Memorial Healthcare System

Lead Physician Advisor - Centralized Utilization Review - FT Days - MHS

Memorial Healthcare System(1 month ago)

OnsiteFull TimeManager$68,294 - $92,383 (estimated)Utilization Management
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About this role

The Physician Advisor Lead is a clinical and operational leader who oversees the physician advisor team and drives system-wide utilization management and medical necessity initiatives. The role focuses on aligning clinical review processes with regulatory standards, optimizing patient throughput, and reducing denials across the hospital system. The Lead partners with clinical and administrative stakeholders to monitor performance and support strategic improvement efforts.

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Required Skills

  • Medical Necessity
  • Utilization Review
  • Denial Prevention
  • Peer Review
  • Provider Education
  • Clinical Documentation
  • Care Optimization
  • Leadership
  • Case Management
  • Regulatory Compliance

+3 more

Qualifications

  • MD
  • MD License (Florida)
  • DO License (Florida)
  • Board Certification
  • CHCQM
  • ABQAURP
Memorial Healthcare System

About Memorial Healthcare System

mhs.net

We are a leader in providing high-quality healthcare services in South Florida. Find a doctor or location near you.

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