Physician Advisory Services Trainer / Auditor

The Physician Advisory Services Trainer / Auditor is responsible for delivering structured training and ongoing education to new hires and current staff, while identifying opportunities for learning, growth, and remediation.

Requirements

• RN or LPN license required
• Strong background in clinical operations, training, or quality assurance
• Extensive experience in utilization review, with a strong background in health plan practices
• Experience navigating CMS requirements, health plan criteria, and nationally recognized guidelines such as MCG and InterQual
• Proficient in rationale writing and translation to patient-friendly language
• Excellent communication, coaching, and mentoring skills
• Ability to analyze data and identify trends to drive performance improvements
• Skilled in client collaboration and escalation management
• Proficiency with Google Suite, communication platforms, and related applications

Benefits

• Medical, dental, and vision coverage for you and your family
• Voluntary life insurance options for you, your spouse, and your children
• Hospital indemnity, critical illness, accident indemnity, and pet insurance plans
• Basic life insurance, short-term disability, and long-term disability coverage
• Generous paid time off policy
• 401k plan with a company match
• Apple equipment and a media stipend for remote workspace