This is a remote position.
About Us
Our firm is built by former healthcare operators who understand the realities of running complex healthcare systems. This combination of operator credibility and investment-backed growth enables us to deliver high-impact, scalable solutions.
We differentiate ourselves by bringing practical experience, executive-level insight, and a relentless focus on quality and outcomes. Our success is directly tied to our clients’ success.
This is a short-term physician role focused on helping other physicians navigate utilization decisions and clinical approvals through peer-to-peer conversations. The work is centered on supporting ambulatory (outpatient) and long-term care settings, with a strong emphasis on clear clinical communication and practical decision-making.
This is a 6-week contract starting October 3, primarily supporting peer-to-peer provider discussions tied to Lumens and other ambulatory clinical applications.
In this role, you’ll act as a clinical peer resource for other physicians when there are questions or challenges around approvals, medical necessity, or care level decisions. Most of your work will involve direct physician-to-physician conversations and quick clinical reviews.
You will:
- Participate in peer-to-peer calls with treating providers to review clinical decisions and treatment plans
- Help clarify medical necessity decisions using evidence-based guidelines and standard clinical criteria
- Review patient documentation from ambulatory and long-term care settings to support those discussions
- Provide clear, practical clinical reasoning that helps move cases toward resolution
- Work within Lumens and other ambulatory systems to support workflow and documentation needs
- Collaborate with utilization management and care coordination teams on escalated or time-sensitive cases
- Support consistent, fair, and clinically appropriate decision-making across cases
- Focus: Peer-to-peer provider support
- Settings: Ambulatory and long-term care
- Systems: Lumens and related ambulatory clinical applications
Requirements
- MD or DO with an active, unrestricted U.S. medical license
- Board-certified physician
- Strong clinical background with experience applying guidelines in real-world decision-making
- Prior exposure to utilization management, prior auth, or peer-to-peer discussions is strongly preferred
- Comfortable working across outpatient and long-term care clinical environments
- Strong clinical judgment and the ability to make decisions quickly and confidently
- Clear communication style when speaking with other physicians
- Comfort working within structured guidelines while still applying clinical nuance
- Experience with ambulatory workflows or EMR systems is helpful (especially Lumens or similar platforms)
- Ability to stay objective and solution-focused in peer discussions
Benefits
Benefits
What We Offer:
- Competitive salary and benefits package.
- Opportunity to work in a collaborative and innovative environment.
- Professional development opportunities to advance your career.
- Flexible work arrangements to promote work-life balance.
Skills Required
- MD or DO with an active, unrestricted U.S. medical license
- Board-certified physician
- Strong clinical background with experience applying guidelines in real-world decision-making
- Prior exposure to utilization management, prior auth, or peer-to-peer discussions
- Comfortable working across outpatient and long-term care clinical environments
- Strong clinical judgment and ability to make decisions quickly and confidently
- Clear communication style when speaking with other physicians
- Experience with ambulatory workflows or EMR systems (especially Lumens or similar platforms)
- Ability to stay objective and solution-focused in peer discussions
What We Do
Ellit Groups is a multifaceted healthcare IT consultancy specializing in healthcare and life sciences. The firm provides agile EHR, ERP, and ITSM solutions, focusing on strategic advisory, implementation, and performance improvement. By bridging the gap between people, processes, and technology, Ellit Groups helps healthcare systems, payviders, and health plans optimize operational efficiency, reduce provider burnout, and enhance patient care through comprehensive digital transformation.
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