Physician Advisor bei Centra Health, Inc
Centra Health, Inc · Lynchburg, Vereinigte Staaten Von Amerika · Onsite
- Professional
- Optionales Büro in Lynchburg
The Physician Advisor serves as a critical bridge between clinical practice and operational excellence, supporting Centra Health’s goals in delivering high-quality, cost-effective, and patient-centered care. This role provides physiciaThe Physician Advisor serves as a critical bridge between clinical practice and operational excellence, supporting Centra Health’s goals in delivering high-quality, cost-effective, and patient-centered care. This role provides physician leadership across utilization management (UM), clinical documentation integrity (CDI), care progression, regulatory compliance, and performance improvement.
Working collaboratively with clinical teams, operational leaders, and support departments, the Physician Advisor promotes clinical efficiency, drives compliance with CMS guidelines, and enhances overall care coordination. n leadership across utilization management (UM), clinical documentation integrity (CDI), care progression, regulatory compliance, and performance improvement.
Working collaboratively with clinical teams, operational leaders, and support departments, the Physician Advisor promotes clinical efficiency, drives compliance with CMS guidelines, and enhances overall care coordination.
Qualifications
Required Qualifications
Education & Certification
- MD or DO with active board certification in a clinical specialty.
- Current license to practice medicine in Virginia.
Preferred Qualifications: Certification in healthcare quality or utilization management (e.g., ACMA, CHCQM, ABQAURP).
Experience
- Minimum 3–5 years of clinical practice experience.
- Prior experience in physician advisor, case management, CDI, or medical leadership roles preferred.
- Strong knowledge of CMS regulations, payer policies, and InterQual/Milliman criteria.
Skills & Attributes
- Excellent interpersonal and communication skills with the ability to influence and lead across departments.
- Analytical thinker with the ability to interpret data and apply clinical judgment to operational issues.
- Proven ability to drive performance improvement and foster clinician engagement.
- Strong organizational awareness and ability to navigate a complex healthcare environment.
