Physician Advisor (PRN)
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MAPMG
Washington, DC, US
Summary
The Physician Advisor manages utilization management tasks, including reviewing admission appropriateness, handling denials, and defending national appeals. They provide real-time clinical support to physicians and ensure compliance with medical group standards and re-licensure requirements.
Job Description
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 part-time 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
- Complete professional liability coverage provided at no cost
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.
The Mid-Atlantic Permanente Medical Group, P.C. is one of the nation's premier multi-specialty medical groups, with more than 1,800 physicians spanning 60-plus subspecialties. Our medical group is independent from, but works exclusively with, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. Together, we serve more than 800,000 Kaiser Permanente members in Maryland, Virginia, and the District of Columbia at 35 medical centers, facilities and hospitals in Washington D.C., Virginia and Maryland.
Our physicians, and the staff who support them — in fields from data analytics to finance to HR to project management — are shaping the future of health care. Our unique model of care (prepayment for value, rather than volume-based incentives) is designed to succeed by making and keeping patients well. Not only are our doctors spared from the typical hassle of insurance company pre-authorizations and paperwork, but they can work seamlessly across disciplines and are empowered to lead the way in driving better processes and better care.
The Permanente model welcomes world-class talent and gives all employees the tools they need to succeed. Consider a career with the Mid-Atlantic Permanente Medical Group. Learn more at https://www.midatlanticpermanentecareers.org/
Company size
1,001-5,000 employees
Industry
Medical Practices
Org type
Privately Held
Headquarters
Washington, District of Columbia
The Mid-Atlantic Permanente Medical Group, P.C. is one of the nation's premier multi-specialty medical groups, with more than 1,800 physicians spanning 60-plus subspecialties. Our medical group is independent from, but works exclusively with, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. Together, we serve more than 800,000 Kaiser Permanente members in Maryland, Virginia, and the District of Columbia at 35 medical centers, facilities and hospitals in Washington D.C., Virginia and Maryland.
Our physicians, and the staff who support them — in fields from data analytics to finance to HR to project management — are shaping the future of health care. Our unique model of care (prepayment for value, rather than volume-based incentives) is designed to succeed by making and keeping patients well. Not only are our doctors spared from the typical hassle of insurance company pre-authorizations and paperwork, but they can work seamlessly across disciplines and are empowered to lead the way in driving better processes and better care.
The Permanente model welcomes world-class talent and gives all employees the tools they need to succeed. Consider a career with the Mid-Atlantic Permanente Medical Group. Learn more at https://www.midatlanticpermanentecareers.org/
Company size
1,001-5,000 employees
Industry
Medical Practices
Org type
Privately Held
Headquarters
Washington, District of Columbia
