Physician Utilization & Quality Director

GBMC HealthCare; Baltimore (MD); On-site; USD 148,140 - 266,652; Full time

Job summary

GBMC HealthCare is seeking a Physician Advisor Director to lead a team in improving inpatient care quality and efficiency. This role involves oversight of utilization management, denial management, and educational initiatives for medical staff. Candidates should have significant clinical experience, be licensed in Maryland, and hold relevant board certification. The position offers a competitive salary range between $148,140 and $266,652 based on qualifications and experience.

Qualifications

• Licensed as a physician in the State of Maryland.
• Board Certified by a relevant Board.
• 2-4 years of experience in Utilization Management.

Responsibilities

• Provides leadership to the Physician Advisors supporting clinical teams.
• Conducts level of care reviews and denial management.
• Educates physicians on regulatory requirements.

Skills

Interpersonal skills

Quality improvement experience

Familiarity with clinical documentation

Education

Graduate of an accredited medical program

Job description

GBMC HealthCare is seeking a Physician Advisor Director to lead a team in improving inpatient care quality and efficiency. This role involves oversight of utilization management, denial management, and educational initiatives for medical staff. Candidates should have significant clinical experience, be licensed in Maryland, and hold relevant board certification. The position offers a competitive salary range between $148,140 and $266,652 based on qualifications and experience.