Overview

Hackensack Meridian Health is seeking a collaborative Physician Advisor to join our growing health network. This is an excellent opportunity to become a key member of the healthcare organization’s leadership team. The successful candidate will lead efforts to meet the organization’s goals and objectives for assuring the effective and efficient utilization of health care services. The successful candidate will be highly collaborative and possess strong organizational, interpersonal and leadership skills.

As a key member of the team, you will collaborate closely with the Chief Medical Officer and the Care Management Department to ensure the delivery of efficient and effective healthcare. This role is perfect for a physician leader passionate about shaping healthcare systems and driving clinical excellence.

Why Join Us?

• At Palisades Medical Center, we are committed to investing in our team. We offer a highly competitive and comprehensive package, including:
• Competitive Compensation: Minimum starting base salary of $216,675 annually.
• Excellent Benefits: Comprehensive health, dental, prescription (Rx), and vision plans.
• Retirement Savings: A robust retirement plan featuring a company match.
• Comprehensive Coverage: A full malpractice policy is provided for your peace of mind.
• Loan Forgiveness Eligibility: As a non-profit health system, employment with us makes you eligible for the Federal Student Loan Forgiveness program.
• Professional Development: We provide financial support towards your annual Continuing Medical Education (CME) to foster your growth.

Highlights

• Join a dynamic network of experienced physicians, specialists, and support staff who foster a culture of collaboration with strong clinical support.
• Eligibility for faculty appointment to the Hackensack Meridian School of Medicine.
• Highly competitive compensation package, including a robust benefits package.
• Engage in the teaching, consulting, and advising of the care management and utilization review departments and hospital leadership.
• Collaborate with a multidisciplinary team to implement methods and develop care management protocols that optimize the use of hospital services for all patients while ensuring quality care is provided.
• Develop expertise on physician practice patterns, over and under-utilization of resources, medical necessity, levels of care, care progression, denial management, compliance with governmental and private payer regulations, appropriate physician coding and documentation requirements.

Responsibilities

Responsibilities:

• Lead and mentor the Care Management team to optimize resource utilization and patient care.
• Ensure compliance with payer regulations and medical necessity criteria (e.g., MCG, InterQual).
• Conduct utilization reviews and manage denials/appeals.
• Collaborate with physicians and staff to promote appropriate utilization of hospital services.
• Participate in interdisciplinary rounds and utilization committees.
• Educate medical staff on utilization guidelines and documentation best practices.

Qualifications

Qualifications:

• Unrestricted medical license in the State of New Jersey.
• Minimum 5 years of clinical practice experience.
• Strong interpersonal, analytical, written, and verbal communication skills.
• Excellent organizational skills and ability to multitask.
• Proven ability to drive results and produce outcomes.
• Board Certification by the American Board of Quality Assurance and Utilization Review Physicians (ABQAURP) preferred.
• Membership in the American College of Physician Advisors (ACPA) encouraged.

HACKENSACK MERIDIAN HEALTH (HMH) IS AN EQUAL OPPORTUNITY EMPLOYER

All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, sex, sexual orientation, gender identity or expression, pregnancy, breastfeeding, genetic information, refusal to submit to a genetic test or make available to an employer the results of a genetic test, atypical hereditary cellular or blood trait, national origin, nationality, ancestry, disability, marital status, liability for military service, or status as a protected veteran.

Our Network

Hackensack Meridian Health (HMH) is a Mandatory Influenza Vaccination Facility

As a courtesy to assist you in your job search, we would like to send your resume to other areas of our Hackensack Meridian Health network who may have current openings that fit your skills and experience.