Executive In-Home Market Medical Leader

Monogram Health Professional Services; Macon (GA); Remote; USD 260.000 - 340.000; Vollzeit

Benefits dieser Stelle

Comprehensive Benefits

401k with employer match

PTO & holidays

Wellness & growth

Zusammenfassung

Monogram Health seeks a Market Physician Executive to lead our in-home multispecialty care model in GA. You will oversee clinical strategies, collaborate with APPs, RNs, SWs, and pharmacists, and drive clinical performance in a remote market with occasional in-home visits and travel.

The role focuses on reducing costs, improving patient outcomes, and ensuring adherence to evidence-based pathways across geriatrics and multispecialty care teams.

Qualifikationen

• Current state medical license without restrictions to practice and free of sanctions from Medicaid or Medicare.
• 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, and ability to obtain additional states as needed.
• This position will be remote within the designated market with occasional in-home patient treatment visits and occasional domestic travel.
• 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.

Aufgaben

• Know, understand, and deliver on Monogram Health’s proprietary evidence-based clinical pathways.
• Ensure adherence to established clinical guidelines and Monogram Model of Care.
• Review and approve APP, RN, SW and Pharmacy plans of care.
• Appropriate and timely patient document within Salesforce and Athena clinical activities, interventions, and tasks.
• Review, approve and co-sign APP encounters.
• Overall accountability for reducing total cost of care and Medical Loss Ratio.
• Responsible for clinical outcomes to include, but not limited to, clinical interventions closure, inpatient/outpatient utilization, pharmacological prescribing and therapy management, multi-specialty platform and HEDIS/Gap Closure.
• Actively lead daily high risk and concurrent review rounds.
• Direct supervision of front line clinical and operations team members., which includes regular shadowing/ride-alongs in the field
• Oversee and delegate operational responsibility to Market Manager, to deliver on daily operations, such as patient engagement, scheduling, administrative oversight, strategic implementations, and P&L management.
• Collaborate with Market Leadership to develop and maintain a market culture of clinical excellence, adaptability to change and patient outcome ownership.
• Regularly 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 with patients on treatment plans, community provider collaboration, and direct evidence-based care pathways.
• Conduct Peer to Peer consults with community, facility, and health plan partners.
• 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, including identifying and intervening on High-Risk Patients, formulating strategies to reduce admissions/readmissions, complete quality post hospital discharge visits, and improving the quality of visits.
• Collaborate with Medical Economics, Finance and other stakeholders to root cause and action against utilization trends impacting care and outcomes.
• Present and guide population health strategies in clinical and operational meetings.
• Conduct patient reviews to target high utilizers, high risk and high opportunity patients and patient cohorts.
• Participate in Monogram On-Call rotation which will vary; e.g. 7 days on call minimum once/quarter.
• Provide coverage for other MPEs, during PTO or vacancy, as needed.

Jobbeschreibung

Monogram Health seeks a Market Physician Executive to lead our in-home multispecialty care model in GA. You will oversee clinical strategies, collaborate with APPs, RNs, SWs, and pharmacists, and drive clinical performance in a remote market with occasional in-home visits and travel.

The role focuses on reducing costs, improving patient outcomes, and ensuring adherence to evidence-based pathways across geriatrics and multispecialty care teams.