Jobs · Healthcare

Physician Advisor

Ladders · United States · 1 mo ago
RemoteRemoteHealthcare$198k–$297k/yrFull-time

Responsibilities

  • Manage utilization and resource management for optimal patient care
  • Conduct peer reviews with payor medical directors
  • Evaluate short inpatient stays and review patients under observation
  • Foster relationships with medical staff to enhance utilization management buy-in
  • Attend utilization management committees as a subject matter expert
  • Aid in handling denials and appeals when necessary
  • Educate medical staff on utilization management topics

Qualifications

  • MD/DO Physician degree required
  • 5-7 years of experience in healthcare utilization management
  • Strong background in resource management and cost-effective care
  • Experience with healthcare documentation, coding, and compliance
  • Exceptional communication skills, especially in executive settings

Benefits

  • Comprehensive healthcare benefits package
  • Generous time off policies
  • Retailment savings plan and financial wellness programs
  • Investment in professional development and tuition reimbursement
  • Quarterly and annual incentive recognition programs

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