Physician Advisor: Utilization & Care Leadership

Salem Health Hospitals & Clinics; Des Moines (IA); On-site; USD 180,000 - 250,000; Full time

Benefits offered by this job

Paid malpractice

403B match

Job summary

MercyOne is seeking a dynamic, board-certified Physician with inpatient experience for a Physician Advisor role. The ideal candidate will have served on hospital committees or strong 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.

Qualifications

• Board-certified physician with inpatient experience and strong knowledge of CMS regulations.
• Experience serving on hospital committees or demonstrated collaboration with care teams.

Responsibilities

• Lead physician-driven clinical resource utilization program.
• Review cases to ensure medical necessity and appropriate level of care.
• Serve as a resource on medical necessity, level of care, and clinical documentation.
• Foster effective communication among care team members and establish peer-to-peer protocols.

Skills

Board-certified physician

Inpatient experience

CMS knowledge

Team-building

Job description

MercyOne is seeking a dynamic, board-certified Physician with inpatient experience for a Physician Advisor role. The ideal candidate will have served on hospital committees or strong 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.