Market Physician Executive

This is a fully remote position, open to applicants in Georgia.

📋 Description

• Lead the in-home multi-specialty polychronic care model for Monogram Health in a designated market.

• Contribute to the development of clinical strategies, policies, programs, processes, protocols, guidelines, and operations.

• Manage daily clinical and business operations through direct patient care, care management, social worker support, and pharmacy services.

• Review and authorize plans of care from APPs, RNs, social workers, and pharmacy.

• Review, approve, and co-sign APP encounters.

• Enhance clinical outcomes, decrease total cost of care and Medical Loss Ratio, and oversee utilization and quality measures.

• Facilitate daily high-risk and concurrent review rounds.

• Supervise frontline clinical and operations team members directly, including field shadowing and ride-alongs.

• Delegate operational tasks to the Market Manager.

• Foster a market culture that emphasizes clinical excellence and ownership of patient outcomes.

• Evaluate and report on market performance and outcomes to executive and senior leadership.

• Provide both direct and indirect patient care, encompassing diagnosis and treatment of acute and chronic diseases.

• Engage with patients regarding treatment plans and evidence-based care pathways.

• Conduct peer-to-peer consultations with community, facility, and health plan partners.

• Order labs and referrals, address care gaps, and execute clinical interventions.

• Guide population health management initiatives for high-risk patients to minimize admissions and readmissions.

• Collaborate with Medical Economics, Finance, and other stakeholders on utilization trends.

• Present population health strategies during clinical and operational meetings.

• Review high-utilizer, high-risk, and high-opportunity patients and patient cohorts.

• Participate in the Monogram on-call rotation, generally at least 7 days once per quarter.

• Provide coverage for other MPEs during their PTO or vacancies.

⛳️ Requirements

• Hold a current state medical license with no restrictions on practice and free of sanctions from Medicaid or Medicare.

• Willingness to obtain licensure in multiple states.

• MD (Medical Doctor) or DO degree from an accredited medical school.

• Board Certified (BC) or Board Eligible (BE) in an ACGME accredited specialty such as Nephrology, Internal Medicine, Family Practice, Emergency Medicine, Critical Care, Cardiology, Endocrinology, Hepatology, or Geriatrics.

• Maintain an active, unrestricted state medical license in each state within the market, with the ability to secure additional licenses as necessary.

• Proven experience in applying evidence-based clinical criteria.

• Background in multispecialty, geriatrics, and/or value-based care.

• Strong management and communication skills.

• Experience with high-need Medicare Advantage and managed Medicaid populations.

• Familiarity with NCQA, HEDIS, Medicaid, Medicare, quality improvement, medical utilization management, and risk adjustment.

• BLS for Healthcare Providers certification is required.

🏝️ Benefits

• Medical, dental, and vision insurance.

• Employee assistance program.

• Employer-paid and voluntary life insurance.

• Disability insurance.

• Health and flexible spending accounts.

• 401k plan with employer match.

• Financial wellness resources.

• 20 PTO days.

• 7 paid holidays.

• 1 floating holiday.

• Paid parental leave.

• Work-life assistance resources.

• Physical wellness perks.

• Mental health support.

• Employee referral program.

• BenefitHub employee discounts.

• Bonus opportunities.