Esta oferta de trabajo no está disponible en tu país.
(Quedan 3 Días) Physician Advisor
GraceMark SolutionsGuadalajara, MexicoHace 3 días
Descripción del trabajoConduct comprehensive Utilization Review (UR) for patient admissions, services, and length of stay, assessing for medical necessity against established criteria. Perform concurrent chart reviews to ensure clinical documentation supports the level of care provided. Act as a clinical liaison between treating physicians and the health plan, facilitating discussions on patient care and documentation requirements. Analyze and appeal clinical denials from insurance payers by writing robust medical necessity letters and compiling supporting evidence from medical records. Identify gaps in clinical documentation and consult directly with attending physicians to ensure completeness and accuracy. Meticulously document all actions and outcomes in the electronic medical record (EMR) system. Participate in peer review meetings and contribute to projects aimed at improving care quality and efficiency. Must possess a valid Mexican medical license (Cédula Profesional de Médico Cirujano). Medical Degree (Doctorate in Medicine) from an accredited institution. Advanced English proficiency (both written and spoken) is mandatory for reviewing complex charts and communicating with international stakeholders. Recent graduates are encouraged to apply; this is an excellent opportunity to start your career. Unflinching personal and professional integrity. Exceptional attention to detail and analytical, problem-solving skills. Strong time management and the ability to multitask effectively in a fast-paced environment. Excellent communication skills and a collaborative team spirit. Launch a Unique Career Path : Use your medical degree in a growing, in-demand field (Utilization Management / Clinical Denials). Stable Day Schedule : Enjoy a structured schedule with consistent hours. Valuable Training : No prior experience in UR is required; we provide comprehensive training. Professional Environment : Work in a corporate setting that values your clinical expertise.
Job description :
Job Title : Physician Advisor (Utilization Review & Clinical Denials) - Physicians and Doctors only
Location : On-site, Guadalajara, Jalisco, Mexico
Job Type : Full-time
Salary : $23,000 MXN gross per month (Approx. $19,120 MXN net after statutory deductions)
Benefits : Competitive remuneration, annual performance-based bonus, standard industry benefits.
Shift Schedule :
- Training Period : Monday to Friday, 7 : 00 AM - 4 : 30 PM
- Post-Training : Schedule may transition to Tuesday to Saturday, 7 : 00 AM - 4 : 30 PM
Who You Are :
You are a licensed Physician (Cédula Profesional) looking to apply your clinical expertise in a dynamic, office-based environment. You have a sharp analytical mind, impeccable integrity, and advanced English skills. This role is perfect for a doctor who enjoys the analytical side of medicine, thrives on detail-oriented work, and wants to play a critical role in the healthcare ecosystem without being in direct patient care.
About the Role :
We are seeking a dedicated Physician to join our Utilization Review team. In this pivotal role, you will be the key medical authority ensuring that patient care is medically necessary, appropriately documented, and aligns with reimbursement policies. You will use your clinical knowledge to review cases, guide treating physicians on documentation, and help navigate the complexities of insurance claims and denials. This position is crucial for advocating for patients and ensuring the financial viability of care.
Key Responsibilities :
What We're Looking For (Requirements) :
Why Apply?
Crear una alerta de empleo para esta búsqueda
Physician Advisor • Guadalajara, Mexico
Ofertas relacionadas
![[Solo Quedan 15h] Junior Medical Doctor...](https://cdn-logos.talent.com/v1/logo/image?feedcode=jobbydoo-pms-directapply&company_name=GBIT%20(Global%20Bridge%20InfoTech%20Inc))
This position is based on a Cruise Ship Education and Experience Requirements • Completed medical education and hold a medical degree from a recognized college or university.Hold a current val...Mostrar másÚltima actualización: hace más de 30 días
- Oferta promocionada
Physician Advisor
GraceMark SolutionsGuadalajara, Mexico Metropolitan Area, Mexico Job Title : Physician Advisor (Utilization Review & Clinical Denials) - Physicians and Doctors only.On-site, Guadalajara, Jalisco, Mexico.
Competitive remuneration, annual performance-based bonus, st...Mostrar másÚltima actualización: hace 25 días
- Oferta promocionada
Service Technician
SKIDATAGuadalajara, Mexico Metropolitan Area, Mexico We are looking for a Service Technician to join our team in Mexico.This role is responsible for installing, maintaining, and supporting Parking and People Access Systems, delivering exceptional ser...Mostrar másÚltima actualización: hace más de 30 días
- Oferta promocionada
- Nueva oferta
[Solo Quedan 15h] Junior Medical Doctor...
GBIT (Global Bridge InfoTech Inc)Guadalajara, Jalisco, MX Job Details : We are hiring for Clinical Analyst roles in areas such as Virtual Operational Review (VOR) and Clinical Denial Analysis (CDA).
This opportunity is ideal for fresh graduates in Medicine...Mostrar másÚltima actualización: hace 1 hora
- Oferta promocionada
Solo Quedan 15h! Médico / Doctors...
iSoft GloblGuadalajara, Jalisco, MX The client is an International Healthcare Services provider and is looking to hire Full Time Doctors for their team at Guadalajara, Mexico.
Working Hours : 7am to 4pm Working Days : Monday - Friday...Mostrar másÚltima actualización: hace más de 30 días
- Oferta promocionada
Doctor-General Clinical Service Associate (Fresher)...
