Market Physician Executive (MPE) - Float

Monogram Health•Charleston, SC

3d•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 consist of 5–10 territories staffed by advanced practice providers, registered nurses, licensed clinical social workers, and pharmacists. The MPE Float covers pod MPEs as needed, serving as the primary physician for the pod, with the goal of eventually moving into a permanent MPE role. The position collaborates with Monogram Health’s Multi-Specialty Platform and employed specialists to deliver in-home specialty care. 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, provides direct patient care, and supports care management, social work, and pharmacy services. The MPE reviews and approves care plans, directs treatment plans, and collaborates with community physicians, facilities, and partners on patient care decisions. The position focuses on patient experience, population health outcomes, provider satisfaction, and lower costs through disease detection, evidence-based clinical pathways, and treatment. It is remote within the designated market, with occasional in-home patient treatment visits and domestic travel. The role also participates in an on-call rotation, varying as needed, with at least one seven-day on-call period per quarter.

Requirements

Current, unrestricted state medical license and no sanctions from Medicaid or Medicare.
Willingness and ability to obtain licenses in multiple states as needed; an active, unrestricted license is required in each state within the market.
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.
Demonstrated experience applying evidence-based clinical criteria.
Advanced management and communication skills.
Experience with high-need Medicare Advantage and managed Medicaid populations.
BLS for Healthcare Providers certification.

Nice To Haves

Experience in multispecialty care, geriatrics, and/or value-based care.
Experience with NCQA, HEDIS, Medicaid, Medicare, quality improvement, medical utilization management, and risk adjustment.

Responsibilities

Know, understand, and 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 plans of care from advanced practice providers, registered nurses, social workers, and pharmacy staff.
Document clinical activities, interventions, and tasks in Salesforce and Athena in an appropriate and timely manner.
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 clinical intervention closure, inpatient and outpatient utilization, pharmacological prescribing and therapy management, multispecialty platform outcomes, and HEDIS and gap closure.
Lead daily high-risk and concurrent review rounds.
Directly supervise frontline clinical and operations team members, including through regular field shadowing and ride-alongs.
Oversee and 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.
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 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 drive patient outcomes, close care gaps, and close clinical interventions.
Guide market teams in 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 patient cohorts.
Participate in Monogram’s on-call rotation, which includes at least one seven-day on-call period per quarter.
Provide coverage for other MPEs during paid time off or vacancies as needed.