Primary Care Physician- Compass PLUS Program

Mass General Brigham; Quincy (MA); On-site; USD 240,000 - 320,000; Full time

Job summary

Mass General Brigham is seeking a Compass PLUS physician to provide primary care for a small, highly complex patient panel in homes and community settings around Greater Boston.

You will partner with nurses and social workers, focusing on relationship-based care, population health, and reducing hospital use, with no after-hours call. This role emphasizes autonomy within a supportive team and enables transition back to traditional primary care as patients stabilize.

Qualifications

• MD or DO in Internal Medicine or Family Medicine required.
• Board certification or eligibility preferred.
• Experience in outpatient settings serving high-need populations.
• Interest in population health and health equity.
• Proven ability to work in collaborative care teams.
• Eligible for Massachusetts medical license and DEA.

Responsibilities

• Deliver comprehensive outpatient primary care to a small panel of high-acuity patients in home/community settings.
• Collaborate with multidisciplinary care teams across homes and communities.
• Develop and implement personalized care plans addressing medical, behavioral, and social needs.
• Consult with PCPs and care teams across the system to share expertise.
• Support transitions between inpatient, emergency, and outpatient care.
• Aim to reduce unnecessary hospital use and improve health outcomes.

Skills

Outpatient experience in high-need env

Population health & health equity

Collaborative care settings

Education

MD or DO in Internal Medicine or Family Medicine

Board certified or board eligible

Massachusetts medical license and DEA

Job description

About Compass PLUS

Compass PLUS is designed for clinicians who thrive in high-need, outpatient environments. This innovative program supports patients facing complex medical and social challenges, using a hands-on and highly collaborative care approach that prioritizes individual patient needs.

Care is delivered outside traditional offices, with teams-including a Nurse Practitioner, Nurse, and Community Health Worker-working directly in patients' homes or community spaces. Most patients stay connected to their existing PCP, but for those with the greatest needs, the Compass PLUS physician takes over care, aiming to eventually transition them back to standard primary care.

For patients requiring the most intensive support, the Compass PLUS physician becomes their primary provider, focusing on reintegrating them into traditional outpatient care when feasible.

About the Role

This role is ideal for primary care physicians seeking to spend more time with fewer patients-managing a small panel of approximately 100 medically and socially complex individuals. You'll serve as the PCP for those fully transitioned into the Compass PLUS program and consult with other providers caring for high-risk patients. The majority of your work will be conducted in homes and community settings, allowing you to address barriers directly and build strong relationships with patients.

Key Responsibilities

• Deliver comprehensive outpatient primary care to a small group of high-acuity patients, focusing on relationship-based, intensive care

• Work closely with multidisciplinary care teams in community and home settings

• Create and execute personalized care plans that address medical, behavioral, and social needs

• Consult with PCPs and teams across the system, sharing expertise in managing complex patients

• Support transitions between inpatient, emergency, and outpatient care, always with a patient

• Collaborate with patients and teams to improve health outcomes and decrease unnecessary hospital use

Practice Details

• Panel size of about 100 patients enables more dedicated, intensive care

• Care is primarily delivered in homes and community locations-no traditional office visits required

• Work is centered in the Greater Boston area

• Local travel is necessary, with occasional regional trips (1-2 times per month)

• No evening or weekend call obligations

• Enjoy significant clinical autonomy within a supportive, collaborative environment

Qualifications

• MD or DO in Internal Medicine or Family Medicine

• Board certified or board eligible

• Preference for candidates with outpatient experience in high-need environments, such as health centers or home care

• Interest in population health and health equity

• Proven ability to work effectively in collaborative care settings

• Comfort with independent practice across varied care environments

• Eligible for Massachusetts medical license and DEA