Senior Physician Consultant

3 days ago


Chicago, Illinois, United States Ankura Consulting Group, LLC Full time
About the Role

We are seeking a highly experienced Senior Physician Consultant - Healthcare Operations to join our team at Ankura Consulting Group, LLC. As a senior consultant, you will be responsible for providing expert guidance on healthcare operations and clinical review matters to our clients.

This role offers a unique opportunity to work with a talented team of professionals and contribute to the development of innovative solutions that drive quality patient care and outcomes.

Estimated salary: $220,000 - $320,000 per year.

Key Responsibilities
  • Provide expert guidance on healthcare operations and clinical review matters to clients
  • Develop and implement clinical guidelines and protocols to improve quality of care and reduce costs
  • Collaborate with internal stakeholders to identify areas for process improvement and implement changes
  • Conduct independent reviews of medical records to assess medical necessity and compliance with regulatory requirements
Requirements
  • Board certification in Internal Medicine or a similar specialty
  • Minimum 10 years of experience in healthcare operations, with a focus on utilization management and medical necessity
  • Proven track record of leading high-performing teams and driving process improvement initiatives
  • Familiarity with commercially based published clinical criteria and medical policy


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