HURC

The Clinical Solutions Analyst supports healthcare clients by analyzing operational workflows and implementing solutions for utilization review and revenue cycle management. This role involves collaborating with stakeholders to develop process improvements, prepare performance reports, and ensure consistent service delivery.

The Physician Advisor conducts physician-to-physician reviews focusing on medical necessity, level of care, and denial prevention, while also supporting utilization review teams with complex clinical decisions. This role ensures appropriate admission status determinations and provides clinical oversight regarding length of stay and discharge planning.