Value-based Physician Leader (MD / DO) Primary Care
HarmonyCares
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Benefits offered by this job
Job summary
HarmonyCares, a leading provider delivering in-home and community-based care, seeks a Value Based Care Physician Leader for Houston. You will guide a growing team to improve HEDIS and quality outcomes for high-risk Medicare patients under a mobile home-based care model.
You will supervise the clinical pod, ensure accurate diagnoses, documentation, patient safety, and collaborate closely with APPs and regional leadership to advance value-based care across our network.
Qualifications
- Must hold a Doctor of Medicine or Osteopathy and be licensed to practice medicine.
Responsibilities
- Lead the clinical pod's performance including accurate diagnosis, documentation, quality, patient experience, affordability, safety, and team dynamics.
- Act as collaborating physician for associated APPs and maintain dyad partnership with Market Manager and office staff.
- Participate in high-risk patient huddles, care planning, and EMR efficiency improvements.
- Supervise APPs and physicians within regulatory limits and support ongoing clinical education and performance reviews.
Skills
Education
Tools
Job description
Providing access to patients who need it most has been the focus of HarmonyCares Primary Care Medical Group for more than 30 years. We seek a Value Based Care Physician Leader to support a growing team in Houston. As a leader, you will partern with other Physician Leaders and Regional Leaders to drive HEDIS and quality-focused patient outcomes with a provider team who manage the chronic conditions of our high-risk Medicare patients Monday - Friday.
Join our 250+ providers supporting over 85,000 high-risk Medicare patients across 39+ Medical Groups in 12 States.
Learn more about who we are on LinkedIN
For over 30 years, we’ve been driven by a singular vision: every person deserves access to quality care. This vision is not just a goal, but the heartbeat of our mission. Our value-based care model brings clinical teams closer to those we serve, fostering a deeper connection, enhancing outcomes, and creating more meaningful moments for families to share at home. We proudly stand as the nation’s largest provider of in-home physician services for individuals with complex medical conditions. Our mission is clear: to provide high-quality personalized healthcare in the home for people who have difficulty accessing care.
Our clinicians are supported by an interdisciplinary team that makes it easier to focus on what matters most: delivering meaningful, patient-centered care. Our mobile care model allows providers to meet patients where they are, helping them stay healthier and more comfortable at home. Together, our teams are united by a shared mission to bring comfort, dignity, and peace to every patient while supporting one another along the way.
We are proud to be a top two performing Medicare MSSP ACO in the country, consistently delivering over 10% medical expense savings rate. For those in our care, hospital admission rates are reduced by up to 13%.
We are proud to be a top two performing Medicare MSSP ACO in the country, consistently delivering over 10% medical expense savings rate. For those in our care, hospital admission rates are reduced by up to 13%.
– To bring personalized, quality-based healthcare to the home of patients who have difficult accessing care.
– Every patient deserves access to quality healthcare.
– The way we care is our legacy. Every interaction counts. Go the extra mile. Empower and support each other.
- Significant bonus potential based on team performance and outcomes
- Health, Dental, Vision, Disability & Life Insurance
- 401K Retirement Plan (with match)
- CME and Tuition Reimbursement
- Paid Time Off, Holidays and Volunteer Time
- Paid Orientation and Training
- No holidays/weekends
- No Hospital Rounds
- A+ Rated Malpractice Coverage with Tail Coverage
- Mobile diagnostic service and state-of-the-art technology
More details about the benefits we offer can be found at https://careers.harmonycares.com/benefits
The Medical Pod Leader will be the clinical leader responsible for the clinical performance of clinical pod team members – to include: Accurate diagnosis and documentation, quality, patient experience, affordability, patient safety, clinical team dynamics, and provider productivity. The pod leader will be tasked with developing and maintaining close working relationships with all clinical team members in the clinical pod. The pod leader will also function as the collaborating physician for associated pod advanced practice providers (APPs). This position will have a dyad partnership with the Market Manager and market office staff.
- Act as on-site supervising Physician for assigned APPs, and Physicians assigned to the POD (collaborating physician). Total number of collaborative Practice agreements should not exceed state regulations.
- Collaborative time will correlate to assigned APPs and Physicians
- Participate in at least 1 ride along with all collaborative APPs per quarter
- Provide a complex patient visit as needed for each APP under supervision
- Collaborate with clinical team members associated with pod (Community Health Workers, Medical Social Workers, Nurse Navigators, Care Managers, Patient Care Coordinators, etc.)
- Develop and participate in APP clinical development (Evidenced based care, professionalism, etc.)
- Lead and participate in high-risk huddles and ensure all patients discussed have a plan of care documented and includes all care management team members
- Build team-based culture and work collaboratively with clinical team members
- Conducts 10 chart audits per month or per state regulations, whichever is higher
- Act as resource for clinical team members for patient care questions/concerns and participate in difficult conversations with patients/family members as requested by team
- Routinely conduct panel reviews with APPs
- Sign DME, death certificates, and other orders as needed on behalf of APP (as regulated by state)
- Frequently review Quality metrics, pod level performance and identify areas for improvement leading to superior Quality (HEDIS) performance
- Frequently review clinician capacity and productivity performance. Partner with Site Medical Directors to develop countermeasures and support their implementation when provides are off track
- Work collaboratively with Regional Medical Director (RMD) to identify opportunities for care improvement
- Assists with service inquiry, resolution of patient complaints and requests for Pod as needed
- Assist pod providers to achieve higher EMR efficiency
- Participate in patient care to assigned panel and other patients as needed (High risk or complex patients, Physician face to face requirements, cognitive assessments, etc.)
- Participate and lead clinical education regarding accurate diagnosis, documentation and management of chronic conditions
- Assist with compliance and HR resolutions
- Responsible for discipline actions and performance reviews for direct reports
- Additional duties as assigned by the Regional Medical Director as related to clinical pod performance and outcomes.
- Clinical Team Members
- APPS
- Scheduling Analyst
- Patient Care Coordinator
- Clinical Partner/Phlebotomist/Transportation Specialist
- Market Manager
- Market Office Staff
- RMD
- Patients
- Patients Family
- Caregivers
- Bachelor’s Degree
- Must be a Doctor of Medicine or Osteopathy
- Must maintain a valid driver’s license and maintain a good driving record
- Active CPR Certification
- Unrestricted DEA
- Completion of an accredited Residency Program
- Unrestricted Medical License
- Board certification is required for all newly hired or promoted on or after January 1, 2026; must obtain and maintain certification in accordance with organizational and applicable regulatory standards.
- 3 years of experience as a Physician collaborating with Advance Practice Providers
- Experience in Geriatrics or complex patients
Individual compensation packages are based on various factors unique to each candidate, including skill set, experience, qualifications, and other job-related considerations.
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