Market Physician Executive - Pennsylvania

Monogram Health•, PA

8d•$260,000 - $340,000•Remote

About The Position

The Market Physician Executive (MPE) is a mission-driven physician leader responsible for leading Monogram Health’s in-home, multispecialty polychronic care model in an assigned market. Each market includes 5–10 territories staffed by advanced practice providers, registered nurses, licensed clinical social workers, and pharmacists. The MPE works with Monogram Health’s Multi-Specialty Platform to coordinate in-home specialty care and applies the company’s risk-based model and evidence-based clinical pathways to improve patient experience, population health outcomes, provider satisfaction, and cost of care. Reporting to the Regional Vice President, the MPE contributes to clinical strategy, policies, programs, processes, protocols, guidelines, and operations. The role oversees daily clinical and business operations, including direct patient care and care management services. The MPE supports advanced practice providers by reviewing and approving care plans and directing treatment plans, and collaborates with community physicians, facilities, and partners on clinical decisions. The position is remote within the designated market, with occasional in-home patient visits and domestic travel. The MPE participates in an on-call rotation, including a minimum of seven days on call at least once per quarter, and may provide coverage for other MPEs 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.
Ability to work remotely within the designated market and make occasional in-home patient visits and domestic trips.

Responsibilities

Deliver Monogram Health’s proprietary evidence-based clinical pathways and 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 in Salesforce and Athena in a timely and appropriate manner.
Review, approve, and co-sign advanced practice provider encounters.
Be accountable for reducing total cost of care and Medical Loss Ratio.
Manage clinical outcomes, including clinical intervention closure, inpatient and outpatient utilization, pharmacological prescribing and therapy management, multispecialty platform activity, 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.
Delegate operational responsibilities to the Market Manager, including patient engagement, scheduling, administrative oversight, strategic implementations, and P&L management.
Collaborate with market leadership to develop and maintain a culture of clinical excellence, adaptability, and ownership of patient outcomes.
Assess market performance and outcomes regularly and present them 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 deliver evidence-based care pathways.
Conduct peer-to-peer consultations with community, facility, and health plan partners.
Order labs and referrals and complete actions that drive patient outcomes and close care gaps and clinical interventions.
Guide market teams in population health management, including identifying and intervening with high-risk patients, reducing admissions and readmissions, completing quality post-discharge visits, and improving visit quality.
Collaborate with Medical Economics, Finance, and other stakeholders to investigate utilization trends and take action to improve care and outcomes.
Present and guide population health strategies in clinical and operational meetings.
Review high-utilization, high-risk, and high-opportunity patients and patient cohorts.
Participate in the Monogram on-call rotation, which varies and includes at least seven days on call once per quarter.
Provide coverage for other Market Physician Executives during paid time off or vacancies as needed.