Physician Advisor (Remote)
$250,000–$350,000 year
RemoteUnited States
Job Summary
Perform medical necessity reviews using MCG and/or InterQual while supporting CMS compliance, including the 2-Midnight Rule and inpatient status determinations. Partner with Case Management, CDI, and physician teams to improve documentation, patient flow, and denial prevention through peer-to-peer reviews and appeals. Provide physician education, documentation feedback, and query support while participating in quality, compliance, and operational improvement initiatives. This fully remote physician leadership role includes four on-site meetings annually and focuses on advancing medical necessity, regulatory compliance, and patient outcomes across UVA Health's multidisciplinary teams.
Required Qualifications
- MD or DO
- Board Certified in Family Medicine, Internal Medicine or Pediatrics
- Eligible for Virginia medical licensure
- Must be able to travel for 4 on-site meetings per year that are 1-day meetings
Desired Qualifications
- Prior Utilization Management experience preferred
- Knowledge of CMS regulations and MCG/InterQual guidelines
- Excellent communication and collaboration skills
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