Market Physician Executive (MPE) -South FL

Position: Market Physician Executive (MPE)

Monogram Market Physician Executive (MPE) are mission driven physician leaders who are dedicated to improving the well-being, quality of life, and health outcomes for our patients. The MPE will lead our in-home multi-specialty polychronic care model in an assigned market. Each market is comprised of 5-10 practices led by local advanced practice providers (APP), registered nurses(RN), licensed clinical social workers (LCSW), and pharmacists (PharmD). The MPE will collaborate with Monogram Health’s Multi[1]Specialty Platform to leverage employed specialists to deliver in-home specialty care. Monogram Health deploys a proven risk[1]based model to ensure health equity and health equality leveraging proprietary next generation AI algorithms to predict the appropriate level of care. Aligning with the quadruple AIM, the MPE will focus to improve patient experience, population healthoutcomes, provider satisfaction and lower costs. The primary goal of each MPE to deliver exceptional outcomes through disease detection and evidence based clinical pathways and disease treatment.

Reporting to the Region President, the Market Physician Executive (MPE) is a key clinical leader within Monogram Health who contributes to the development and oversight of clinical strategies, policies, programs, processes, protocols, guidelines, and operations that drive improved patient health outcomes within the market. The MPE oversees the daily clinical and business operations through delivery of direct patient care, care management services, social worker support and pharmacy services within the market. In support of the advance practice providers the MPE is expected to review and approve care plans and direct the treatment plans for our patients. The MPE will collaborate with community physicians, facilities, and partners in peer to peer and direct patient care decision making. Must be living in South FL (Miami, Fort Lauderdale, West Palm Beach, Naples, Fort Myers, Jupiter etc)

Roles and Responsibilities

Clinical Guidelines Execution – 25%

• 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.
• Clinical and Operations Performance and Quality Improvement – 25%
• 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 .

Patient Care and Treatment – 25%

• 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.

Population Health Management (PHM) – 20%

• 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.

Miscellaneous – <5%

• 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.

Position Requirements

• 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.

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.

About Monogram Health

Monogram Health is a next-generation, value-based chronic condition risk provider serving patients living with chronic kidney and end-stage renal disease and their related metabolic disorders. Monogram seeks to fill systemic gaps and transform the way nephrology, primary care and chronic condition treatment are delivered. Monogram’s innovative, in-home approach utilizes a national nephrology practice powered by a suite of technology-enabled clinical services, including case and disease management, utilization management and review, and medication therapy management services that improve health outcomes while lowering medical costs across the healthcare continuum. By focusing on increasing access to evidence-based care pathways and addressing social determinants of health, Monogram has emerged as an industry leader in championing greater health equity and improving health outcomes for individuals with chronic kidney and end-stage renal disease.

At Monogram Health we believe in fostering an inclusive environment in which employees feel encouraged to share their unique perspectives, leverage their strengths, and act authentically. We know that diverse teams are strong teams, and welcome those from all backgrounds and varying experiences.

Our name, Monogram, symbolizes the personalized focus of our services.

While the application of the latest technology and data science is critical to our success, we never lose sight that healthcare is ultimately about trusted individual relationships between healthcare professionals and their patients.

Unfortunately, individuals living with advanced CKD and ESRD are negatively impacted by well entrenched systematic forces such as perverse economic incentives, poor adherence to evidence-based care, and a lack of sensitivity to the negative impacts of social determinants of health.

The 21st Century Cures Act is a seminal piece of legislation designed to shift individuals living with ESRD from FFS Medicare into managed care and reverse decades and decades of sub-optimal outcomes. Monogram was born with a vision to serve health plans and other sponsors of health care and solve for these systemic problems.  Our mission is to improve clinical outcomes by predicting the onset of CKD and ESRD, slowing its progression, and reducing hospitalizations, morbidity and mortality.

We are founded and operated by a core group of former government programs health plan executives, including our CEO, Michael Uchrin, a world-renown nephrologist and author of over 200 published pieces of research, Dr. Raymond Hakim, and former US Senator Bill Frist M.D., a retired cardiac surgeon and recognized leader for improving the quality of care provided to human beings across the world.

We welcome all stakeholders in the CKD | ESRD ecosystem to join us in our mission to measurably improve outcomes for individuals living with these conditions.