Market Physician Executive

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

📋 Description

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

• Create and manage clinical strategies, policies, programs, processes, protocols, guidelines, and operations.

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

• Review and authorize care plans for APP, RN, social work, and pharmacy.

• Evaluate, validate, and co-sign APP encounters.

• Ensure compliance with evidence-based clinical pathways as well as the Monogram Model of Care.

• Maintain up-to-date patient documentation in Salesforce and Athena.

• Lead daily high-risk and concurrent review rounds.

• Directly manage frontline clinical and operations team members, including field shadowing and ride-alongs.

• Assign operational responsibilities to the Market Manager, which includes patient engagement, scheduling, administrative oversight, strategic implementations, and P&L management.

• Work with Market Leadership to foster a culture of clinical excellence and ownership of patient outcomes.

• Analyze and report market performance and outcomes to executive and senior leadership.

• Provide both direct and indirect patient care, covering the diagnosis and treatment of acute and chronic conditions.

• Engage with patients regarding their treatment plans and collaborate with community providers.

• Conduct peer-to-peer consultations with community partners, facilities, and health plans.

• Order laboratory tests and referrals while taking actions to drive outcomes and address care gaps.

• Lead population health management initiatives, including interventions for high-risk patients and strategies for reducing admissions/readmissions.

• Complete quality visits post-hospital discharge to enhance the quality of subsequent visits.

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

• Present and guide population health strategies during clinical and operational meetings.

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

• Participate in the Monogram on-call rotation, with a minimum of 7 days on call each quarter.

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

⛳️ Requirements

• Must hold a current state medical license with no restrictions and free of sanctions from Medicaid or Medicare.

• Must be willing to obtain licensure in multiple states.

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

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

• Active, unrestricted medical license required in each state within the market and the ability to acquire additional states as necessary.

• Proven experience in applying evidence-based clinical criteria.

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

• Strong management and communication skills.

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

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

• BLS certification for Healthcare Providers is required.

• Remote work within the designated market with occasional in-home patient visits and some domestic travel required.

🏝️ Benefits

• Medical, dental, and vision insurance.

• Employee assistance program.

• Employer-paid and optional life insurance.

• Disability insurance.

• Health and flexible spending accounts.

• 401k plan with employer matching.

• Financial wellness resources.

• 20 days of paid time off (PTO).

• 7 paid holidays.

• 1 floating day.

• Paid parental leave.

• Resources for work-life assistance.

• Physical wellness benefits.

• Mental health support.

• Employee referral program.

• Access to BenefitHub for employee discounts.

• Opportunities for bonuses.