Market Physician Executive – Float

🕒 4 days ago

🎸 Tennessee – Remote

🎸 Tennessee – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👨‍⚕️ Medical Director

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Monogram Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2019

⚕️ Healthcare Insurance

🤝 B2B

👥 B2C

Healthcare Insurance • B2B • B2C

Monogram Health is a leading multispecialty provider that delivers in-home, evidence-based care and benefit management for patients with complex, multiple chronic conditions, with a strong focus on chronic kidney disease and related metabolic, cardiovascular, pulmonary, and behavioral health needs. The company coordinates multispecialty clinical teams (nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care), provides 24/7 home-based support including home dialysis and medication management, and partners with payers and physician groups to improve outcomes, reduce hospitalizations, and lower costs.

📋 Description

• Market Physician Executive (MPE) are mission driven physician leaders who are dedicated to improving the well-being, quality of life, and health outcomes for our patients • The MPE will lead our in-home multi-specialty polychronic care model in an assigned market • Each market is comprised of 5-10 practices led by local advanced practice providers (APP), registered nurses(RN), licensed clinical social workers (LCSW), and pharmacists (PharmD) • The MPE will collaborate with Monogram Health’s Multi-Specialty Platform to leverage employed specialists to deliver in-home specialty care • Monogram Health deploys a proven risk-based model to ensure health equity and health equality leveraging proprietary next generation AI algorithms to predict the appropriate level of care • Aligning with the quadruple AIM, the MPE will focus to improve patient experience, population health outcomes, provider satisfaction and lower costs • The primary goal of each MPE to deliver exceptional outcomes through disease detection and evidence based clinical pathways and disease treatment • Reporting to the Region President, the Market Physician Executive (MPE) is a key clinical leader within Monogram Health who contributes to the development and oversight of clinical strategies, policies, programs, processes, protocols, guidelines, and operations that drive improved patient health outcomes within the market • The MPE oversees the daily clinical and business operations through delivery of direct patient care, care management services, social worker support and pharmacy services within the market • In support of the advance practice providers the MPE is expected to review and approve care plans and direct the treatment plans for our patients • The MPE will collaborate with community physicians, facilities, and partners in peer to peer and direct patient care decision making • Overall accountability for reducing total cost of care and Medical Loss Ratio • Responsible for clinical outcomes to include, but not limited to, clinical interventions closure, inpatient/outpatient utilization, pharmacological prescribing and therapy management, multi-specialty platform and HEDIS/Gap Closure • Actively lead daily high risk and concurrent review rounds • Direct supervision of front line clinical and operations team members • Oversee and delegate operational responsibility to Market Manager • Regularly assess and present market performance and outcomes to Executive and Senior Leaders

🎯 Requirements

• Must be willing and able to obtain hospital privileges at required facilities • Demonstrated experience applying evidence based clinical criteria • Experience in renal care and geriatrics • Strong management and communication skills • Active, unrestricted state medical license required in each state within the market • Experience with high need Medicare Advantage and managed Medicaid populations • Experience with NCQA, HEDIS, Medicaid, Medicare, quality improvement, medical utilization management, and risk adjustment • Current state medical license without restrictions to practice and free of sanctions from Medicaid or Medicare • Willingness to become licensed in multiple states • MD (Medical Doctor) or DO degree from an accredited medical school • BC or BE in an ACGME approved specialty such as Nephrology, Internal Medicine, Family Practice, Emergency Medicine, Critical Care, Cardiology, Endocrinology, Hepatology, or Geriatrics

🏖️ Benefits

• Comprehensive Benefits - Medical, dental, and vision insurance • employee assistance program • employer-paid and voluntary life insurance • disability insurance • plus health and flexible spending accounts • Financial & Retirement Support – Competitive compensation • 401k with employer match • and financial wellness resources • Time Off & Leave – Paid holidays • flexible vacation time/PSSL • and paid parental leave • Wellness & Growth – Work life assistance resources • physical wellness perks • mental health support • employee referral program • and BenefitHub for employee discounts