Value-based Physician Leader (MD /DO), Geriatric Primary Care

HarmonyCares•Bay City, MI

About The Position

HarmonyCares is seeking a physician leader for a geriatric primary care clinical pod in its in-home, value-based care model. The Medical Pod Leader oversees the clinical performance of pod team members, including diagnosis and documentation, quality, patient experience, affordability, patient safety, team dynamics, and provider productivity. The role includes serving as collaborating physician for associated advanced practice providers (APPs), supporting APP development, and maintaining close working relationships with the clinical pod. The Physician Leader partners with the Market Manager and market office staff and collaborates with the Regional Medical Director and Site Medical Directors to improve care and performance. The position also includes providing patient care to an assigned panel and other patients as needed.

Requirements

Bachelor’s degree.
Doctor of Medicine (MD) or Doctor of Osteopathy (DO).
Completion of an accredited residency program.
Unrestricted medical license.
Unrestricted DEA registration.
Active CPR certification.
Valid driver’s license and good driving record.
Board certification is required for physicians newly hired or promoted on or after January 1, 2026; certification must be obtained and maintained in accordance with organizational and applicable regulatory standards.

Nice To Haves

Three years of experience as a physician collaborating with advanced practice providers.
Experience in geriatrics or caring for complex patients.

Responsibilities

Act as the on-site supervising and collaborating physician for assigned APPs and physicians in the pod, within applicable state limits on collaborative practice agreements.
Participate in at least one ride-along with each collaborative APP per quarter.
Provide a complex patient visit as needed for each APP under supervision.
Collaborate with pod clinical team members, including Community Health Workers, Medical Social Workers, Nurse Navigators, Care Managers, and Patient Care Coordinators.
Develop and participate in APP clinical development, including evidence-based care and professionalism.
Lead and participate in high-risk huddles, ensuring discussed patients have documented plans of care that include care management team members.
Build a team-based culture and work collaboratively with clinical team members.
Conduct 10 chart audits per month or the higher number required by state regulations.
Serve as a resource for clinical team members on patient-care questions and concerns, and participate in difficult patient or family conversations as requested.
Conduct routine panel reviews with APPs.
Sign DME orders, death certificates, and other orders on behalf of APPs as needed and as permitted by state regulations.
Review quality metrics and pod-level performance, identify improvement opportunities, and lead efforts toward strong HEDIS performance.
Review clinician capacity and productivity, and partner with Site Medical Directors on countermeasures when providers are off track.
Work with the Regional Medical Director to identify care-improvement opportunities.
Assist with service inquiries and resolution of pod patient complaints and requests as needed.
Help pod providers improve EMR efficiency.
Participate in patient care for the assigned panel and other patients as needed, including high-risk or complex patients, physician face-to-face requirements, and cognitive assessments.
Lead and participate in clinical education on accurate diagnosis, documentation, and chronic-condition management.
Assist with compliance and HR resolutions.
Manage disciplinary actions and performance reviews for direct reports.
Perform additional duties assigned by the Regional Medical Director related to clinical pod performance and outcomes.