Market Physician Executive

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

📋 Description

• Lead a multi-specialty polychronic care model in-home within the designated Georgia market.

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

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

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

• Review, approve, and co-sign encounters conducted by APPs.

• Ensure compliance with evidence-based clinical pathways and established clinical guidelines.

• Document clinical activities, interventions, and tasks within Salesforce and Athena.

• Maintain accountability for the total cost of care, Medical Loss Ratio, clinical interventions, utilization, prescribing practices, therapy management, and HEDIS/Gap Closure metrics.

• Conduct daily high-risk and concurrent review rounds.

• Directly oversee frontline clinical and operational team members, including regular field shadowing and ride-alongs.

• Delegate operational tasks to the Market Manager, including patient engagement, scheduling, administrative management, strategic implementations, and P&L oversight.

• Foster and uphold a market culture centered on clinical excellence and ownership of patient outcomes.

• Evaluate and present market performance and outcomes to Executive and Senior Leaders.

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

• Engage patients in their 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 processes.

• Conduct peer-to-peer consultations.

• Order laboratory tests and referrals, close care gaps, and complete clinical interventions.

• Guide population health management efforts for high-risk patients, focusing on reducing admissions/readmissions, post-discharge visits, and enhancing visit quality.

• Collaborate with Medical Economics, Finance, and stakeholders to analyze utilization trends.

• Present population health strategies during clinical and operational meetings.

• Conduct patient reviews aimed at high utilizers, high-risk patients, high-opportunity patients, and specific patient cohorts.

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

• Provide coverage for other Market Physician Executives during their PTO or vacancies.

⛳️ Requirements

• Active state medical license without restrictions 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 institution.

• Board Certified (BC) or Board Eligible (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 the ability to secure additional state licenses as necessary.

• Proven experience in applying evidence-based clinical criteria.

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

• Advanced management and communication abilities.

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

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

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

• 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.

• Comprehensive benefits package.