Physician Advisor - Des Moines (on-site) - $50,000 Bonus

About the role

MercyOne is seeking a dynamic, board‑certified Physician with Inpatient experience for a newly opened but established role as a Physician Advisor. The ideal candidate will have served on Hospital committees or have strong working knowledge of CMS and commercial insurance regulations. The Physician Advisor must possess a team‑building mindset and a collaborative approach to decision making. This is an onsite position.

MercyOne Central Iowa operates four not‑for‑profit, Catholic medical centers and two specialty hospitals, providing a total of 965 licensed beds. With more than 7,000 colleagues and a medical staff of over 1,000 physicians and allied health professionals, MercyOne Central Iowa is one of Iowa’s largest employers. MercyOne Medical Group – Central Iowa is one of Iowa’s largest multispecialty clinic systems, comprising more than 50 primary care, pediatric, internal medicine and specialty clinics throughout Dallas, Polk and Warren counties. Additional ministries include Mercy College of Health Sciences, MercyOne Des Moines Foundation, MercyOne Health & Fitness Center and MercyOne Population Health Service Organization. MercyOne sponsors residencies in Internal Medicine, Family Medicine, General Surgery and Psychiatry, offers a Cardiology Fellowship, and provides numerous educational opportunities for medical students. Fourteen of Iowa’s community hospitals have affiliated with MercyOne Central Iowa, receiving management and support services to share best practices, improve quality and service, and lower the cost of care. MercyOne Central Iowa is a member of the MercyOne system, which has more than 20,000 colleagues in Iowa and surrounding states. Greater Des Moines is consistently ranked nationally among the best places to live, offering a low cost of living, strong job market, top‑notch schools, clean and safe neighborhoods, cultural attractions, recreational trails, and events such as the Downtown Farmers' Market, Pappajohn Sculpture Park, Iowa State Fair and Iowa Cubs games at Principal Park.

Responsibilities

• Lead physician‑driven clinical resource utilization program, and work with MercyOne Leadership team to design interventions when necessary
• Review cases to determine appropriate level of care based on medical necessity, and apply regulatory, health plan, and clinical guidelines in the review of denials
• Serve as a resource for physicians regarding medical necessity, level of care, and clinical documentation
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