[Hiring] Physician Advisor @MAPMG

Role Description

The Mid-Atlantic Permanente Medical Group (MAPMG) invites applications for a Physician Advisor at our Regional Office in Washington, DC.

What You Can Expect:

• Shifts are remote and typically 8 hours in duration.
• Expected turnaround time is under 2 hours for each case.
• Manage escalations related to status designation, denials, and post‑acute referrals.
• Provide real‑time support to HBS physicians for denials and status questions.
• Review admission appropriateness using MCG for feedback to HBS physicians.
• Monitor the Physician Advisor work queue actively when on shift.
• Review and Defend National Appeals when required.
• Provide ongoing feedback to HBS physicians while making UM decisions.
• Maintain PA training and IRR testing as required.
• Maintain PA IRR for KP Compliance, which is distinct from training IRR.
• Ensure and complete UM MD re‑licensure and attestation requirements.
• Ensure conventional UM is followed and that the department is up-to-date with the latest Physician Advisor and UM trends.

Qualifications

• MD or DO.
• Board Certified or Eligible in Internal Medicine.
• Currently licensed or able to obtain licenses in the District of Columbia, Maryland, and Virginia.

Requirements

• Practice patient-centered, culturally competent medical care.
• Communicate thoughtfully (listen, educate, advocate).
• Lead with integrity.
• Value teamwork.
• Are transparent and honest.
• Go “above and beyond” for their patients.

Benefits

• Competitive compensation.
• Pathway for physicians to become shareholders of MAPMG.
• Comprehensive benefits including 100% employer-funded medical and dental insurance premiums, a pension plan and 401(k), life insurance, and paid leave.
• Complete professional liability coverage provided at no cost.
• 100% reimbursement for obtaining and maintaining board certification.
• Continuing medical education reimbursement and in-house CME opportunities.
• A concierge service that works directly with you to apply for all required state, CDS, and DEA licenses.
• The hourly rate for this position is $93, considering an applicant’s skills and qualifications, certain degrees and certifications, training, market data, and other relevant factors.