Physician Advisor: Utilization & Compliance Leader

Trinity Health Corp.; Des Moines, Northern (IA, KY); Presencial; USD 200 000 - 260 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Nonproduction incentives

Paid malpractice

403B match

Resumo da oferta

MercyOne, part of Trinity Health, is seeking a dynamic, board-certified Physician with Inpatient experience for a Physician Advisor role at MercyOne Central Iowa. The ideal candidate will collaborate with hospital leadership, review cases for medical necessity, and guide decisions on level of care.

The position offers a competitive base salary with nonproduction incentives, paid malpractice, and a 403B match, along with opportunities to shape oncology care strategy and program growth across

Qualificações

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

Responsabilidades

• Lead physician-driven clinical resource utilization program with leadership.
• Review cases to determine appropriate level of care based on medical necessity and guidelines.
• Serve as a resource for physicians on medical necessity and clinical documentation.
• Foster effective communication among care team members.
• Establish and maintain peer-to-peer protocol.

Conhecimentos

Inpatient experience

Board-certified physician

CMS knowledge

Team collaboration

Descrição da oferta de emprego

MercyOne, part of Trinity Health, is seeking a dynamic, board-certified Physician with Inpatient experience for a Physician Advisor role at MercyOne Central Iowa. The ideal candidate will collaborate with hospital leadership, review cases for medical necessity, and guide decisions on level of care.

The position offers a competitive base salary with nonproduction incentives, paid malpractice, and a 403B match, along with opportunities to shape oncology care strategy and program growth across