Market Physician Executive – Float

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Monogram Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2019

💼 Consulting

🛡️ Insurance

📦 Logistics

Consulting • Insurance • Logistics

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

• Lead the in-home multi-specialty polychronic care model in an assigned region supporting all markets • Contribute to clinical strategies, policies, programs, processes, protocols, guidelines, and operations • Oversee daily clinical and business operations through direct patient care, care management, social worker support, and pharmacy services • Review and approve APP, RN, SW, and PharmD plans of care • Review, approve, and co-sign APP encounters • Ensure adherence to Monogram Health clinical guidelines and evidence-based pathways • Maintain timely documentation of clinical activities, interventions, and tasks in Salesforce and Athena • Account for clinical outcomes, total cost of care, and Medical Loss Ratio • Lead daily high-risk and concurrent review rounds • Directly supervise frontline clinical and operations team members • Delegate operational responsibilities to the Market Manager, including patient engagement, scheduling, administration, strategic implementations, and P&L management • Assess and present market performance and outcomes to executive and senior leaders • Provide direct and indirect patient care, including diagnosis and treatment • Engage patients regarding treatment plans and evidence-based care pathways • Collaborate with community physicians, facilities, and health plan partners in peer-to-peer and treatment decisions • Order labs and referrals and complete actions to improve outcomes and close care gaps • Guide Population Health Management activities, including high-risk patient interventions and admission/readmission reduction strategies • Collaborate with Medical Economics, Finance, and other stakeholders on utilization trends • Present population health strategies in clinical and operational meetings • Conduct patient reviews targeting high utilizers, high-risk patients, high-opportunity patients, and cohorts • Participate in Monogram on-call activities, with a minimum of 7 days on call once per quarter • Provide coverage for other MPEs during PTO or vacancies

🎯 Requirements

• Willingness and ability 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 unrestricted state medical license, free of Medicaid or Medicare sanctions • Willingness to become licensed in multiple states • MD or DO degree from an accredited medical school • Board certification or board eligibility in an ACGME-approved specialty such as Nephrology, Internal Medicine, Family Practice, Emergency Medicine, Critical Care, Cardiology, Endocrinology, Hepatology, or Geriatrics • Occasional in-home patient treatment visits and occasional domestic travel required

🏖️ Benefits

• Medical, dental, and vision insurance • Employee assistance program • Employer-paid and voluntary life insurance • Disability insurance • Health and flexible spending accounts • Competitive compensation • 401k with employer match • Financial wellness resources • Paid holidays • Flexible vacation time/PSSL • Paid parental leave • Work life assistance resources • Physical wellness perks • Mental health support • Employee referral program • BenefitHub employee discounts