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Market Physician Executive

L7

monogram healthMarienthal, KS3 days ago

$260,000 to $340,000

Monogram Health is seeking a dedicated Market Physician Executive (MPE) to lead our in-home multi-specialty polychronic care model in an assigned market. In this role, you will oversee daily clinical and business operations, collaborate with multi-specialty platforms, and drive exceptional clinical and population health outcomes. You will provide direct and indirect patient care while guiding local advanced practice providers, registered nurses, and clinical teams to deliver evidence-based care. Join Monogram Health in improving the well-being and health outcomes of our complex patients. Practice InfoIn-home multi-specialty polychronic care model Each market is comprised of 5-10 territories led by local advanced practice providers, registered nurses, licensed clinical social workers, and pharmacists Collaboration with Monogram Health's Multi-Specialty Platform to leverage employed specialists to deliver in-home specialty care Risk-based model leveraging proprietary next generation AI algorithms to predict the appropriate level of care Remote within the designated market with occasional in-home patient treatment visits and occasional domestic travel Shift & Schedule Participate in Monogram On-Call rotation which will vary; e.g. 7 days on call minimum once/quarter
Responsibilities:
  • Know, understand, and deliver on Monogram Health's proprietary evidence-based clinical pathways
  • Ensure adherence to established clinical guidelines and Monogram Model of CareReview 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 CompensationBase salary range of $260,000 to $340,000 Eligible for additional compensation, including bonus opportunities
Benefits:
  • Medical, dental, and vision insurance
  • Employee assistance program
  • Employer-paid and voluntary life insurance
  • Disability insurance
  • Health and flexible spending accounts 401k with employer match
  • Financial wellness resources20 PTO days7 paid holidays1 floating day
  • Paid parental leave
  • Work life assistance resources
  • Physical wellness perks
  • Mental health support
  • Employee referral program
  • BenefitHub for employee discounts
Qualifications:
  • Current state medical license without restrictions to practice and free of sanctions from Medicaid or Medicare
  • Willingness to become licensed in multiple statesMD or DO degree from an accredited medical schoolBC 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
  • 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 adjustmentBLS for Healthcare Providers is required
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Level

ManagerL7

Salary

$260,000 to $340,000

Location

Marienthal, KS

Occupation

Physicians, All Other

Industry

Offices of Physicians

Posted

3 days ago

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