JobbydooZapopan, MX Role : General Clinical Service Associate (Fresher) Education : Doctor Experience : No requirement for experience, but prior experience as a physician is advantageous.
Skills : Excellent communica...Mostrar másÚltima actualización: hace 3 días
- Oferta promocionada
Onsite Medical Representative...
AmazonGuadalajara, JAL, MX The Onsite Medical Representative (OMR) will serve as the site’s medical representative in the Delivery Station.Overall, The OMR will provide first aid treatment to injured employees, proactively a...Mostrar másÚltima actualización: hace más de 30 días
- Oferta promocionada
- Nueva oferta
▷ (Quedan 3 Días) Médico Manager...
iSoft GloblGuadalajara, Jalisco, MX The client is an International Healthcare Services provider and is looking to hire Full Time Doctors with team management experience for their team at Guadalajara, Mexico.Working Hours : 7am to 4pm...Mostrar másÚltima actualización: hace 1 hora
- Oferta promocionada
Technical Lead – CMMS / Maximo
VantiveGUADALAJARA, Jalisco, Mexico Vantive is a vital organ therapy company on a mission to extend lives and expand possibilities for patients and care teams everywhere.
For 70 years, our team has driven meaningful innovations in kid...Mostrar másÚltima actualización: hace 16 días
- Oferta promocionada
Ecosystem Lead Immunology
UCBGuadalajara, Jalisco, Mexico We are looking for a Ecosystem Lead Immunology Rhe who has the ability to Lead the activities of UCB's customer-facing commercial roles involved in patient value creation and the pursuit of UCB's o...Mostrar másÚltima actualización: hace más de 30 días
- Oferta promocionada
Project Engineer
Mondelez InternationalTlajomulco, Jalisco, Mexico Project Engineer page is loaded## Project Engineerlocations : Plant - Tlajomulco, Mexicotime type : Full timeposted on : Posted Todayjob requisition id : R-148606## Job Description • •Join our Mi...Mostrar másÚltima actualización: hace 10 días
- Oferta promocionada
Médico Manager
iSoft GloblGuadalajara, Mexico Metropolitan Area, Mexico The client is an International Healthcare Services provider and is looking to hire Full Time Doctors with team management experience for their team at Guadalajara, Mexico.Lead up to 15 team members...Mostrar másÚltima actualización: hace más de 30 días
- Oferta promocionada
General Manager, Clinical Services
GraceMark SolutionsGuadalajara, Mexico Metropolitan Area, Mexico General Manager, Clinical Services.MXN monthly + annual performance-based bonus + standard industry benefits.General Manager, Clinical Services.
Utilization Review, Physician Advisory, Clinical Deni...Mostrar másÚltima actualización: hace 6 días
- Oferta promocionada
General Manager - Clinical Services
iSoft GloblGuadalajara, Mexico Metropolitan Area, Mexico The client is looking at hiring a General Manager - Clinical Services for their team at Guadalajara, Mexico.Lead 3-5 direct reports, 150-250 total reports and manage P&L across multiple sites in a ...Mostrar másÚltima actualización: hace 26 días
- Oferta promocionada
- Nueva oferta
Aplica ya : Médico...
JobbydooTonalá, Jalisco, MX Servicio oficial en las unidades militares de las Fuerzas Armadas de Ucrania Responsabilidades brindar atención médica a nivel de la compañía participar en la evacuación de enfermos y heridos a i...Mostrar másÚltima actualización: hace 1 hora
- Oferta promocionada
Rare Disease Partner
UCBGuadalajara, Mexico Metropolitan Area, Mexico UCB is looking for a Rare Disease Partner who has the ability to drive demand generation in public and private institutions and sectors, educate key decision-makers about the molecule indications a...Mostrar másÚltima actualización: hace más de 30 días
Shipboard Medispa Physician
OneSpaWorldGuadalajara, Jalisco, MXQuick Apply
- Oferta promocionada
Sr Specialist, IT Application - COE
VantiveGUADALAJARA, Jalisco, Mexico Vantive is a vital organ therapy company on a mission to extend lives and expand possibilities for patients and care teams everywhere.
For 70 years, our team has driven meaningful innovations in kid...Mostrar másÚltima actualización: hace más de 30 días
- Oferta promocionada
Business Advisor (Food Service)
Mondelez InternationalGuadalajara, Jalisco, Mexico Business Advisor (Food Service) page is loaded## Business Advisor (Food Service)locations : Guadalajara , Mexicotime type : Full timeposted on : Posted Yesterdayjob requisition id : R-147257## ...Mostrar másÚltima actualización: hace 22 días
- Oferta promocionada
Médico / Doctors
iSoft GloblGuadalajara, Jalisco, Mexico The client is an International Healthcare Services provider and is looking to hire Full Time Doctors for their team at Guadalajara, Mexico.
Multiple Openings - Please find the roles below : .Clinical ...Mostrar másÚltima actualización: hace más de 30 días
- Oferta promocionada
Clinical Services Manager
GraceMark SolutionsGuadalajara, Jalisco, Mexico Manager, Clinical Service Lines.Manager, Clinical Service Lines.This role is ideal for a healthcare operations leader with a strong background in financial management, service line expansion, and t...Mostrar másÚltima actualización: hace 3 días