Monogram Health

Market Physician Executive

GA • Posted 5 days ago
Remote Full Time Healthcare

Monogram Health is seeking a mission-driven Market Physician Executive (MPE) to lead its in-home multi-specialty polychronic care model within an assigned market. This role involves improving patient well-being, quality of life, and health outcomes by leveraging proprietary AI algorithms and a risk-based model. The MPE will focus on enhancing patient experience, population health outcomes, and provider satisfaction while reducing costs, aligning with the quadruple AIM.

Practice Info

  • Lead an in-home multi-specialty polychronic care model in an assigned market.
  • Each market comprises 5-10 practices led by local advanced practice providers (APP), registered nurses (RN), licensed clinical social workers (LCSW), and pharmacists (PharmD).
  • Collaborate with Monogram Health's Multi-Specialty Platform to leverage employed specialists for in-home specialty care.
  • Deploy a proven risk-based model to ensure health equity and equality using proprietary next-generation AI algorithms.
  • Oversee daily clinical and business operations through direct patient care, care management services, social worker support, and pharmacy services within the market.
  • Collaborate with community physicians, facilities, and partners in peer-to-peer and direct patient care decision-making.

Responsibilities

  • Know, understand, and deliver on Monogram Health's proprietary evidenced-based clinical pathways.
  • Review and approve APP, RN, SW, and PharmD plans of care.
  • Review, approve, and co-sign APP encounters.
  • Accountable for reducing total cost of care and Medical Loss Ratio.
  • Lead daily high-risk and concurrent review rounds.
  • Provide direct and indirect patient care (including diagnosis and treatment of disease).
  • Order labs, referrals, and complete actions to drive patient outcomes, close care gaps, and Clinical Intervention closure.
  • Provide clinical guidance and direction to Market teams to drive Population Health Management activities.

Compensation

  • Competitive compensation
  • 401k with employer match

Benefits

  • Medical, dental, and vision insurance
  • Employee assistance program
  • Employer-paid and voluntary life insurance
  • Disability insurance
  • Health and flexible spending accounts
  • 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 for employee discounts

Shift & Schedule

  • Participate in Monogram On-Call activities, with needs varying; 7 days on call minimum once/quarter.

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 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.
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