Lead Palliative Care Physician

Monogram Health; United States; On-site; USD 180,000 - 240,000; Full time

Benefits offered by this job

Competitive salary

Company bonus program

Full benefits including medical,Dental

Vision and life insurance

Paid time off & 401(k)

Relocation assistance & sign-on

Job summary

Monogram Health is seeking a Lead Palliative Care Physician to join our field-based team delivering in-home palliative services in approved territories across the United States. The role focuses on managing care for seriously ill patients with CKD/ESRD, COPD, and CHF within a value-based model, partnering with the Market Physician Executive to lead patient panels.

The position requires a MD with Board Certification in Hospice and Palliative Medicine, willingness to obtain hospital privileges,

Qualifications

• Willingness and ability to obtain hospital privileges at required facilities.
• Focus on population health management in a renal care context.
• Experience with evidence‑based clinical criteria and goals of care discussions.
• License eligibility across multiple states as needed.

Responsibilities

• Collaborate with MPE and care team to identify patients eligible for palliative care and build a patient panel.
• Develop and present metrics to executive leadership on request.
• Drive clinical and financial KPIs for the patient panel through in-home interventions.
• Treat panel patients in-home to improve healthcare outcomes.
• Manage symptoms affecting quality of life and refer to specialists as needed.
• Document goals of care and family wishes in state forms; support hospice transitions as appropriate.
• Develop relationships with local providers to align market care delivery.
• Participate in monthly KPI review meetings with RMD/CMO and stakeholders.

Skills

Palliative medicine

Home visits

Population health

Medicare Advantage

Board Certified

Hospital privileges

Education

MD

Board Certified

Job description

Position: Lead Palliative Care Physician

Monogram Health is seeking a full-time physician specializing in palliative care to join our team amid continued nationwide growth. This is an in-market, field-based position requiring residence within one of our approved territories. As an in-market specialist, this physician will care for seriously ill patients in their community, including individuals with CKD/ESRD, COPD, and CHF. The Lead Palliative Care Physician will work closely with the Market Physician Executive (MPE) and primarily deliver care in the home.

Your Impact

Monogram Health physicians are quality-driven physicians who apply their clinical expertise in a managed care, population health context. They also engage in population health management in a sophisticated, outcomes-driven manner that promotes palliative care where clinically appropriate and focuses on patient quality of life, education, and shared-decision making.

Highlights & Benefits

• Opportunity to work in a dynamic, fast-paced and innovative organization that is transforming the delivery of polychronic disease care
• Autonomous schedule with In-home visits in a value-based care model
• Competitive salary plus company bonus program
• Full benefits including medical, dental, vision and life insurance
• Paid time off and 401(k) with matching contributions
• Relocation assistance and sign on bonus on case-by-case

Roles & Responsibilities

• Collaborate with MPE and the care team to proactively identify patients who qualify for palliative care services and build a patient panel
• Developing and presenting metrics to executive leadership, as requested
• Responsible for the outcomes for patient panel, driving both predetermined clinical and financial Key Performance Indicators (KPIs) through interventions outlined below
• Treat panel of patients in-home to drive healthcare outcomes
• Evaluate and treat symptoms that may interfere with quality of life, like pain, pruritis, depression, anxiety, insomnia, etc.
• Refer members to appropriate specialists to drive clinical care (Monogram‑based specialists or locally‑aligned specialists)
• Conduct goals of care and family meetings as needed and document patient/family wishes in state AD/POLST forms
• Support patients utilizing our IDT, including Palliative Care Chaplain
• Assist with hospice transitions as appropriate
• Develop key relationships with local providers (PCP, nephrologists, specialists) to improve market alignment
• Participate in monthly meetings with RMD/CMO in areas of KPI and expectations around KPIs
• Educate and support team around palliative care, hospice care, advance directives, symptom assessment, and communication

Position Requirements

• Must be willing and able to obtain hospital privileges at required facilities.
• Desire to practice in a forward‑looking renal care environment focused on population health management
• Demonstrated experience applying evidence‑based clinical criteria
• Comfort and skill in goals of care discussions and advance care planning
• Experience with high‑need Medicare Advantage and managed Medicaid populations, as well as commercial populations
• Experience integrating acute and behavioral health care and appreciation of social determinants of health and the value of social workers
• Expertise in managing medication panels for complex patients
• Current state medical license without restrictions to practice and free of sanctions from Medicaid or Medicare.
• Willingness to become licensed in multiple states as company and patient needs require
• Doctorate Degree in Medicine
• Board Certified in Hospice and Palliative Medicine
• Must have reliable transportation

About Monogram Health:

Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person's health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension