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 and collaborate with MercyOne leadership to design interventions; review cases to determine appropriate level of care based on medical necessity and guidelines; serve as a resource for physicians regarding medical necessity, level of care, and clinical documentation; foster effective communication within care teams and establish peer-to-peer protocols. On-site role in Des Moines, IA, with a focus on utilization management, denials review, and cross-functional collaboration to improve patient care and regulatory compliance.
Required Qualifications
- Board-certified physician
- Inpatient experience
- Knowledge of CMS and commercial insurance regulations
- Team-building mindset
- Collaborative decision making
Desired Qualifications
- Board-certified physician
- Inpatient experience
- Knowledge of CMS and commercial insurance regulations
- Team-building mindset
- Collaborative decision making
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