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2027 ACDIS Physician Advisor Mastermind application

The Mastermind group is a tightknit circle of eight to 10 handpicked physician advisors who commit to advancing concrete business goals and helping their peers do the same. Each meeting is facilitated by an ACDIS editorial team member in collaboration with two Mastermind members in the "hot seat" to kick off the discussion at hand.

There’s no fee to join. Instead, members are selected based on a combination of their commitment to participate in regular meetings, share and receive advice generously, and/or make meaningful progress in their career.

Applications close at end of day Friday, December 4.
Selected members will be notified in December 2026.
1.Please enter your contact information.(Required.)
2.An eligible candidate must be U.S.-credentialed physician or Foreign Medical Graduate physician AND currently serve in a physician advisor to CDI/Utilization Management/Utilization Review/Case Management role. Do you certify that both of these are true for you?(Required.)
3.Please list the credentials you hold (e.g., MD, DO, MBBS, ACPA-C, CHQCM-PHYADV, etc.).(Required.)
4.What is the name of your organization?(Required.)
5.What is your current title?(Required.)
6.Please indicate your organization type.(Required.)
7.Were you referred to the Physician Advisor Mastermind by someone?(Required.)
8.Please share why you're interested in joining the physician advisor mastermind group.(Required.)
9.During meetings, mastermind members take turns in the “hot seat,” sharing a challenge or opportunity and describing the kind of input they'd like from their peers. Other members will then ask targeted questions, brainstorm strategies, and offer advice. Name two or three hot-seat topics you might bring to the table. (You can revise these at anytime.)(Required.)
10.How likely is it that you'll attend the following 2027 ACDIS events?(Required.)
Not likely
Somewhat likely
Very likely
2027 ACDIS Physician Advisor Forum, May 15-16 in Las Vegas
2027 ACDIS Conference, May 16-19 in Las Vegas
2027 Physician Advisor Leadership Exchange (Note: This is an invite-only event, so we can't guarantee that all interested applicants will be able to attend.)
11.To be considered for the mastermind group, you must attest to your ability to meet the minimum eligibility and participation requirements (outlined here). Will you be able to fulfill these requirements?(Required.)
Current Progress,
0 of 11 answered
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