Senior Physician Advisor - Utilization & Quality

Brundage Group; Town of Florida (NY); On-site; USD 150,000 - 200,000; Full time

Job summary

A healthcare organization is seeking an experienced Physician Advisor to lead quality performance across the organization. The ideal candidate will communicate with hospital physicians and management teams while conducting case reviews to ensure compliance with clinical documentation and utilization standards. Responsibilities include consulting with attending physicians, managing utilization and denials processes, and providing education to hospital staff. Candidates must have a medical degree and active medical license, along with 1-3 years of relevant experience.

Qualifications

• MD or DO degree required.
• Current, unrestricted medical license in state of residence.
• 1-3 years of Physician Advisor experience in a hospital setting.
• Strong computer skills and knowledge of EMRs.

Responsibilities

• Drive quality performance by collaborating with hospital staff.
• Conduct case reviews to ensure compliance.
• Act as a consultant for attending physicians.
• Manage utilization and denials processes.

Job description

A healthcare organization is seeking an experienced Physician Advisor to lead quality performance across the organization. The ideal candidate will communicate with hospital physicians and management teams while conducting case reviews to ensure compliance with clinical documentation and utilization standards. Responsibilities include consulting with attending physicians, managing utilization and denials processes, and providing education to hospital staff. Candidates must have a medical degree and active medical license, along with 1-3 years of relevant experience.