Physician Advisor

4 weeks ago

Prescott, Arizona, United States Dignity Physician Careers Full time
Job Summary:

As a Physician Advisor at Dignity Health, you will play a critical role in promoting evidence-based standards of medical care while maintaining appropriate utilization of hospital resources. This newly created position emphasizes facilitating communication between the Department of Care Coordination, Medical Staff, Nursing Staff, and Administration regarding systems-based practice, regulatory and quality considerations in the delivery of medical care.

Key Responsibilities:

Mitigate denials for payment from insurance payers by providing valid and effective secondary medical necessity reviews.
Review and report performance measures and make recommendations to Departments and the Medical Executive Committee regarding opportunities for improvement of patient care, resource utilization, billing compliance and reduction of claims denials.
Provide compliance element for Centers for Medicare and Medicaid Services (CMS) Conditions of Participation (COP) by performing secondary medical necessity reviews.
Champion good stewardship of resources.

Requirements:

Minimum of five years clinical practice experience.
Active member in good standing of Hospital's medical staff and participating member of various medical committees.
Doctor of Medicine (MD or DO).
Licensed to practice medicine without restrictions in the State where performing Physician Advisor duties: MD:AZ or DO:AZ.

What We Offer:

Medical/Dental/Vision Insurance (no premium option for employee benefits)
Flexible spending accounts
Matching 403(b) retirement program
Fully Funded Pension Plan
Paid Time Off (PTO)
Tuition Reimbursement
Mental Health Benefit
Employee Life Insurance
Eligible for annual incentive pay based on company performance
Relocation assistance if applicable
Education Benefit program for benefit-eligible employees in Arizona, providing debt relief and student loan assistance.

About Dignity Health:

Dignity Health is a not-for-profit integrated healthcare provider that offers a broad range of inpatient and outpatient services. Our healing network includes two full-service acute care hospitals that include outpatient service centers and primary and specialty care clinics. We also have advanced centers for IV wound and breast care. Our unmatched continuum of care covers a 5,500 square mile service area and includes cardiac surgery, neurosurgery, a comprehensive Women's Health Pavilion, and Arizona's only Patient Blood Management Program. We have earned numerous awards for quality and have earned national recognition as an exceptional provider of care.

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