Physician Advisor - Des Moines (on-site) - $50,000 Bonus
Trinity Health•MMCIA - MercyOne Des Moines Medical Center Central IA, IA
•Onsite
About The Position
MercyOne is seeking a dynamic, board-certified Physician with Inpatient experience for a newly opened but established role as a Physician Advisor. The ideal candidate will have served on Hospital committees or strong working knowledge of CMS and commercial insurance regulations. The Physician Advisor must possess a team-building mindset and a collaborative approach to decision making. MercyOne offers a competitive base salary plus nonproduction incentives, paid malpractice, and a 403B match.
Requirements
- Board-certified Physician
- Inpatient experience
- Served on Hospital committees or strong working knowledge of CMS and commercial insurance regulations
- Team-building mindset
- Collaborative approach to decision making
Responsibilities
- Lead physician-driven clinical resource utilization program, and work with MercyOne Leadership team to design interventions when necessary
- Review cases to determine appropriate level of care based on medical necessity, and apply regulatory, health plan, and clinical guidelines in the review of denials
- Serve as a resource for physicians regarding medical necessity, level of care, and clinical documentation
- Foster effective communication between members of the care team
- Establish and maintain peer-to-peer protocol
- Establish peer-to-peer protocol
Benefits
- Competitive base salary
- Nonproduction incentives
- Paid malpractice
- 403B match
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What This Job Offers
Job Type
Full-time
Career Level
Senior
