Market Physician Executive

🔥 0 minutes ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

💵 $260k - $340k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👨‍⚕️ Medical Director

👻 Ghost score 0%

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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 Monogram Health’s in-home multi-specialty polychronic care model in an assigned market • Develop and oversee 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, social work, and pharmacy plans of care • Review, approve, and co-sign APP encounters • Ensure adherence to evidence-based clinical pathways and the Monogram Model of Care • Maintain timely patient documentation in Salesforce and Athena • Lead daily high-risk and concurrent review rounds • Directly supervise frontline clinical and operations team members, including field shadowing and ride-alongs • Delegate operational responsibilities to the Market Manager, including patient engagement, scheduling, administrative oversight, strategic implementations, and P&L management • Collaborate with Market Leadership to maintain a culture of clinical excellence and patient outcome ownership • Assess and present market performance and outcomes to executive and senior leaders • Provide direct and indirect patient care, including diagnosis and treatment of acute and chronic diseases • Engage with patients on treatment plans and collaborate with community providers • Conduct peer-to-peer consultations with community, facility, and health plan partners • Order labs and referrals and complete actions to drive outcomes and close care gaps • Guide population health management activities, including high-risk patient interventions and admission/readmission reduction strategies • Complete quality post-hospital-discharge visits and improve visit quality • Collaborate with Medical Economics, Finance, and other stakeholders on utilization trends • Present and guide population health strategies in clinical and operational meetings • Conduct reviews of high-utilizer, high-risk, high-opportunity patients and cohorts • Participate in the Monogram on-call rotation, with a minimum of 7 days on call once per quarter • Provide coverage for other MPEs during PTO or vacancies as needed

🎯 Requirements

• 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 • Active, unrestricted state medical license required in each state within the market, and ability to obtain additional states as needed • Demonstrated experience applying evidence-based clinical criteria • Experience in multispecialty, geriatrics and/or value-based care • Advanced management and communication skills • Experience with high need Medicare Advantage and managed Medicaid populations • Experience with NCQA, HEDIS, Medicaid, Medicare, quality improvement, medical utilization management, and risk adjustment • BLS for Healthcare Providers required • Remote within the designated market with occasional in-home patient treatment visits and occasional domestic travel

🏖️ Benefits

• Medical, dental, and vision insurance • Employee assistance program • Employer-paid and voluntary life insurance • Disability insurance • Health and flexible spending accounts • 401k with employer match • Financial wellness resources • 20 PTO days • 7 paid holidays • 1 floating day • Paid parental leave • Work life assistance resources • Physical wellness perks • Mental health support • Employee referral program • BenefitHub for employee discounts • Bonus opportunities