Council Capital is a healthcare-focused private equity firm based in Nashville, Tennessee, managing over $350 million in committed capital.
We invest in lower middle market healthcare companies where we see the potential to scale purpose and performance. Our investments span control and minority positions in businesses with enterprise values between $10 million and $100 million.
What sets us apart is the Council Model—a proven framework that surrounds founders and leadership teams with a powerful combination of support: our CEO Council of seasoned operators, our Strategic Healthcare Investors who bring real-world insight and access, and our internal Value Creation Team, focused on enabling growth through talent, systems, and strategy.
At Council Capital, we’re not just backing companies—we’re helping build enduring businesses that improve lives and shape the future of healthcare.
Core Responsibilities (What the Role Does)
Utilization Management Leadership
Serve as the primary physician resource for UM decision-making, escalations, and complex case reviews
Provide clinical oversight and guidance for medical necessity determinations
Support concurrent and retrospective review processes as needed
Peer-to-Peer & Payer Engagement
Conduct physician-to-physician reviews with payers to support authorization approvals and overturn denials
Partner with UM and Revenue Cycle teams to improve payer communication strategies
Identify payer-specific trends and opportunities to improve outcomes
Clinical Documentation & Education
Educate providers on documentation best practices tied to medical necessity and payer criteria
Identify recurring documentation gaps and implement corrective guidance
Support audit preparation and response from a clinical perspective
Collaboration & Reporting
Partner with Case Management, UM leadership, Revenue Cycle, Compliance, and Operations
Provide insights and recommendations based on denial trends and utilization data
Participate in leadership discussions related to utilization strategy and risk mitigation
Required Qualifications
MD or DO with an active, unrestricted medical license
Board Certified in a relevant specialty
Prior experience in Utilization Management, Physician Advisory, Medical Review, or similar role
Strong understanding of medical necessity, payer criteria, and utilization standards
Ability to communicate effectively with both clinicians and non-clinical leaders
Preferred Experience (Strongly Valued)
Experience working with commercial payers and managed care organizations
Prior peer-to-peer review experience with documented success overturning denials
Experience in outpatient, post-acute, or multi-site healthcare services environments
Exposure to healthcare services organizations operating in growth or PE-backed environments
Core Competencies (Scorecard Competencies)
Clinical Judgment – Applies sound, defensible medical decision-making
Influence Without Authority – Drives alignment across providers and payers
Communication – Clear, concise, and persuasive physician-to-physician dialogue
Decision-Making – Timely, confident, and data-informed
Business Acumen – Understands the financial and compliance implications of utilization decisions
What This Role Is Not
Not a purely academic or advisory-only position
Not a full-time practicing clinician role
Not a compliance-only or check-the-box function
This role requires ownership, judgment, and real engagement.
Council Capital and our portfolio companies are committed to building high-performing teams by hiring the best talent—period.
We believe in putting the right people in the right seats, regardless of background, and we’re always looking for individuals who bring fresh thinking, grit, and a drive to make a difference.
Thank you for considering a role with one of our companies. We’re excited to learn more about you.