Physician Advisor II

Med-Metrix
Philadelphia, PA
Category Research
Remote
Job Description
The Physician Advisor II serves as a leader on the Physician Advisor team, mentoring, teaching internally and externally, maintaining quality across the spectrum of Physician Advisors, and manages PAOC relationships with clients. Performs case reviews of all case types in a knowledgeable and conscientious manner to achieve the highest degree of compliance.

Requirements

  • Specialty Board Certified
  • Licensed to practice medicine in the US
  • 3+ years working as a Physician Advisor or UR/UM Medical Director performing case reviews
  • Basic technical skills with Hospital EMRs and Microsoft Office and Teams
  • Hold and maintain an unrestricted medical license and Board Certification
  • Possess or acquires a solid foundation, knowledge, and/or experience in the areas of utilization management, quality improvement, and patient safety
  • Possess a working knowledge of (Hospital) organization & case management operations and administrative standards and policies
  • Familiarity with MCG/InterQual placement status criteria is preferred
  • Member of the American College of Physician Advisors (ACPA) preferred
  • Board Certification by the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) preferred
  • Physician Advisor Sub-Specialty Certification by the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) preferred
  • Proficiency in Microsoft Office Suite
  • Strong interpersonal skills, ability to communicate well at all levels of the organization
  • Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
  • High level of integrity and dependability with a strong sense of urgency and results oriented
  • Excellent written and verbal communication skills required

Benefits

  • Medical, dental, and vision insurance
  • Retirement plan
  • Paid time off
  • Life insurance
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