Physician Advisor

We are seeking a highly skilled Physician Advisor to join our team at Christus Health. As a key member of our Physician Advisory Services team, you will play a critical role in ensuring the quality and efficiency of patient care while promoting responsible stewardship of clinical resources.

• Conduct thorough reviews of patient cases to assess medical necessity and render recommendations to attending providers.
• Collaborate with care management and healthcare teams to discuss elective cases and make recommendations related to appropriate level of care and care progression.
• Participate in case denial meetings to identify opportunities and decrease inappropriate denials.
• Interact with medical staff members and payer medical directors to discuss patient needs, access to care, and alternative levels of care.
• Act as a consultant and resource to the CDI team for query facilitation and to the transfer center team for challenging case reviews.
• Develop and present analysis of short-term projects to explain claims and areas of opportunity to leadership and other associates.
• Support compliance with all state and federal regulations.

• MD or DO degree from an accredited medical school.
• 5 years of experience in the clinical setting.
• 2 years of experience in a physician advisor role or equivalent.
• 2 years of experience in leadership and/or management roles.
• Board-certified in a clinical specialty.
• Board certification in HCQM (ABQAURP) preferred.

Full-time position with a competitive salary and benefits package. Opportunity to work with a dynamic team and contribute to the success of Christus Health.