Physician Advisor – Utilization & Quality Improvement

3410 Wellstar North Fulton Hospital, Inc.; United States; On-site; USD 180,000 - 280,000; Full time

Job summary

Wellstar Health System is seeking a Physician Advisor to improve quality, utilization, and patient satisfaction through performance improvement initiatives across the hospital. The PA will review cases for medical necessity, collaborate with care management, and lead efforts to reduce readmissions while ensuring documentation supports clinical decisions.

The role requires a DO/MD with 8–10 years of clinical experience and preferred MBA/MHA.

Qualifications

• Doctorate in Medicine (MD) or Doctor of Osteopathic Medicine (DO) required.
• Board certification in specialty preferred; MBA/MHA or Health Administration certification desirable.

Responsibilities

• Provide clinical leadership in utilization management and medical necessity assessments.
• Collaborate with Care Coordination/Care Management to optimize length of stay and level of care.
• Lead readmission reduction initiatives and support regulatory compliance.
• Interact with physicians, nursing and administration to improve efficiency and patient outcomes.
• Support documentation accuracy and coding alignment with clinical criteria.

Skills

Verbal & written English

Leadership

Time management

Analytical skills

Budget management

Education

MD/DO

MBA/MHA preferred

Job description

Wellstar Health System is seeking a Physician Advisor to improve quality, utilization, and patient satisfaction through performance improvement initiatives across the hospital. The PA will review cases for medical necessity, collaborate with care management, and lead efforts to reduce readmissions while ensuring documentation supports clinical decisions.

The role requires a DO/MD with 8–10 years of clinical experience and preferred MBA/MHA.