Physician Advisor, Utilization & Denials – Peer-to-Peer

Hawaii Pacific Health · Honolulu, United States

Hawaii Pacific Health is seeking a Peer to Peer Physician Advisor to provide consultative leadership across utilization management, medical necessity determinations, denial prevention, and revenue cycle performance. This role collaborates with medical staff, case management, CDI, and health plan medical directors to facilitate proper patient status and level-of-care decisions.

Responsibilities include conducting peer-to-peer discussions with health plan directors, educating physicians, ensuring