Physician Advisor - Des Moines (on-site) - $50,000 Bonus

Trinity Health; Des Moines (IA); On-site; USD 180,000 - 240,000; Full time

Benefits offered by this job

Paid malpractice

403B match

Job summary

MercyOne Central Iowa is seeking a board-certified physician with inpatient experience to serve as Physician Advisor. The role focuses on clinical resource utilization, determining medical necessity, and guiding colleagues through CMS and insurance guidelines.

The onsite position involves collaborating with MercyOne Leadership and hospital teams to design interventions, uphold peer-to-peer processes, and improve care decisions within a large Catholic health system in Iowa.

Qualifications

• Board-certified physician with inpatient experience.
• Strong knowledge of CMS and commercial insurance regulations.
• Experience serving on hospital committees or governance bodies.

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

Skills

Board-certified Physician

Inpatient experience

CMS regulations knowledge

Team-building mindset

Collaborative decision making

Education

MD/DO

Tools

Regulatory compliance tools

Job description

Employment Type: Full time Shift: Description: 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.

Essential Job Details

• 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

This is an onsite position MercyOne Central Iowa operates four not-for-profit, Catholic medical centers, as well as two specialty hospitals, providing a total of 965 licensed beds. With more than 7,000 colleagues and a medical staff of more than 1,000 physicians and allied health professionals, MercyOne Central Iowa is one of Iowa’s largest employers.

MercyOne Medical Group – Central Iowa is one of Iowa’s largest multispecialty clinic systems, made up of more than 50 primary care, pediatric, internal medicine and specialty clinics located throughout Dallas, Polk and Warren counties. MercyOne Central Iowa has several additional ministries including Mercy College of Health Sciences, MercyOne Des Moines Foundation, MercyOne Health & Fitness Center and MercyOne Population Health Service Organization. MercyOne has long history in training the next generation of Physicians. MercyOne sponsors residencies in Internal Medicine, Family Medicine, General Surgery and Psychiatry. Additionally, MercyOne offers a Cardiology Fellowship as well as numerous educational opportunities for Medical Students. In addition, 14 of Iowa’s community hospitals – from Bloomfield and Webster City to Greenfield and beyond – have chosen to affiliate with MercyOne Central Iowa. Through contracted relationships, MercyOne provides management and support services to these community hospitals, who work together to share best practices and process improvements, improve quality and service, and lower the cost of care.

MercyOne Central Iowa is a member of MercyOne, which was founded in 1998. The MercyOne system has more than 20,000 colleagues in Iowa and surrounding states. Greater Des Moines is consistently ranked nationally among the best places to live with a low cost of living and strong job market. It is also known for top-notch schools, clean and safe neighborhoods. Spend Saturdays at the nationally-renowned Downtown Farmers' Market and afternoons strolling in the Pappajohn Sculpture Park. Bike to the job you love and come home to the community of friends and family. Enjoy abundant trails for walking, running and biking. Cultural events, music and art festivals, the Iowa State Fair and Iowa Cubs games at Principal Park are just a few attractions Des Moines has to offer. This is a place where culture flourishes and opportunities can grow, where a work/life balance can be achieved, where education is unmatched and award-winning arts and entertainment is always just around the corner. Live life without compromise in a city with no limits.

For more of what Des Moines has to offer check out www.catchdesmoines.com and www.dsmpartnership.com. To learn more contact: Roger McMahon, Regional Director, Physician Recruitment [phone] [e-mail].

Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care.

We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.