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  1. Home
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  5. Physician Advisor - Des Moines (on-site)
Trinity Health logo

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

Apply Now

About the Team

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 one of Iowa's largest employers, the organization encompasses a health sciences college, foundation, fitness center, and population health services. MercyOne is deeply committed to physician training, offering residencies in Internal Medicine, Family Medicine, General Surgery, Psychiatry, and a cardiology fellowship. The system partners with 14 community hospitals across Iowa to improve quality, share best practices, and reduce costs.

As part of the broader MercyOne system (20,000+ colleagues), this role offers the unique opportunity to help shape oncology care strategy and program growth across Central Iowa. MercyOne Des Moines Medical Center, a Level II Trauma Center serving the community since 1893, has been named to the Beckers Healthcare list of 100 great hospitals in America for the second consecutive year.

This position is part of Trinity Health, one of the nation's largest not-for-profit, faith-based health care systems. Trinity Health serves diverse communities across 25 states with 92 hospitals and 101 continuing care locations. Our mission is to serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities, guided by core values of Reverence, Commitment to Those Experiencing Poverty, Safety, Justice, Stewardship, and Integrity.

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.

In this position, you will lead a physician-driven clinical resource utilization program and work with MercyOne Leadership to design interventions when necessary. You will review cases to determine the appropriate level of care based on medical necessity, applying regulatory, health plan, and clinical guidelines to the review of denials. Additionally, you will serve as a key resource for physicians regarding medical necessity, level of care, and clinical documentation, while fostering effective communication between care team members and establishing peer-to-peer protocols.

Living in Des Moines, IA

Des Moines is consistently ranked as the 4th most livable metro in the U.S., offering a cost of living 17% lower than the national average. The area features 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 bike to work along abundant trails. The community offers a rich cultural scene with music and art festivals, the Iowa State Fair, and Iowa Cubs games at Principal Park. This is a place where work/life balance is achievable, education is unmatched, and opportunities can grow.

Join Our Mission

At Trinity Health, 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 committed to recruiting talented physicians who share our values and want to help us fulfill the health care needs of the communities we serve. If you would like to be part of Trinity Health, we encourage you to explore more at www.trinity-health.org.

Work location

Work model: On-site

location_on

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 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
  • verifiedHospital committee service or knowledge of CMS and commercial insurance regulations

Benefits & Perks

check_circlePaid malpractice insurancecheck_circle403B retirement plan with company match
Trinity Health logo
Company

Trinity Health

Industry

healthcare & nursing

View company profilearrow_forwardlanguageWebsite
Quick Overview

Experience

Mid Level

Job Type

Full-Time

Skills Required

CMS

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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
A Physician Advisor - Des Moines (on-site) at Trinity Health is responsible for the following: 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 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 Hospital committee service or 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; Clinical Resource Utilization; Medical Necessity; Clinical Documentation; Peer-To-Peer Protocol; Internal Medicine; and Family Medicine.
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.
Recrutus

Curating the world's most innovative career opportunities. We bridge the gap between visionary talent and industry-leading companies.

Search roles by city, category, skill, or job type — explore verified US employers, salary benchmarks, and remote-friendly teams hiring nationwide.

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Job seekers
Browse jobsCompanies hiringRemote jobsJobs by locationJobs by cityJobs by categoryJobs by skillCareer guidesCareer blogSalary insights
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Recrutus helps candidates discover roles that match their skills and helps teams reach qualified applicants faster. Browse by metro, discipline, or work style — from internships to senior leadership.

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Commercial Insurance Regulations
Clinical Resource Utilization
Medical Necessity
Clinical Documentation
Peer-To-Peer Protocol
Internal Medicine
Family Medicine
General Surgery
Psychiatry
US privacy notice
Accessibility