Physician Advisor

Job not on LinkedIn

🔥 0 minutes ago

⚔️ Virginia – Remote

⚔️ Virginia – Remote

💵 $250k - $350k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

UVA Department of Public Health Sciences

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 1995

🏥 Healthcare

💼 Consulting

📚 Education

Healthcare • Consulting • Education

UVA Department of Public Health Sciences is a department within the University of Virginia focused on advancing knowledge and practice in public health through research, education, and community engagement. The department aims to address the health needs of populations through innovative and interdisciplinary approaches, offering programs that prepare students for careers in public health-related fields and contributing to public health initiatives at local, national, and global levels.

📋 Description

• Perform medical necessity reviews using MCG and/or InterQual • Support CMS compliance, including the 2-Midnight Rule and inpatient status determinations • Partner with Case Management, CDI, and physician teams to improve documentation and patient flow • Provide physician education, documentation feedback, and CDI query support • Conduct peer-to-peer reviews • Assist with denial prevention and appeals • Participate in quality, compliance, and operational improvement initiatives • Improve clinical documentation, utilization practices, and patient outcomes • Help shape system-wide initiatives in quality, compliance, and stewardship

🎯 Requirements

• MD or DO • Board Certified in Family Medicine, Internal Medicine, or Pediatrics • Eligible for Virginia medical licensure • Prior Utilization Management experience preferred • Knowledge of CMS regulations and MCG/InterQual guidelines • Excellent communication and collaboration skills

🏖️ Benefits

• Fully remote work arrangement • 4 on-site meetings per year, each lasting 1 day • Physician leadership opportunity • Collaboration with multidisciplinary teams across UVA Health • Opportunity to shape system-wide quality, compliance, and stewardship initiatives • Incentive compensation programs may be available for eligible positions, including productivity, quality, and non-productivity incentives