TeamHow We Hire

Job Details

Category Physician

Type Full time

Location(s) 2570 Haymaker Road, Monroeville PA 15146, United States

Brand Allegheny Health Network

Posted 11/10/2026

Req ID J287922

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Job Description

Company :

Allegheny Health Network

Job Description :

Role Overview

AHN's regional model aligns hospitals within defined geographic markets to strengthen local leadership, operational coordination, and access to consistent network resources and standards. Within AHN East, this Physician Advisor supports both Forbes Hospital and Allegheny Valley Hospital while working with site leaders and network partners to advance shared quality, utilization, and patient-flow priorities.

The Physician Advisor promotes clinically appropriate, cost-effective care by aligning patient needs with regulatory and payer requirements for medical necessity, level of care, and care setting. The role performs level-of-care reviews, supports denial prevention and appeals, and conducts peer-to-peer discussions with payer medical directors. Working closely with physicians, case management, utilization management, nursing, coding, clinical documentation, and hospital leadership, the Physician Advisor also contributes to quality and patient-throughput initiatives and serves as an active member of the Utilization Management Committee. The position reports to the Chief Quality Officer and the Medical Director of Physician Advisors.

Key Responsibilities

• Maintain a regular onsite presence primarily at Forbes Hospital within a hybrid work model, with intermittent presence at Allegheny Valley Hospital focused largely on education and engagement with hospital executive leadership.
• Review admissions, observation services, continued stays, and ancillary services for medical necessity, level-of-care accuracy, and appropriate care setting.
• Collaborate with attending physicians, case managers, utilization management nurses, nursing leaders, and hospital leadership to resolve complex cases and support timely care progression.
• Conduct peer-to-peer discussions with payer medical directors and support authorization, denial prevention, and appeal activities.
• Monitor observation cases, communicate status recommendations, and facilitate established escalation and review processes.
• Participate in interdisciplinary rounds to improve quality, care coordination, throughput, and length of stay.
• Provide clinical expertise and education to medical staff, residents, case management, and utilization management teams on medical necessity, documentation, observation status, and payer requirements.
• Partner with coding and clinical documentation specialists to strengthen documentation accuracy and support appropriate reimbursement.
• Serve as an active member of the Utilization Management Committee and provide physician leadership for case management, observation, and throughput priorities.
• Review performance dashboards, identify trends, and lead action plans when utilization or throughput goals are not met.

Qualifications

Required

• MD or DO degree.
• Board certification in a medical specialty or subspecialty.
• At least five years of clinical practice experience in a hospital setting.
• Eligibility for an unrestricted Pennsylvania medical license, with licensure required before employment.
• Ability to obtain and maintain medical staff credentials within Allegheny Health Network.

Preferred

• Certification or advanced training in physician advising, healthcare quality, or utilization management.
• Experience as a Physician Advisor in an acute-care setting.
• Experience leading cross-functional work within a large health system.
• Experience working within an integrated payer-provider organization.

What AHN Offers

• Competitive compensation and comprehensive medical benefits.
• Sign-on bonus.
• CME allowance.
• EY financial-planning services, including student-loan and Public Service Loan Forgiveness support.
• 401(k) and 457(b) retirement plans with immediate vesting.
• Malpractice insurance with tail coverage.
• Loan-repayment assistance for qualified candidates.
• A diverse and inclusive workplace.

Why AHN? AHN is an integrated healthcare network with a century-long commitment to exceptional care. Across 14 hospitals, more than 250 care locations, and 3,000+ physicians, AHN combines clinical expertise, innovation, and strategic partnerships to improve the health experience for patients and communities.

Why Pittsburgh? Pittsburgh offers a vibrant, affordable place to live and work, with nationally recognized healthcare innovation, highly regarded universities, diverse neighborhoods, professional sports, a strong culinary scene, and abundant indoor and outdoor activities.

Apply or Learn More

Carissa Johnston | Physician Recruiter | Carissa.Johnston@ahn.org | 412-527-5941

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Why Choose Allegheny Health Network?

When you join AHN, you're joining a dynamic, integrated network of 16 hospitals, advanced surgery centers, and neighborhood Health + Wellness Pavilions serving Western Pennsylvania.

We're driven by a simple promise: to get healthcare right. For us, that means constantly improving access, championing clinical quality, and putting the patient at the center of everything we do. As part of our team, you'll have the resources, the reach, and the support to make a meaningful difference every single day.

Benefits & Perks

Taking Care of You

Your Benefits at a Glance

• Health: Complete medical, dental, vision, prescription, HSA, and FSA coverage.
• Time Off: Paid vacation, holidays, and dedicated volunteer time.
• Finance: Employer-sponsored 401(k), life/disability insurance, and tuition reimbursement.
• Perks: Exclusive team discounts on shopping, memberships, and events.

Medical Coverage

Medical, prescription drug, dental, and vision coverage

Paid Time Off

Vacation, holidays, volunteering

Retirement Package

Employer-sponsored 401(k) plan

Insurance & Coverage

Life, AD&D and disability insurance

Onsite & Preventative Care

We make staying healthy easy with 100% covered preventative exams (including flu shots) and onsite pharmacy services at major campuses. Plus, stay active with free fitness center access at major Highmark campuses, Allegheny General, and West Penn Hospital.

Make Mindful Changes

Secure bicycle parking at major campuses. Healthy food options at onsite cafeterias. Stress management classes including yoga, mindfulness, and meditation.

Holistic Support, 24/7

Work-life resources including assistance programs and financial counseling services. 24/7 telephone access to health and wellness coaching.

Get Rewarded for Giving Back

Health incentive program that rewards team members. Team member networks to gather in the name of health. Paid volunteer time and incentives for making a difference.

Hear from Our Team

Real people, real stories

"I have met some really great people over the years at Highmark Health and the company has treated me really well. I get really good benefits. I"ve always been rewarded for working hard. That"s what keeps me here."

Victoria T.

Associate Strategy Analyst, enGen

"I love participating with the PRIDE BRG. It"s an engaged, dynamic group of almost 400 people. I also love to turn on the digital hub on my computer and see what"s going on with any of the Business Resource Groups. It"s really neat to be able to support other BRGs and see others support PRIDE. Every time I go to a different BRG event, I always feel welcome, even if I"m not part of that group."

Amanda M.

Director of Social Determinants of Health | Vice Chair of PRIDE

Our Hiring Process: Step-by-Step

1. Apply

Find a role that sparks your passion and submit your application! We'll send an immediate confirmation email, and our team will review your qualifications over the next 1-2 weeks.

2. Interview

If your profile is a great match, we'll reach out to schedule your interview-whether by phone, video, or in person. Don"t worry, we'll provide all the prep details in advance so you can shine.

3. Job Offer

The moment you've been waiting for! If selected, we'll connect to celebrate and walk you through the details: compensation, benefits, paid time off, and all the perks of joining the team.

4. Pre-Employment

After you accept online, we'll guide you through standard screening (including a background check and drug screen, plus health screenings for certain clinical roles). Once cleared, we"ll officially confirm your start date!

5. Onboarding

Welcome aboard! Before Day 1, we'll send everything you need to hit the ground running-including your schedule, location, and the required identification documents to bring with you.

Bonus Fast-Track Tip

Applying for EVS, Dietary, or Customer Service roles? You can skip the traditional line and chat with Bridget, our AI recruiting assistant, to find open roles and schedule an eligible interview instantly.

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Highmark Health is an independent licensee of the Blue Cross Blue Shield Association.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

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