Physician Advisor

3 days ago


Philadelphia, Pennsylvania, United States Community Behavioral Health Full time
Job Summary

The Physician Advisor plays a critical role in providing clinical leadership and oversight to ensure the highest quality of care for our members. As a key member of our team, you will be responsible for reviewing cases, providing consultation, and collaborating with providers and stakeholders to improve outcomes.

Key Responsibilities
  • Perform physician reviews in accordance with best practice standards and state regulatory requirements
  • Engage with providers and stakeholders to troubleshoot clinical and medical matters
  • Participate in quality reviews and provide input on member complaints and grievances
  • Represent medical affairs in clinical and administrative meetings
  • Provide training and education to internal and external stakeholders
  • Review cases from multiple sites and levels of care for medical necessity
  • Perform peer review cases for disputed levels of care
Requirements
  • Medical degree (MD or DO)
  • PA licensure and board certification in adult or child psychiatry
  • Minimum 2 years of clinical psychiatry experience, including inpatient care and substance abuse treatment
Preferred Qualifications
  • Proficient in Microsoft Word and Excel
  • Strong problem-solving and analytical skills
  • Excellent verbal and written communication skills
Work Environment

The Physician Advisor will work in a fast-paced environment, requiring adaptability and strong interpersonal skills. The position involves regular travel within the City of Philadelphia and requires the ability to work in a variety of settings.

Equal Employment Opportunity

Community Behavioral Health is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating a culture of inclusion and belonging.


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