Physician Advisor - Utilization & Quality Improvement

Physician Pivot; Hiram (GA); On-site; USD 180,000 - 260,000; Full time

Job summary

The Physician Advisor at WellStar Health System reports to the Chief Medical Officer and drives quality, utilization management and education initiatives to improve patient care and hospital efficiency.

You will partner with physicians, care managers, nursing and administrative leaders to review cases, reduce avoidable readmissions, ensure medical necessity, and lead performance improvement efforts across the facility.

Qualifications

• Doctorate in Medicine or Doctorate in Osteopathic Medicine required.
• Board certification in specialty preferred.
• 8–10 years clinical experience; 1–3 years in Utilization Management.

Responsibilities

• Lead Utilization Review and medical necessity assessments.
• Drive Readmission reduction initiatives at the facility.
• Collaborate with Care Coordination, CMO, and Quality teams for performance improvement.

Skills

Leadership

Communication

English proficiency

Time management

Budgeting

Education

MD

DO

Job description

The Physician Advisor at WellStar Health System reports to the Chief Medical Officer and drives quality, utilization management and education initiatives to improve patient care and hospital efficiency.

You will partner with physicians, care managers, nursing and administrative leaders to review cases, reduce avoidable readmissions, ensure medical necessity, and lead performance improvement efforts across the facility.