Physician Advisor - Des Moines; on-site

Physician Advisor - Des Moines (on-site) - $50,000 Bonus role at Trinity Health

Lead physician-driven clinical resource utilization program, and work with leadership to design interventions when necessary. Review cases to determine appropriate level of care based on medical necessity, and apply regulatory, health plan, and clinical guidelines in the review of denials. Serve as a resource for physicians regarding medical necessity, level of care, and clinical documentation. Foster effective communication between members of the care team.

Establish and maintain peer-to-peer protocol. This is an onsite position.

• Lead physician-driven clinical resource utilization program, and work with leadership to design interventions when necessary
• Review cases to determine appropriate level of care based on medical necessity, and apply regulatory, health plan, and clinical guidelines in the review of denials
• Serve as a resource for physicians regarding medical necessity, level of care, and clinical documentation
• Foster effective communication between members of the care team
• Establish and maintain peer-to-peer protocol
• This is an onsite position

• Board-certified physician with inpatient experience
• Experience serving on hospital committees or strong working knowledge of CMS and commercial insurance regulations
• Team-building mindset and a collaborative approach to decision making

• Full-time

• Competitive base salary plus non-production incentives
• Paid malpractice
• 403(b) match

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.