Medical Director Physician

Onsite Physician Advisor opening in Des Moines, IALocated in Des Moines, IAFull-time; PermanentOn-site Overview: Opportunity to step into a newly opened but established Physician Advisor role Ideal for a board-certified physician with inpatient clinical experience Lead physician-driven clinical resource utilization initiatives Partner with executive and operational leadership to develop utilization management strategies Review cases for medical necessity and appropriate level of care determination Apply CMS, commercial payer, regulatory, and clinical guidelines during denial reviews Serve as a physician resource regarding medical necessity, utilization management, level of care, and clinical documentation improvement Facilitate effective communication among physicians, case management, utilization review, and care teams Establish and maintain peer-to-peer review protocols with insurance providers Opportunity to influence quality, compliance, and operational performance across the organization Collaborative leadership role with significant physician engagement Comp/Benefits: Competitive base salary Non-production incentive compensation $50,000 recruitment bonus Paid malpractice coverage 403(b) retirement plan with employer match Comprehensive benefits package Requirements: MD or DO Board Certified Inpatient clinical experience required Experience serving on hospital committees preferred Strong understanding of CMS regulations and commercial insurance guidelines preferred Ability to collaborate effectively with physicians, administration, and care management teams Strong leadership, communication, and relationship-building skills Group/Facility Info: Large physician-led healthcare organization Extensive inpatient and outpatient network Strong emphasis on quality improvement, utilization management, and patient-centered care Collaborative leadership structure with physician involvement in operational decision-making Opportunities to work closely with executive leadership, case management, and clinical documentation teams About the Area:Des Moines consistently ranks among the best places to live in the Midwest due to its affordable cost of living, strong economy, excellent schools, and outstanding quality of life. Residents enjoy a vibrant downtown, extensive bike trails, nationally recognized farmers markets, professional sports, performing arts, and a growing culinary scene. The area combines metropolitan amenities with short commutes, family-friendly neighborhoods, and a welcoming community atmosphere.