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This position is for qualified physicians seeking to enter the new and growing non-clinical practice specialty of Physician Advisor with a career trajectory towards a provider or payor medical director and beyond. This position drives performance across our organization by communicating with hospital physicians and utilization management staff at client hospitals to champion best practices for evidence-based care and its documentation. The Physician Advisor will be responsible for establishing, maintaining, and strengthening the relationship with Optum360 Physician Advisor Solutions client hospitals to appropriately optimize the use of Optum360 Physician Advisor Solutions services.
Training will be provided by Optum. The Physician Advisor will join a team of on-site physician advisors across the country.
Primary Scope of Service:
Although the Physician Advisor (PA) is employed by Optum, the intention is that the PA will become a key member of the client hospital's leadership team charged with meeting the organization's goals and objectives for ensuring the effective, efficient utilization of health care services. To this end, the PA will develop expertise on matters regarding physician practice patterns, over- and under-utilization of resources, medical necessity, documentation best practices, level of care progression, denial management, and compliance with governmental regulations and commercial insurance contracts.
The Physician Advisor will work closely with the medical staff, including house staff, hospital leadership, and all utilization management (UM) personnel to develop and implement methods to optimize the use of hospital services. This includes care management processes that insure patients are in the appropriate level of care with supporting documentation for regulatory compliance and accurate coding.
Physician Advisor Will Not:
Optum360 Physician Advisor Solutions is part of the growing family of UnitedHealth Group companies. We help smooth out the interplay between each hospital client and the various payers. How? We serve as an expert partner on issues that confront hospitals every day involving medical necessity, reimbursement, coding and documentation. And while that's a mouthful, it makes us proud to say that we rise to a level of professionalism and quality that can totally invigorate your career.
Join us today and you'll soon be doing your life's best work.(sm)
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Job Keywords: Physician, Hospital, Clinician, Doctor, Managed Care, Physician Advisor, Internal Medicine, Medical Director, Utilization Review, Hospitalist, UR, UM, Utilization Management, CDI, Case Review, Medical Necessity, peer to peer, EMR, EHR, LOS, denials, Hospital Administration, Leesburg, Orlando, FL, Florida