Preparing for Utilization Management Nonclinical career interview

I gathered some of the most common questions asked during Interview for an Utilization Management Nonclinical job for physicians. Most of these interviews focus on your personality like getting along well with others in the team, enjoy learning new guidelines, and whether you have good communication skills. They would also want to know if you did your homework and learnt all about the job and really like to do it on a long term basis.

  1. How did you hear about us?
  2. Do you know anyone who works in our organization?
  3. How do other physicians describe you?
  4. Why do you desire to make a transition from clinical to nonclinical position in UM? What interests you about physician advisor work?
  5. Are you board certified? Do you have any malpractice issues so far? Do you have any issues with medical license, getting privileges in your hospital, or were you ever fired?
  6. What are weakness/strengths you might have performing this new role?
  7. What are your long term career goals?
  8. Describe a situation in which you had a conflict with a colleague. How did you resolve it?
  9. Do you have good interpersonal skills to act with diplomacy and work well within a team environment?
  10. Describe a situation in which you had to make a sudden decision. How did you choose to address it?
  11. Can you describe a situation in which you had to give negative feedback?
  12. Do you have any experience in utilization management?
  13. Did you take part in hospital utilization review committee, quality committee, or peer review committee?
  14. Are you aware of InterQual criteria and Milliman Care Guidelines (MCG)?
  15. What do you understand by two Midnight rule, condition code 44, different types of insurers [Traditional Medicare, Medicare advantage plans etc]?
  16. How do you handle Peer-to-Peer reviews?
  17. Tell me an example of how you are flexible and can adapt easily to change?
  18. What are some of your accomplishments so far?
  19. Do you have any leadership experience?
  20. Are you a member of American College of Physician Advisors (ACPA) or American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP)? Do you intend to become board certified physician advisor?
  21. What EMRs you have worked with so far?
  22. Do you want to work part time or full time? Probably it is evident from the situation already but this question is relevant if both options are available.
  23. What kind of salary would you expect?
  24. Do you have any questions for me? It is very important to ask questions. Keep a few well crafted questions to ask when they ask this question. [e.g. What makes someone successful in this role? If I join part time, would I be able to become full time physician advisor if you like my work?]
  25. What is the last thing you learned?
  26. Do you know the recent changes regarding MA plans?
    Try to answer in less than a minute for any question.