Physician Advisor

 Posted an hour ago
     
 $93 per hour
  
5-10 years experience
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AI Summary

The Physician Advisor manages escalations related to status designations, denials, and post-acute referrals while providing real-time support to physicians. They also review admission appropriateness using MCG criteria and defend national appeals as required.

The Mid-Atlantic Permanente Medical Group (MAPMG) is a leading group of over 1,800 physicians in Maryland, Virginia, and Washington, D.C., exclusively caring for Kaiser Permanente patients. We invite applications for a Physician Advisor at our Regional Office in Washington, DC.

Unlike other U.S. health systems, MAPMG is built and led by physicians who earn competitive salaries, without income based on providing individual services. Our medical group comprises board-certified physicians across 60+ specialties. MAPMG physicians use a comprehensive electronic health record (EHR) to coordinate care. Our focus is on long-term health, prevention, diagnosing, and treating diseases effectively. MAPMG researchers and staff support innovative ideas, ensuring quality care, educational programming, and advancing best practices through research.  

What You Can Expect:

  • Shifts are remote and typically 8 hours in duration. Expected turnaround time is under 2 hours for each case
  • Manage escalations related to status designation, denials, and post‑acute referrals
  • Provide real‑time support to HBS physicians for denials and status questions
  • Review admission appropriateness using MCG for feedback to HBS physicians
  • Monitor the Physician Advisor work queue actively when on shift
  • Review and Defend National Appeals when required
  • Provide ongoing feedback to HBS physicians while making UM decisions
  • Maintain PA training and IRR testing as required
  • Maintain PA IRR for KP Compliance, which is distinct from training IRR
  • Ensure and complete UM MD re‑licensure and attestation requirements
  • Ensure conventional UM is followed and that the department is up-to-date with the latest
  • Physician Advisor and UM trends

Minimum Requirements:

  • MD or DO
  • Board Certified or Eligible in Internal Medicine
  • Currently licensed or able to obtain licenses in the District of Columbia, Maryland, and Virginia

MAPMG Physicians:

  • Practice patient-centered, culturally competent medical care
  • Communicate thoughtfully (listen, educate, advocate)
  • Lead with integrity
  • Value teamwork
  • Are transparent and honest
  • Go “above and beyond” for their patients

We Provide You:

  • Competitive compensation
  • Pathway for physicians to become shareholders of MAPMG
  • Comprehensive benefits including 100% employer-funded medical and dental insurance premiums, a pension plan and 401(k), life insurance, and paid leave
  • Complete professional liability coverage provided at no cost, 100% reimbursement for obtaining and maintaining board certification, continuing medical education reimbursement, and in-house CME opportunities
  • A concierge service that works directly with you to apply for all required state, CDS, and DEA licenses

The hourly rate for this position is $93 which considers an applicant’s skills and qualifications, certain degrees and certifications, training, market data, and other relevant factors. In addition to the salary range above, MAPMG offers rich benefits that add substantial value to the total compensation package.

MAPMG continuously works to identify and mitigate healthcare inequities, and that starts with providing an inclusive, supportive environment for our physicians. We encourage applicants of any race, color, religion, sex, sexual orientation, gender identity, or national origin who commit to practicing culturally competent healthcare.

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