Physician Advisor - Des Moines (on-site)

About the Organization

MercyOne Central Iowa operates four not-for-profit Catholic medical centers and two specialty hospitals with 965 beds, supported by over 7,000 colleagues and 1,000+ providers. As part of the broader Trinity Health system—one of the nation's largest not-for-profit, faith-based health care systems—the organization is deeply committed to physician training and community care. Trinity Health serves diverse communities across 25 states with a mission to be a compassionate and transforming healing presence, living out core values of reverence, commitment to those experiencing poverty, safety, justice, stewardship, and integrity.

The MercyOne Des Moines Medical Center, a Level II Trauma center serving the community since 1893, has been named to the Becker's Healthcare list of 100 great hospitals in America for two consecutive years. The system partners with 14 community hospitals across Iowa to improve quality, share best practices, and reduce costs, offering opportunities to help shape oncology care strategy and program growth across Central Iowa.

About the Role

We are seeking a dynamic, board-certified Physician with Inpatient experience to join a newly opened but established role as a Physician Advisor. This position is designed for a collaborative leader who possesses a team-building mindset and a strong working knowledge of CMS and commercial insurance regulations. You will serve as a vital resource for physicians regarding medical necessity, level of care, and clinical documentation, fostering effective communication between all members of the care team.

In this role, you will lead a physician-driven clinical resource utilization program and work closely with the MercyOne Leadership team to design necessary interventions. Your day-to-day will involve reviewing cases to determine the appropriate level of care based on medical necessity, applying regulatory and clinical guidelines to the review of denials, and establishing and maintaining peer-to-peer protocols.

Living in Des Moines

Des Moines, Iowa, is consistently ranked nationally as one of the most livable metro areas, offering a cost of living 17% lower than the national average. The city boasts outstanding schools, safe neighborhoods, and an abundance of parks and outdoor recreation. Residents can enjoy the nationally renowned Downtown Farmers' Market, stroll through the Pappajohn Sculpture Park, or explore a variety of cultural attractions, music festivals, and the Iowa State Fair. With abundant trails for walking, running, and biking, Des Moines offers a unique work/life balance where culture flourishes and opportunities grow.

Equal Opportunity

Trinity Health is a family of colleagues and clinicians dedicated to serving communities with compassion. We are committed to recruiting talented physicians who share our values and want to help fulfill the health care needs of the communities we serve. We value the physician relationship and focus on partnering with our physicians, offering opportunities with the flexibility to fit individual needs.