Medical Adjudication jobs

Req ID#: 411688

Remote, Any Province, Canada

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Job Description:
Job Summary

The Medical Advisor provides independent clinical expertise and advisory support across ASG’s telehealth services with a strong emphasis on the virtual care program. They contribute to the development and review of clinical policies, pathways, guidelines, and telehealth content, and support quality assurance, program evaluation, and medical adjudication. The role advises on research or pilot initiatives, escalation protocols, and emerging best practices, while liaising with Regional Health Authorities, the Department of Health, and other stakeholders. They play a key role in ensuring program alignment with evidence-informed practice and regulatory standards.

Primary Job Responsibilities
Provide independent clinical expertise and advisory support across telehealth programs with a focus on the virtual care clinic.
Advise on the development, refinement, and periodic review of clinical policies, pathways, and program protocols.
Act as a medical consultant for the establishment and annual review of 811 clinical guidelines and other telehealth content.
Participate in quality assurance and improvement initiatives, including chart reviews, documentation audits, trend analysis, and medical adjudication, providing non-binding recommendations for quality, safety, and educational purposes.
Provide clinical input on patient safety events, complaints, risk mitigation strategies, and the design of escalation protocols for virtual care staff.
Contribute to program evaluation, service expansion, implementation of new initiatives, and research or pilot projects from a clinical advisory perspective.
Participate in regular meetings with the Nurse Practitioner team lead and Clinical Practice Manager to provide clinical guidance and support program-level discussions.
Serve as a clinical liaison with Regional Health Authorities, the Department of Health, and other system partners.
Represent the organization in public forums, advisory committees, and stakeholder meetings, providing expert clinical perspective.
Monitor emerging best practices in teleservice including virtual care and provide recommendations for program alignment.
Experience
Experience providing clinical guidance, advisory input, or program-level consultation in healthcare settings.
Experience with virtual care, telehealth, or digital health service delivery is strongly preferred.
Demonstrated experience in quality assurance, medical governance, research, or pilot project evaluation.
Experience interpreting clinical guidelines, developing protocols, or reviewing evidence-informed practices.
Experience liaising with healthcare system partners, government agencies, or professional associations is an asset.
Demonstrated knowledge of the New Brunswick healthcare system, including primary care, Regional Health Authorities, and provincial health programs.
Education
Medical degree (MD or equivalent) from a recognized medical school.
Licensed physician in good standing with the College of Physicians and Surgeons of New Brunswick (CPSNB).
Authorized to practice and hold permissions in both Horizon Health Network and Vitalité Health
Recent clinical experience in primary care, urgent care, emergency medicine, or other relevant specialties.
Skills and Competencies
Strong knowledge of regulatory and professional standards for physicians in New Brunswick.
Ability to analyze clinical data, identify trends, and provide non-binding recommendations.
Experience or comfort using EMR/EHR systems, virtual care applications, and CRM tools for program oversight, advisory, and quality monitoring purposes.
Excellent communication and collaboration skills for internal teams and external stakeholders.
Bilingual proficiency in English and French, both written and verbal
Ability to apply clinical expertise at a program or systems level while respecting the independent decision-making of contracted providers.
Ability to interpret data from virtual care platforms and support recommendations for clinical guideline or workflow improvements.
Understanding of the healthcare needs, service access challenges, and population health priorities of New Brunswick residents.
Home Office Requirements:
Must have mobility, hand-eye coordination, and the ability to distinguish letters, numbers, and symbols. Regularly sits for extended periods, with occasional standing, walking, and reaching. Frequent computer and typing use are required; must occasionally lift up to 10 pounds. Reasonable accommodation may be provided.
Reliable high-speed internet connection.
Private, secure workspace to ensure patient confidentiality.
Computer or laptop capable of running multiple applications and virtual care platforms.
Language Proficiency:
Proficiency in both English and French is preferred. The role will primarily support English-speaking patients; however, occasional interaction with French-speaking patients may also be required.
Additional Information:
This is an independent contractor position.
Must be licensed in New Brunswick
Disclaimer

The preceding description describes the general nature of work performed, skills typically required, and usual working conditions. It is not an exhaustive listing of all requirements or responsibilities that may be required by job incumbents. Job duties are subject to change at the Company’s discretion.

