Executive Director of Physician Advisor Services

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

As the physician leader of the physician advisor program, the Executive Director (EDPA) manages, leads, educates, informs, and advises members of the Care Management, Revenue Cycle and applicable Medical Staff regarding specific regulatory updates, statistical trending and/or changes related to denial prevention measures for our contracted managed care payers. The EDPA is responsible for managing the day to day operations of the executive medical directors (physician advisors) in utilization management, assist Patient Financial Services (PFS) in claims management with denial prevention initiatives, and quality assurance related to inpatient care, outpatient care/observation stays and referral services. This position supports the SVP/CMO capacities at the facilities within the Central Florida Division – South Region (CFDSR) by ensuring the delivery of high-quality, efficient healthcare services throughout the continuum of care for the membership served by contracted medical group provider networks. The EDPA is an important contact for clinicians, external providers, contracted health insurance payers, and regulatory agencies. This role serves as subject matter expert, providing clinical expertise and business direction in support of medical management programs, promoting the delivery of high quality, patient focused and cost-effective medical care. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

Demonstrates, through behavior, AdventHealth’s core values of Integrity, Compassion, Balance, Excellence, Stewardship, and Teamwork

• →Aid in supporting Length of Stay (LOS) and quality goals.Reviews concurrent payer denials and intervenes with attending and/or consulting physicians and managed care medical directors, as needed, for reconsideration and denial avoidance. 

• → Strong organization skills with attention to detail
• → Excellent analytical and problem-solving skills
• →Effective oral and written communication skills, with the ability to articulate complex information in understandable terms to all levels of staff
• →Effective computer skills, particularly Microsoft Office Outlook, Word, Excel, PowerPoint
• →Ability to work in a matrix-management environment to achieve organizational goals
• →Ability to translate ethical and legal requirements into practical and sustainable policies, balancing the needs of the business and the interest of patients and member physicians alike
• →Ability to provide expert medical advice
• →Successful history as a practicing physician
• →Strong ability to build and sustain relationships in the medical community and a corporate environment
• →Health plan experience in operations
• →Experience in a physician group model

• Graduate from medical school and residency program
• Master’s degree in Business or Healthcare Administration - Preferred

• Ten (10) years recent clinical practice experience
• Seven (7) years of leadership experience
• Understanding of Hospital Care Management, including Utilization Management
• Two years or greater experience as a Physician Advisor role
• Previous experience as a Chief Medical Officer (CMO) or Chief Quality Officer (CQO) - Preferred

• Current, valid State of Florida license as a physician
• Board certified and eligible for membership on the Hospital medical staff
• Certified Coding Specialist (CCS) - Preferred
   

Certain positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law.

Applicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse:
https://info.flclearinghouse.com/

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.