Lead Physician Advisor (t)

Ensemble Health Partners

Not specified; not specified; comprehensive benefi...
Fully remote
Md or do degree required
Utilization management expertise
Peer-to-peer review experience
The Lead Physician Advisor leads efforts to efficiently manage resources and utilization while delivering quality, cost-effective care in the most appropriate settings

Job Summary

  • The Lead Physician Advisor leads efforts to efficiently manage resources and utilization while delivering quality, cost-effective care in the most appropriate settings.
  • This role involves developing care management protocols with physicians, performing peer-to-peer reviews, and supporting documentation and coding improvements to ensure compliance.
  • Ensemble Health Partners offers a comprehensive benefits package, professional certification opportunities, tuition reimbursement, and recognition programs for high performers.

Matching Summary

The Lead Physician Advisor leads efforts to efficiently manage resources and utilization while delivering quality, cost-effective care in the most appropriate settings.

Salary

Not specified; Not specified; Comprehensive benefits including healthcare, time off, retirement, and well-being programs

Skills & Requirements

Must-have

  • MD or DO degree required
  • Utilization management expertise
  • Peer-to-peer review experience
  • Care management protocol development
  • Revenue cycle optimization skills
  • Medical necessity justification

Nice-to-have

  • Experience with MCG/InterQual criteria
  • QIO audit coordination background
  • Conference speaking capabilities
  • Collaboration with payor strategies
  • Webinar presentation skills

Key Requirements

  • MD or DO degree
  • Clinical licensure
  • Experience in utilization management
  • Knowledge of MCG/InterQual standards

Work Rights

Not specified

Tailored Resume

Cover Letter