Physician Advisor - Des Moines (on-site) - $50,000 Bonus
On-site · Des Moines, Iowa, United States
Job Summary
Lead physician-driven clinical resource utilization program, designing interventions with MercyOne leadership; review cases to determine appropriate level of care based on medical necessity and apply regulatory, health plan, and clinical guidelines in denials review; serve as a resource for physicians regarding medical necessity, level of care, and clinical documentation; foster effective communication among care team members; establish and maintain peer-to-peer protocol.
Required Qualifications
- Board-certified physician
- Inpatient experience
- Experience serving on hospital committees
- Knowledge of CMS and commercial insurance regulations
- Team-building mindset
- Collaborative decision making
- Paid malpractice
- 403B match
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