Overview:
Unique opportunity to make a measurable impact on healthcare delivery and quality!
Dynamic physician leader needed to champion FirstHealth’s Utilization Management efforts. We are a private, community-based healthcare system with four hospitals serving 15 counties in the mid-Carolinas. Our organizational culture is guided by a commitment to patient safety, quality, and performance excellence.
Position Highlights:
- Serve as the clinical expert 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.
- Work closely with medical staff leadership, all medical staff, and ancillary departments to optimize services and ensure appropriateness of patient care.
- Collaborate with hospital leadership to develop care management protocols that drive improvements and effectively manage resources.
- Enjoy a comprehensive compensation and benefits package:
+ Guaranteed base salary
+ Health, life, and disability coverage
+ 3 retirement savings plans - 401a, 403b
with match, 457b+ Paid time off benefits
+ CME allowance, license, and DEA reimbursement
+ Customized wellbeing resources
+ Free fitness center membership
+ Paid Parental Leave
+ Paid malpractice with tail coverage
- Here you will find specialty and subspecialty services and technologies that rival those typically only found in academic institutions and in larger metropolitan areas.
- Recent awards and achievements:
+ Ranked #5 in NC on U.S. News & World Report’s list of Best Hospitals for 2025.
+ Recognized by the American Heart Association for excellence in stroke and heart failure care.
+ 2025 Outstanding Patient Experience Award recipient by Healthgrades -
+ On the Forbes list of America's Best Large Employers for 2025
+ One of the Top 150 Places to Work in Health Care by
Becker’s Healthcare -- Be part of our mission-driven team-on a journey to zero harm and to be the best place to work in healthcare.
- Home to over 40 golf courses and host to multiple U.S. Open Championships.
- Convenient location: 1 hour from Raleigh-Durham, 2 hours from Charlotte, and 3 hours to the beach or mountains.
- Strong, diverse economy supported by tourism, healthcare, small manufacturing, education, and entrepreneurship.
- Exceptional quality of life with a temperate four-season climate and access to both rural tranquility and urban convenience.
- Consistently ranked among North Carolina�s safest communities and top micropolitan areas by POLICOM.
- Neighboring Southern Pines offers premier equestrian facilities, training centers, and boarding stables.
Qualifications:
- MD or DO degree.
- Current CHCQM-PHYADV certification, or ability to obtain within 90 days of employment.
- Current ABMS or AOA board certification.
- Active, unrestricted NC medical license.
- 5+ years of post-residency clinical practice experience PLUS at least one year of prior UM experience.
- Demonstrated leadership skills and the ability to influence others.
- Thorough understanding of current CMS and DNV compliance requirements
- Robust knowledge of hospital coding and billing, payer contracting, and revenue cycle management.
- Effective collaboration with physician peers, administration, and support staff.
- Advanced proficiency with EMRs and utilization review tools.
For more information and to apply, please contact our in-house Physician Recruitment team at FHPG-Recruitment@firsthealth.org.
Salary
USD 205,914 - 279,904 /yearly
Yearly based
Location
NC , United States Pinehurst, NC, United States
NC , United States Pinehurst, NC, United States
