Physician Advisor

About the role

CBH is a dynamic organization dedicated to providing access to high-quality, accountable care to improve the health and mental wellness of our members. As a Physician Advisor, you will provide clinical leadership through oversight of the clinical management of members, offering consultation on quality of care, medical decision making, case formulations, medication and safety concerns, and levels of care.

Responsibilities

• Performs physician reviews in alignment with best practice standards (NCQA) and state regulatory requirements to improve outcomes for CBH members.
• Engages, collaborates, and troubleshoots with providers and system stakeholders on clinical and medical matters, including member placement, coordination of care, quality concerns, and other challenges.
• Participates in quality reviews for specific member complaints, grievances, and agency reviews.
• Attends clinical and administrative meetings as a representative of medical affairs and clinical as required.
• Participates in training and education with internal and external stakeholders, including care managers and providers.
• Reviews cases from multiple sites and levels of care for medical necessity.
• Performs peer review cases for disputed levels of care.
• Interacts with providers on clinical and administrative matters.
• Serves as a consultant for Clinical Care Managers.
• Completes other duties as assigned.

Requirements

• Medical degree as a Psychiatrist (MD or DO).
• PA Licensure; Board Certified in Adult or Child Psychiatry (Adult specialty preferred).
• Minimum of 1 year of clinical psychiatry experience, including significant and specific experience with inpatient care and substance abuse treatment.

Skills

• Proficient in Microsoft Word and Excel.
• Strong problem-solving and analytical skills.
• Strong interpersonal and decision-making skills.
• Excellent verbal and written communication skills.

Core Competencies

• Teamwork and Collaboration: Build and sustain relationships with co-workers and stakeholders, supporting efforts and deliverables while removing barriers to productivity.
• Respect: Treat others and members with respect and sensitivity, recognizing the importance of diversity.
• Member Centric: Focus on member needs by providing value-added services and promoting strong relationships to achieve the best possible outcomes.
• Honesty and Integrity: Maintain the highest level of integrity in all actions.
• Commitment to Service Excellence: Provide forward-thinking, first-in-class service and high-quality, innovative programs.
• Compassion and Empathy: Demonstrate a deep appreciation for others’ situations and perspectives through active listening and caring.
• Problem Solving: Build and implement logical solutions using individual knowledge and experience while considering resources and CBH values.
• Initiative and Self-Directed: Proactively manage time and resources to ensure efficient work completion and initiative implementation.
• Flexibility and Adaptability: Adjust approaches and behaviors to meet changing environments and accomplish goals.
• Communication: Effectively share thoughts, ideas, and information both verbally and in writing, while respectfully listening to others.

Work Conditions

• Must be able to travel within the City of Philadelphia.
• Regularly requires walking, standing, stooping, bending, sitting, reaching, pushing, pulling, and/or repetitive wrist/hand movements.
• Ability to utilize computers and office equipment to complete daily work responsibilities.
• Works inside in adequately lighted and ventilated areas with some temperature fluctuation. No protective equipment routinely needed.
• Must adapt to continuous changes and demands of the job.

CBH does not provide sponsorship for applicants requiring future work authorization. All candidates must be legally authorized to work in the United States without requiring sponsorship now or in the future.

Benefits

• Family Planning, Fertility, Adoption Benefits
• 403B Retirement Plan
• PTO Days/Sick Days
• Wellness Program
• Employee Assistance Program
• Health, Dental, Vision Insurance
• Medical, Prescription Drug Insurance
• Tuition Reimbursement
• Commuter Benefits
• Flexible Spending