5 physician advisor jobs found

Pay: $250,000 – $350,000 per year Schedule: Full Time, Day (Rotating Weekends) Location: MedStar Health - Remote / Telehealth (remote) MedStar Job ID: 166722 Physician Advisor – MedStar Multisite MedStar Health is seeking a Physician Advisor to join our team in a hybrid role supporting hospitals across the MedStar Health System. The Physician Advisor is an essential part of the team, using medical expertise to optimize resource use, reduce length of stay, and prevent clinical denials. Their work ensures patients receive appropriate, timely care. In this role, you’ll Review patient status, medical necessity, and level of care Lead clinical denial interventions, denial root cause determinations and upstream process improvement initiatives Engage in concurrent and retrospective denials management and peer to peer discussions with payers Drive length of stay improvements in close collaboration with case management and hospital stakeholders...

About this Job: General Summary of Position Responsible for assisting with implementation integration and operational direction of the case management program within MedStar Family Choice (MSFC) through organizing directing assessing and evaluating a clinical system that manages cost and quality patient care outcomes. Facilitates the continuum of care works collaboratively with interdisciplinary staff both internal and external to the organization.We recruit retain and advance associates with diverse backgrounds skills and talents equitably at all levels. Primary Duties and Responsibilities Acts as a liaison between IS and the clinical team to identify workflow / system issues and resolutions. Uses technology to enhance decision making and effectiveness.Assists staff members with setting personal and educational goals and objectives to enhance their professional development. Develops and implements education programs to coordinate staff development and training needs both for...

Pay: $275,000 – $300,000 per year Schedule: Full Time, Day Location: MedStar Georgetown - 2233 Wisconsin Ave MedStar Job ID: 171915 Senior Health Plan Medical Director - MedStar Family Choice, Washington DC We are looking for a physician with senior level health plan experience to join MedStar Family Choice, our Medicaid Managed Care Organization, as the Senior Health Plan Medical Director in Washington, DC. Key Position Details This position serves as a key thought partner and advisor to the Executive Director on clinical matters. Responsible for leadership of the health plan’s clinical operations with a primary focus on developing clinical strategy and execution to drive clinical outcomes. Directs the development, implementation, and ongoing evaluation of the plan's medical management, utilization management, pharmacy management, case management, quality management, and clinical improvement programs to comply with the District of Columbia...

Pay: $306,840 – $336,840 per year Schedule: Full Time, Night/Nocturnist Location: MedStar Southern Maryland Hospital Center MedStar Job ID: 164761 Nocturnist Hospitalist Physician– MedStar Southern Maryland Hospital Center We are offering up to $50,000 in signing and retention incentives for this role! We are seeking a full-time night hospitalist physician at MedStar Southern Maryland Hospital Center in Clinton, MD. MedStar Health offers a uniquely rewarding career in a major marketplace. Shape your future in health care in the kind of setting that's right for you and your practice. Become a part of an organization that welcomes your experience, input, and leadership—as a clinician and healthcare expert. General Summary of Position Provides internal medicine care 24 hours per day 7 days per week in all areas of the hospital including but not limited to management of inpatient referrals from primary care physicians (PCP) and the Primary Care Center...

Pay: $275,000 – $300,000 per year Schedule: Full Time, Day Location: MedStar Health - Corporate (Columbia) MedStar Job ID: 170442 Senior Health Plan Medical Director/Medical Officer, Baltimore, MD - MedStar Family Choice We are looking for a physician with senior level health plan experience to join MedStar Family Choice, our Medicaid Managed Care Organization, as the Senior Health Plan Medical Director/Medical Officer in the Baltimore, MD region. Key Position Details This position serves as a key thought partner and advisor to the Executive Director on clinical matters. Responsible for leadership of the health plan’s clinical operations with a primary focus on developing clinical strategy and execution to drive clinical outcomes. Directs the development implementation and ongoing evaluation of the plan's medical management utilization management pharmacy management case management quality management and clinical improvement programs to comply with...