System Physician Advisor & Medical Director

Lee Health; Fort Myers (FL); On-site; USD 210,000 - 300,000; Full time

Benefits offered by this job

Generous paid time off

Sign-on bonus and relocation package

Dedicated CME time and funding

Malpractice Insurance and TailCoverage

403(b) retirement plan with match and

457(b) enhanced retirement option

Short term/long term disability

Public Service Loan Forgiveness (PSLF)

Job summary

Lee Health in Fort Myers, FL seeks a System Physician Advisor Medical Director to lead utilization management and care coordination across the health system.

This role partners with executive leadership and medical staff to improve medical necessity, documentation, and patient throughput while maintaining high-quality, patient-centered care. Ideal candidates bring MD/DO, Florida license, 5+ years inpatient practice, and familiarity with CMS rules and Epic.

Qualifications

• MD, DO, or MBBS degree required.
• Active Florida medical license in good standing.
• Minimum of five years of clinical practice experience, preferably in inpatient care.
• Physician Advisor certification (ACPA-C or ABQAURP) required within 6–12 months of hire if not already obtained.
• Prior experience in physician leadership, mentorship, clinician education, conflict resolution, and public speaking preferred.
• Familiarity with InterQual, MCG criteria, and Epic preferred.

Responsibilities

• Provide physician leadership and strategic oversight for utilization management, care coordination, and denial management initiatives.
• Review escalated cases involving patient status determination, medical necessity, quality concerns, and utilization issues.
• Collaborate with physician advisors, revenue cycle, case management, CDI, quality, and operational leaders to improve workflows, compliance, and outcomes.
• Educate and support providers regarding CMS regulations, payer requirements, medical necessity criteria, and documentation best practices.
• Analyze trends related to payer denials, avoidable delays, patient status assignment, and resource utilization to drive performance improvement.
• Serve as Chair of the Lee Health Utilization Review Committee.
• Participate in organizational quality improvement, patient throughput, and readmission reduction initiatives.
• Develop educational curriculum and presentations for physicians, medical staff, and leadership related to physician advisory services and utilization management.
• Create action plans and provide coaching to clinicians regarding compliance, patient status accuracy, and documentation improvement opportunities.

Skills

Strategic leadership

Communication

Healthcare operations

Cross-functional collaboration

Clinical governance

Education

MD/DO/MBBS

Tools

Epic

InterQual/MCG criteria

Job description

Lee Health in Fort Myers, FL seeks a System Physician Advisor Medical Director to lead utilization management and care coordination across the health system.

This role partners with executive leadership and medical staff to improve medical necessity, documentation, and patient throughput while maintaining high-quality, patient-centered care. Ideal candidates bring MD/DO, Florida license, 5+ years inpatient practice, and familiarity with CMS rules and Epic.