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PHYSICIAN PEER REVIEWER

Healthcare in America is focused on quality, efficiency, and value.  Qualis Health is at the forefront, partnering with clients in the private and public sectors to improve care delivery and patient outcomes.  Our work makes a positive difference in the health of millions of Americans across the country, but it’s the contributions of local teams and individuals that make our mission, values, and vision a reality every day.

We’re honored to have been selected to partner with the State of Kansas to provide retrospective utilization review services for the Department of Health and Environment, Division of Health Care Finance (KDHE-DHCF).

In this key role, you would:

  • Serve as Qualis Health’s primary physician liaison and medical subject matter expert.
  • Perform clinical peer reviews and appeals.
  • Recruit and/or oversee the activities of specialty peer consultants.
  • Participate in appeals and hearings.
  • Manage quality assurance and process improvement programs, client and provider relations activities, and strategic planning, in collaboration with our Senior Medical Director.

NOTE:  This is a part-time, 6 hour / week (0.15 FTE) position.

Requirements include:

  • 4+ years of medical practice.
  • 3+ years of experience conducting peer reviews.
  • Strong familiarity with Medicaid-specific utilization and quality control.
  • D. or D.O. from an accredited institution.
  • Current, active, unrestricted M.D. or D.O. licensure in Kansas.
  • Board certification in hospital medicine, internal medicine, or family practice strongly preferred.

To learn more and apply, visit https://qualishealthcareers.silkroad.com/qualisext/EmploymentListings.html  Qualis Health is an Equal Employment Opportunity / Affirmative Employer that embraces and practices diversity, reflecting the communities we serve.  We encourage minorities, Protected Veterans, and individuals with disabilities to apply.

 

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Patient Care Is Our Priority

Medical organizations throughout North America understand that our rigorous certification standards prove that ABPS Diplomates are capable of delivering the best patient care possible.

When I decided to pursue a full time role as a physician executive it was important to me to obtain additional professional training, education and work experience. Board certification through the ABPS in Administrative Medicine is validation of my efforts and a demonstration of dedication to professional development. We need more physicians to become full time health care executives, knowing there is a board certification option in Administrative Medicine encourages physicians to take the leap from full time clinical practice to healthcare organizational leadership.

Richard Paula, MD
Administrative Medicine
The American Board of Physician Specialties has provided me with the opportunity to demonstrate mastery of internal medicine through board certification. As a hospitalist, board certification is an expected credential, and hospitals recognize the American Board of Physician Specialties (ABPS) as one of the three standard credentialling bodies for Internal Medicine. Additionally, the ABPS has helped me develop leadership skills as a Board member and Committee Chairperson. ABPS has also helped me sharpen critical thinking skills as a test question developer and reviewer. The Allopathic (MD) and Osteopathic (DO) physicians in the ABPS are lifelong learners and frequently pursue multiple board certifications. I enjoy the camaraderie of my peers in ABPS.

Loren Jay Chassels, DO
Internal Medicine
When I think historically, advancement in medicine and patient safety and care has been driven by the diversity of people and scientific thought. That’s what I found at the ABPS and more. For over 60 years that is just who we are. I found a physician certifying body that provides a choice and voice to all physicians ensuring that patients are always placed first.

Jerry Allison, MD
Emergency Medicine
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