This opportunity represents an existing vacancy supporting current business operations.

This role may involve the use of approved artificial intelligence (AI) tools to support day-to-day tasks, improve efficiency, and enhance decision-making. Examples may include automated workflows, data-supported recommendations, drafting or summarization tools, or candidate/employee interaction tools (as applicable to the role).

About Assistance Services Group

Assistance Services Group (ASG), a Foundever Group company, is committed to building positive and lasting relationships with our clients’ customers, employees and citizens. We provide enterprise-wide services addressing needs across a variety of industries, including automotive, healthcare, insurance and legal. But regardless of the industry, our goal remains the same: to provide timely assistance and information for the moments that matter most. Whether it’s car trouble in the middle of nowhere, or child’s fever in the middle of the night, we pride ourselves on being there 24/7 with prompt, professional and experienced help.

Salary Range

The hourly rate for this position is $187.50 per hour (based on 96 hours per year), with annual base pay up to 18,000 per year; base pay offered may vary depending on location, job-related knowledge, education, skills, and experience.

Pre-employment Requirements:

Offers of employment are conditional and require that you complete and pass a criminal background check that reviews all criminal activity in every area of residence for the last seven years.

Foundever® is committed to selecting, developing, and rewarding the best person for the job based on the requirements of the work to be performed and without regard to race, age, color, religion, sex, creed, national origin, ancestry, citizenship, disability/handicap, marital status, protected veteran status, uniform status, sexual orientation, pregnancy, genetic information, gender identity and expression, or any other basis protected by federal, state or local law. The Company forbids discrimination of all kinds, whether directed at Associates, applicants, vendors, customers, or visitors. This policy applies to all terms and conditions of employment, including recruitment, hiring, promotion, compensation, benefits, training, discipline, and termination.

About Us

Foundever® is a global leader in the customer experience (CX) industry. With 150,000 associates across the globe, we’re the team behind the best experiences for +800 of the world’s leading and digital-first brands. Our innovative CX solutions, technology and expertise are designed to support operational needs for our clients and deliver a seamless experience to customers in the moments that matter.

Supporting +9 million customer conversations every day in +60 languages across 45 countries, Foundever combines global strength and scale with the agile, entrepreneurial approach of our founder-led culture, enabling companies of all sizes and industries to transform their CX.

Winner of Comparably’s Award for Best Global Culture in 2024, 2023, 2022 and 2021

Gold Stevie Award Winner for Great Employers in 2024 and 2022

We foster an exciting culture of creativity, connection, and commitment

Read more about our culture: Foundever® Stories

This role may involve the use of approved artificial intelligence (AI) tools to support day to day tasks, improve efficiency, and enhance decision-making. Examples may include automated workflows, data supported recommendations, drafting or summarization tools, or candidate/employee interaction tools (as applicable to the role).

This opportunity represents an existing vacancy supporting current business operations.

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Pay: $187.50 per hour

Expected hours: 1 – 3 per week

Application question(s):

• Are you a Licensed physician in good standing with the College of Physicians and Surgeons of New Brunswick (CPSNB)?
• Do you have a minimum of 3-5 years of experience providing clinical, advisory input or program-level consultation in a healthcare setting?
• Are you willing and able to provide medical advisory services as an independent contractor?

*
Are you fully bilingual in French and English?

• Please list the areas/specialties of medicine you have practiced in the past and those you currently practice?
• If you are not currently licensed with the College of Physicians and Surgeons of New Brunswick (CPSNB), would you be willing to become licensed with the CPSNB?

Work Location: Remote