Physician Advisor: Utilization & Quality Improvement

Henry Ford Health; Detroit (MI); On-site; USD 190,000 - 270,000; Full time

Job summary

Henry Ford Health seeks a Physician Advisor to collaborate with medical staff leadership to optimize resource use and ensure quality care. The role requires extensive experience in utilization management, regulatory knowledge, and strong physician engagement across hospital services.

Responsibilities include medical necessity reviews, payer liaison duties, and education of clinicians on documentation and care standards.

Qualifications

• Doctoral degree in Medicine (M.D or D.O.).
• Minimum five (5) years of clinical practice.
• Meet the requirements and become a member of the Henry Ford Medical Staff.
• Solid foundation in utilization management, quality improvement, and patient safety.
• Working knowledge of EMRs (EPIC preferred).
• Familiarity with MCG/InterQual criteria preferred.

Responsibilities

• Review medical records for quality and utilization oversight.
• Perform medical necessity reviews and continued stay reviews.
• Conduct Peer-to-Peer calls for inpatient and post-acute denials.
• Assist with length of stay management and resource utilization.
• Educate physicians and staff on payer requirements and documentation.

Skills

Strong communication

Interpersonal skills

Computer literacy

Education

MD/DO

Board Certification

ABQAURP/ACPA-C preferred

Tools

EPIC EMR

Job description

Henry Ford Health seeks a Physician Advisor to collaborate with medical staff leadership to optimize resource use and ensure quality care. The role requires extensive experience in utilization management, regulatory knowledge, and strong physician engagement across hospital services.

Responsibilities include medical necessity reviews, payer liaison duties, and education of clinicians on documentation and care standards.