- Intermountain Health (Des Moines, IA)
- **Job Description:** Physician will provide Physician Advisor Utilization Reviewer and Central Appeals Work services. Physician shall engage, ... as an expert and local resource to hospital Case Management Department and Medical Staff on issues relating to... Utilization Review ("UR") Committee and provide Regional Physician Advisor Educators information to be shared… more
- Trinity Health (Des Moines, IA)
- … with Inpatient experience for a newly opened but established role as a Physician Advisor . The ideal candidate will have served on Hospital committees or ... working knowledge of CMS and commercial insurance regulations. The Physician Advisor must possess a team-building mindset...a 403B match. **Essential Job Details** : . Lead physician -driven clinical resource utilization program, and work… more
- Trinity Health (Des Moines, IA)
- …Improvement. Physician Relationships. Hospital Management and operations. Utilization review/ physician advisor Graduate Medical Education Decision ... as well as service line development, in particular the strategies for physician relationships and service line development. These activities and initiatives shall be… more
- CVS Health (Des Moines, IA)
- …role that primarily supports the Aetna Better Health Plan of Oklahoma. This UM ( Utilization Management ) Medical Director will be a "Work from Home" position ... and appeal request. This position is primarily responsible for Utilization Management , including prior authorization as well...at Health Plan / Insurer or experience as a Physician Advisor or working for an Independent… more