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Physician Advisor

2 months ago

Altamonte Springs, United States AdventHealth Full time

**All the benefits and perks you need for you and your family:**

· Benefits from Day One

· Paid Days Off from Day One

· Debt-free Education* (Certifications and Degrees without out-of-pocket tuition expense)

**Our promise to you:**

Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that **together** we are even better.

**Schedule:** **FT**

**Shift** : **Days**

**The role you'll contribute:**

As the physician advisor (PA), this role educates, informs, and advises members of the Utilization Management, Health Information Management (HIM), Revenue Cycle, Patient Financial Services, Patient Access, AHS Managed Care departments and applicable medical staff of specific updates, statistical trending and/or changes related to denial prevention measures for our contracted managed care payers. The PA role is responsible for providing physician review of utilization, claims management, and quality assurance related to inpatient care, outpatient care/observation stays and referral services. This position supports and interfaces with the CMO capacities at all facilities within the Central Florida Division - South Region by ensuring the delivery of high-quality, efficient healthcare services throughout the continuum of care for the membership served by contracted medical group provider networks. The PA is an important contact for clinicians, external providers, contracted health insurance payers, and regulatory agencies. It also serves as subject matter expert, providing clinical expertise and business direction in support of medical management programs, promoting the delivery of high quality, patient focused and cost-effective medical care. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

**The value you'll bring to the team:**

·Strong ability to build and sustain relationships in the medical community and a corporate environment

·Successful history as a practicing physician

·Strong organization skills with attention to detail

·Excellent analytical and problem-solving skills

·Effective oral and written communication skills, with the ability to articulate complex information in understandable terms to all levels of staff

·Ability to work in a matrix-management environment to achieve organizational goals

· Ability to translate ethical and legal requirements into practical and sustainable policies, balancing the needs of the business and the interest of patients and member physicians alike

·Ability to provide expert medical advice and explain complex medical situations

·Successful history as a practicing physician

Qualifications

**The expertise and experiences you'll need to succeed:**

**LICENSURE, CERTIFICATION, OR REGISTRATION REQUIRED** **:**

·Current, valid State of Florida license as a physician

·Board certified and eligible for membership on the hospital medical staff

**EDUCATION REQUIRED** **:**

·Graduate from medical school and residency program

**_EDUCATION PREFERRED_** _:_

·Master's degree in Business or Healthcare Administration or related degree

**EXPERIENCE REQUIRED** **:**

·Five or more years recent clinical practice experience

**_EXPERIENCE PREFERRED_** _:_

·Understanding of hospital Utilization Management/Medicare Regulations

·Two years or greater experience as a Physician Advisor

·Three years of leadership experience

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

**Category:** Physician Services

**Organization:** AdventHealth Orlando

**Schedule:** Full-time

**Shift:** 1 - Day

**Req ID:** 24004574

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.

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