Physician Care Specialist

1 week ago


Prescott, Arizona, United States Dignity Physician Careers Full time

**Job Overview**

Dignity Physician Careers is seeking a skilled Physician Advisor to promote evidence-based standards of medical care while maintaining appropriate utilization of hospital resources.

The ideal candidate will have a strong clinical background, excellent communication skills, and the ability to work collaboratively with various stakeholders. This role requires a deep understanding of medical practice, regulatory considerations, and quality assessment principles.

Key Responsibilities:

  • Mitigate denials for payment from insurance payers by providing valid and effective secondary medical necessity reviews.
  • Review and report performance measures, making recommendations for improvement of patient care, resource utilization, billing compliance, and reduction of claims denials.
  • Provide compliance elements for CMS Conditions of Participation (COP) by performing secondary medical necessity reviews.

Requirements

Minimum 5 years clinical practice experience, active member in good standing of Hospital's medical staff, and participating member of various medical committees.

Licensed to practice medicine without restrictions in AZ or DO:AZ.

Strong collaboration skills, excellent interpersonal and communication skills, knowledgeable in basic principles of utilization management and quality assessment.

Benefits

Competitive salary range: $76.92 - $123.07 per hour, medical/dental/vision insurance, flexible spending accounts, matching 403(b) retirement program, fully funded pension plan, paid time off, tuition reimbursement, mental health benefit, employee life insurance, annual incentive pay based on company performance, relocation assistance if applicable.

Dignity Health offers an Education Benefit program for benefit-eligible employees in Arizona, providing debt relief and student loan assistance to help you achieve your goals.



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