Physician Advisor: Utilization & Care Optimization

NYC Health + Hospitals; New York (NY); On-site; USD 241,000 - 290,063; Full time

Benefits offered by this job

401(k) Company Contribution

Generous Annual Paid Time Off (PTO)

Medical, Prescription, and Dental Coverage

Annual Continuing Medical Education (CME) Reimbursement

Loan Forgiveness Options

Job summary

A municipal health care organization in New York is looking for a Physician Advisor to join its Utilization Management team. This role involves direct patient care and duties related to regulatory compliance, hospital coding, and denial management. Candidates should have board certification in Internal or Emergency Medicine, with a minimum of three years experience as an Attending Physician. The position offers an annual base salary between $241,000 and $290,063 and includes a comprehensive benefits package.

Qualifications

• At least 3 years' experience practicing as an Attending Physician.
• Experience in hospital coding and denial management.
• Strong understanding of compliance with governmental and private payer regulations.

Responsibilities

• Lead efforts to meet facility's goals in Utilization Management.
• Manage length of stay and optimize level of care.
• Serve as primary liaison for provider practice and medical documentation.

Skills

Board Certification in Internal Medicine or Emergency Medicine

Experience in utilization and quality management

Active or Eligible for a NYS license

Education

Board Certification in relevant medical specialty

Job description

A municipal health care organization in New York is looking for a Physician Advisor to join its Utilization Management team. This role involves direct patient care and duties related to regulatory compliance, hospital coding, and denial management. Candidates should have board certification in Internal or Emergency Medicine, with a minimum of three years experience as an Attending Physician. The position offers an annual base salary between $241,000 and $290,063 and includes a comprehensive benefits package.