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Physician Advisor
Wellstar Health System. Report to and be accountable to the Chief Medical Officer .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Clinical Review, Utilization Management, and Performance Improvement to enhance patient care quality and operational efficiency. Holds advanced qualifications in Medicine and Health Administration, with a focus on regulatory compliance and strategic healthcare management.
Highest-signal resume keywords
Doctorate In MedicineUtilization ManagementClinical DocumentationHealth Care Quality & Management CertificationClinical Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Clinical ReviewMedical Necessity AssessmentBilling And CodingPerformance ImprovementResource UtilizationStrategic PlanningFinancial PlanningQuality Improvement InitiativesRegulatory CompliancePatient Care Assessment
Soft Skills
CollaborationLeadershipCommunication
Certifications & Qualifications
Board Certification In SpecialtyHealth Care Quality & Management CertificationMBA/Management
Industry Keywords
Patient SatisfactionEfficiency MetricsAvoidable ReadmissionsHealthcare ManagementAncillary Personnel
About the role
Key responsibilities & impact- Report to and be accountable to the Chief Medical Officer
- Impact quality, utilization, patient satisfaction and efficiency metrics through Performance Improvement and education initiatives
- Conduct clinical reviews for commercial payers and Medicare Advantage plans
- Assess appropriateness of care and proper level of care
- Ensure quality patient care, effective and efficient utilization of healthcare services, and regulatory compliance
- Intervene on practice patterns, behaviors and documentation issues affecting standards, resource stewardship and patient rights
- Help lead efforts to reduce avoidable readmissions
- Collaborate with physicians, advanced practice professionals, nursing, ancillary personnel and administrative leaders
- Support Performance Improvement, Resource Utilization and healthcare management education
- Work with the CMO and Quality Director or Manager on quality improvement initiatives and annual hospital goals
Requirements
What you’ll need- Doctorate in Medicine or Doctorate in Osteopathic Medicine
- MD or DO required upon hire
- Minimum 8 years of clinical experience
- One to three years of post-residency experience in Utilization Management
- Experience with clinical documentation, medical necessity assessment, billing and coding, business, strategic planning, financial planning and development
- Board certification in specialty of practice preferred
- Health Care Quality & Management Certification (e.g., ABQAURP or equivalent) preferred
- MBA/Management preferred
- Master's in Health Administration preferred
Benefits
Comp & perks- Support to do more meaningful work
- A more rewarding life
- Opportunity to work for the most integrated health system in Georgia