Market Physician Executive (MPE) - Savannah, GA

Monogram Health • Savannah, GA

7d • Remote

About The Position

Monogram Market Physician Executives (MPE) are mission-driven physician leaders dedicated to improving patient well-being, quality of life, and health outcomes. The MPE will lead an in-home multi-specialty care model in an assigned market, overseeing 5-10 practices led by advanced practice providers, registered nurses, licensed clinical social workers, and pharmacists. The MPE will collaborate with Monogram Health’s Multi-Specialty Platform to leverage employed specialists for in-home care. Utilizing a proven risk-based model and AI algorithms, the MPE will focus on health equity, patient experience, population health outcomes, provider satisfaction, and cost reduction, aligning with the quadruple AIM. The primary goal is to deliver exceptional outcomes through disease detection, evidence-based clinical pathways, and treatment. Reporting to the Region President, the MPE is a key clinical leader responsible for developing and overseeing clinical strategies, policies, and operations to improve patient health outcomes. This includes overseeing daily clinical and business operations, delivering direct patient care, care management, social worker, and pharmacy services. The MPE will review and approve care plans, direct treatment plans, and collaborate with community physicians, facilities, and partners.

Requirements

• Must be willing and able to obtain hospital privileges at required facilities.
• This position will be remote within the designated market with occasional in-home patient treatment visits and occasional domestic travel.
• Demonstrated experience applying evidence based clinical criteria.
• Experience in renal care and geriatrics.
• Strong management and communication skills.
• Active, unrestricted state medical license required in each state within the market.
• Experience with high need Medicare Advantage and managed Medicaid populations.
• Experience with NCQA, HEDIS, Medicaid, Medicare, quality improvement, medical utilization management, and risk adjustment.
• Current state medical license without restrictions to practice and free of sanctions from Medicaid or Medicare. Willingness to become licensed in multiple states.
• MD (Medical Doctor) or DO degree from an accredited medical school.
• BC or BE in an ACGME approved specialty such as Nephrology, Internal Medicine, Family Practice, Emergency Medicine, Critical Care, Cardiology, Endocrinology, Hepatology, or Geriatrics.

Responsibilities

• Know, understand, and deliver on Monogram Health’s proprietary evidenced based clinical pathways.
• Ensure adherence to established clinical guidelines and Monogram Model of Care.
• Review and approve APP, RN, SW and PharmD 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.
• 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.
• Regularly assess and present market performance and outcomes to Executive and Senior Leaders.
• Provide direct and indirect patient care (including diagnosis and treatment of disease).
• Engage with patients on treatment plans, community provider collaboration, and direct evidence-based care pathways.
• Conduct Peer to Peers 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 activities Needs will vary; 7 days on call minimum once/quarter.
• Provide coverage for other MPEs, during PTO or vacancy, as needed.

Benefits

• Opportunity to work in a dynamic, fast-paced and innovative value-based provider organization that is transforming the delivery of kidney care.
• Competitive salary and opportunity to participate in the company’s bonus program.
• Comprehensive medical, dental, vision and life insurance.
• Flexible paid leave and vacation policy.
• 401(k) plan with matching contributions.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Ph.D. or professional degree