Market Physician Executive (MPE) - Float

Monogram Health•Columbia, SC

17h•$260,000 - $340,000•Remote

About The Position

The Market Physician Executive (MPE) Float is a mission-driven physician leader responsible for leading Monogram Health’s in-home, multispecialty care model in an assigned market. Markets comprise 5–10 territories supported by advanced practice providers, registered nurses, licensed clinical social workers, and pharmacists. The MPE Float covers pod MPEs as needed, serves as the pod’s primary physician, and may eventually move into a permanent MPE role. The position collaborates with Monogram Health’s multispecialty platform and employed specialists to deliver in-home specialty care, using a risk-based model and proprietary AI algorithms to support appropriate care. The role aims to improve patient experience, population health outcomes, provider satisfaction, and costs through disease detection, evidence-based pathways, and treatment. Reporting to the Regional Vice President, the MPE Float contributes to developing and overseeing clinical strategies, policies, programs, processes, protocols, guidelines, and operations that improve patient outcomes. The role oversees daily clinical and business operations, including direct patient care, care management, social work, and pharmacy services. It supports advanced practice providers by reviewing and approving care plans and directing treatment plans, and collaborates with community physicians, facilities, and partners on peer-to-peer consultations and patient care decisions. The position is remote within the designated market, with occasional in-home patient visits and domestic travel. It participates in a variable on-call rotation, including at least seven days on call once per quarter, and provides coverage for other MPEs during PTO or vacancies as needed.

Requirements

MD or DO degree from an accredited medical school.
Board certified or board eligible in an ACGME-approved specialty, such as nephrology, internal medicine, family practice, emergency medicine, critical care, cardiology, endocrinology, hepatology, or geriatrics.
Current, unrestricted medical license in each state within the market, with no Medicaid or Medicare sanctions; willingness and ability to obtain licenses in additional states as needed.
Demonstrated experience applying evidence-based clinical criteria.
Experience in multispecialty care, 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.
BLS for Healthcare Providers certification.
Ability to work remotely within the designated market, with occasional in-home patient visits and domestic travel.

Responsibilities

Know, understand, and deliver Monogram Health’s evidence-based clinical pathways.
Ensure adherence to established clinical guidelines and the Monogram Model of Care.
Review and approve care plans from advanced practice providers, registered nurses, social workers, and pharmacy staff.
Document clinical activities, interventions, and tasks promptly and appropriately in Salesforce and Athena.
Review, approve, and co-sign advanced practice provider encounters.
Maintain accountability for reducing total cost of care and Medical Loss Ratio.
Drive clinical outcomes, including intervention closure, inpatient and outpatient utilization, prescribing and therapy management, multispecialty services, and HEDIS and care-gap closure.
Lead daily high-risk and concurrent review rounds.
Directly supervise frontline clinical and operations team members, including regular field shadowing and ride-alongs.
Oversee and delegate operational responsibilities to the Market Manager, including patient engagement, scheduling, administrative oversight, strategic implementation, and P&L management.
Collaborate with Market Leadership to develop and maintain a culture of clinical excellence, adaptability, and ownership of patient outcomes.
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 patients on treatment plans, collaborate with community providers, and apply evidence-based care pathways.
Conduct peer-to-peer consultations with community, facility, and health plan partners.
Order laboratory tests and referrals, and complete actions that improve outcomes, close care gaps, and close clinical interventions.
Guide market teams’ population health management, including identifying and intervening with high-risk patients, reducing admissions and readmissions, completing post-discharge quality visits, and improving visit quality.
Collaborate with Medical Economics, Finance, and other stakeholders to identify root causes and take action on utilization trends affecting care and outcomes.
Present and guide population health strategies in clinical and operational meetings.
Review high-utilizer, high-risk, and high-opportunity patients and cohorts.
Participate in the Monogram on-call rotation, which varies and includes a minimum of seven days on call at least once per quarter.
Provide coverage for other MPEs during PTO or vacancies as needed.