Market Physician Executive

🔥 4 minutes ago

🇺🇸 United States – 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 an in-home multi-specialty polychronic care model in the assigned Georgia market • 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, social worker, and pharmacy plans of care • Review, approve, and co-sign APP encounters • Ensure adherence to evidence-based clinical pathways and established clinical guidelines • Document clinical activities, interventions, and tasks in Salesforce and Athena • Maintain accountability for total cost of care, Medical Loss Ratio, clinical interventions, utilization, prescribing, therapy management, and HEDIS/Gap Closure • Lead daily high-risk and concurrent review rounds • Directly supervise frontline clinical and operations team members, including regular field shadowing/ride-alongs • Delegate operational responsibilities to the Market Manager, including patient engagement, scheduling, administrative oversight, strategic implementations, and P&L management • Develop and maintain a market 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 patients on treatment plans and evidence-based care pathways • Collaborate with community physicians, facilities, health plans, and partners in peer-to-peer and direct patient care decision-making • Conduct peer-to-peer consultations • Order labs and referrals, close care gaps, and complete clinical interventions • Guide population health management activities for high-risk patients, admissions/readmissions reduction, post-discharge visits, and visit quality improvement • Collaborate with Medical Economics, Finance, and 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 patient cohorts • Participate in the Monogram on-call rotation, including a minimum of 7 days on call once per quarter • Provide coverage for other Market Physician Executives during PTO or vacancies

🎯 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, with 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 • 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 employee discounts • Bonus opportunities • Comprehensive benefits package