Physician Advisor - Des Moines (on-site)
Not Disclosed•Full-TimeOn-site
location_on1331, 11th Street, Cheatom Park, Des Moines, Polk County, Iowa, 50314, United States
About the Role
MercyOne is seeking a dynamic, board-certified Physician with Inpatient experience for a newly opened but established role as a Physician Advisor. The ideal candidate will have served on Hospital committees or possess a strong working knowledge of CMS and commercial insurance regulations. This role requires a team-building mindset and a collaborative approach to decision-making, serving as a vital resource for physicians regarding medical necessity, level of care, and clinical documentation.
About the Team
MercyOne Central Iowa operates four not-for-profit Catholic medical centers and two specialty hospitals with 965 beds, supported by 7,000+ colleagues and 1,000+ providers, making it one of Iowa's largest employers. The organization encompasses several ministries, including a health sciences college, foundation, fitness center, and population health services. As part of the broader MercyOne system (20,000+ colleagues), this role offers the opportunity to help shape oncology care strategy and program growth across Central Iowa.
MercyOne Des Moines Medical Center is a Level II Trauma center that has been faithfully serving the community since 1893. For the second consecutive year, it has been named to the Becker's Healthcare list of 100 great hospitals in America, one of only two hospitals in Iowa to make this prestigious list. The parent organization, MercyOne Iowa, includes 420 care locations across the state, partnering with 14 community hospitals to improve quality, share best practices, and reduce costs.
About the Location
Living in Des Moines, IA, offers a high quality of life. It is ranked as the 4th most livable metro in the U.S., featuring a cost of living 17% lower than the national average, outstanding schools, and safe neighborhoods. Residents can enjoy a variety of attractions, including the nationally renowned Downtown Farmers' Market, the Pappajohn Sculpture Park, and abundant trails for walking, running, and biking. The area is known for its strong job market, cultural events, music and art festivals, the Iowa State Fair, and Iowa Cubs games at Principal Park. It is a place where work/life balance is achievable, education is unmatched, and award-winning arts and entertainment are always just around the corner.
Our Mission and Values
Trinity Health, the parent system of MercyOne, is one of the largest not-for-profit, faith-based health care systems in the nation. Our mission is to serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities. We support this mission by living our core values of Reverence, Commitment to Those Experiencing Poverty, Safety, Justice, Stewardship, and Integrity. We are committed to recruiting talented physicians who share these values and want to help fulfill the healthcare needs of the communities we serve.
Equal Opportunity
We value the physician relationship and focus on partnering with our physicians. Whether you are a practicing physician looking to relocate or a medical resident, we offer opportunities with the flexibility to fit your individual needs. We are deeply committed to diversity and inclusion, considering qualified applicants regardless of background.
Work location
Work model: On-site
1331, 11th Street, Cheatom Park, Des Moines, Polk County, Iowa, 50314, United States
Des Moines, Iowa
Key Responsibilities
- check_circleLead physician-driven clinical resource utilization program
- check_circleReview cases to determine appropriate level of care based on medical necessity
- check_circleServe as a resource for physicians regarding medical necessity and clinical documentation
- check_circleFoster effective communication between members of the care team
- check_circleEstablish and maintain peer-to-peer protocol
- check_circleApply regulatory, health plan, and clinical guidelines in denial reviews
- check_circleDesign interventions in collaboration with MercyOne Leadership team
Requirements
- verifiedBoard-certified Physician
- verifiedInpatient experience
- verifiedKnowledge of CMS and commercial insurance regulations
Benefits & Perks
check_circlePaid malpractice insurancecheck_circle403B retirement plan with company match
Similar Job Opportunities
Specialty Pharmacy Patient Financial Advocate - Hybrid
The University of Kansas Health System • Olathe, Kansas
Not Disclosedarrow_forward
Clinical Denials Management Program Coordinator RN
Cedars-Sinai • Firestone Park, California
Not Disclosedarrow_forward
Experienced Dialysis Patient Care Technician
DaVita Kidney Care • Allen Park, Michigan
Not Disclosedarrow_forward
Frequently asked questions about Physician Advisor - Des Moines (on-site) at Trinity Health
What does a Physician Advisor - Des Moines (on-site) at Trinity Health do?expand_more
Day-to-day, the Physician Advisor - Des Moines (on-site) at Trinity Health will lead physician-driven clinical resource utilization program; review cases to determine appropriate level of care based on medical necessity; serve as a resource for physicians regarding medical necessity and clinical documentation; and foster effective communication between members of the care team.
What are the requirements for this Physician Advisor - Des Moines (on-site) role?expand_more
To qualify for the Physician Advisor - Des Moines (on-site) at Trinity Health position, applicants should have: Board-certified Physician; Inpatient experience; and Knowledge of CMS and commercial insurance regulations.
Where is the Physician Advisor - Des Moines (on-site) role at Trinity Health located?expand_more
Physician Advisor - Des Moines (on-site) at Trinity Health is based in 1331, 11th Street, Cheatom Park, Des Moines, Polk County, Iowa, 50314, United States. This is a on-site role.
Is this Physician Advisor - Des Moines (on-site) job remote, hybrid, or on-site?expand_more
Trinity Health has listed this Physician Advisor - Des Moines (on-site) role as on-site.
How much experience is required for this Physician Advisor - Des Moines (on-site) role?expand_more
Candidates for Physician Advisor - Des Moines (on-site) at Trinity Health should have mid level.
What skills do you need for the Physician Advisor - Des Moines (on-site) role at Trinity Health?expand_more
Key skills for Physician Advisor - Des Moines (on-site) at Trinity Health include CMS; Commercial Insurance Regulations; Medical Necessity; Clinical Documentation; Level Of Care; Internal Medicine; Family Medicine; and General Surgery.
What category does the Physician Advisor - Des Moines (on-site) role belong to?expand_more
Physician Advisor - Des Moines (on-site) at Trinity Health is part of the healthcare & nursing job category on Recrutus.
About Trinity Health
Trinity Health operates as a prominent not-for-profit, Catholic health care system headquartered in Livonia, Michigan. As one of the largest organizations of its kind in the nation, the system employs approximately 123,000 colleagues and collaborates with nearly 27,000 physicians and clinicians to serve diverse communities across 26 states. The organization manages a substantial network that includes 88 hospitals, 136 urgent care locations, and 135 continuing care sites, while also operating the second-largest PACE program in the country.
Beyond acute care services, Trinity Health provides a wide array of health and well-being resources designed to meet the varying needs of the populations it supports. Financially, the system reports an annual operating revenue of $21.5 billion, with $1.4 billion reinvested into local communities through charity care and other community benefit initiatives. This commitment to community support underscores the organization's focus on accessible care and holistic health outcomes for the regions it serves.
Browse more roles: All Trinity Health jobs, healthcare & nursing jobs on Recrutus.