Monogram Health
Market Physician Executive - Nashville, TN
Monogram Health, Nashville, Tennessee, United States, 37247
Market Physician Executive - Nashville, TN
Monogram Health is seeking a Market Physician Executive (MPE) in Nashville, TN. The MPE leads our in-home multi-specialty care model in the assigned market, overseeing clinical strategies, policies, programs, processes, and operations to drive improved patient health outcomes. Responsibilities
Clinical Guidelines Execution – 25%: Know, understand, and deliver on Monogram Health’s proprietary evidence-based clinical pathways; ensure adherence to established clinical guidelines and the Monogram Model of Care; review and approve APP, RN, SW and PharmD plans of care; ensure appropriate and timely patient documentation within Salesforce and Athena; 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; manage clinical outcomes including interventions closure, utilization, pharmacological prescribing and therapy management, multi-specialty platform and HEDIS/Gap Closure; lead daily high-risk and concurrent review rounds; supervise front-line clinical and operations team members; oversee operational delivery by Market Manager 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 evidence-based care pathways; conduct peer-to-peer with community facilities and health plan partners; order labs, referrals, and actions to drive patient outcomes and close care gaps. Population Health Management (PHM) – 20%: Provide clinical guidance to drive PHM activities, identify and intervene on high-risk patients, reduce admissions/readmissions, complete quality post-discharge visits, and improve quality of visits; collaborate with Medical Economics, Finance and other stakeholders to address utilization trends; present population health strategies in clinical and operational meetings; conduct patient reviews to target high utilizers and high-risk cohorts. Miscellaneous: Participate in on-call activities (7 days on call minimum once per quarter) and provide coverage for other MPEs during PTO or vacancy as needed. Position 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 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; willingness to become licensed in multiple states. 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. MD or DO degree from an accredited medical school. BC or BE in an ACGME-approved specialty (e.g., Nephrology, Internal Medicine, Family Practice, Emergency Medicine, Critical Care, Cardiology, Endocrinology, Hepatology, or Geriatrics). Benefits
Competitive salary with 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 leading multispecialty provider of in-home, evidence-based care for patients with multiple chronic conditions. The company leverages a robust clinical team across nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues, review and prescribe medications, provide guidance and education, and assist with daily needs in the home. Monogram Health is based in Nashville, Tennessee and operates in multiple states. For more information, visit the company website.
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Monogram Health is seeking a Market Physician Executive (MPE) in Nashville, TN. The MPE leads our in-home multi-specialty care model in the assigned market, overseeing clinical strategies, policies, programs, processes, and operations to drive improved patient health outcomes. Responsibilities
Clinical Guidelines Execution – 25%: Know, understand, and deliver on Monogram Health’s proprietary evidence-based clinical pathways; ensure adherence to established clinical guidelines and the Monogram Model of Care; review and approve APP, RN, SW and PharmD plans of care; ensure appropriate and timely patient documentation within Salesforce and Athena; 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; manage clinical outcomes including interventions closure, utilization, pharmacological prescribing and therapy management, multi-specialty platform and HEDIS/Gap Closure; lead daily high-risk and concurrent review rounds; supervise front-line clinical and operations team members; oversee operational delivery by Market Manager 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 evidence-based care pathways; conduct peer-to-peer with community facilities and health plan partners; order labs, referrals, and actions to drive patient outcomes and close care gaps. Population Health Management (PHM) – 20%: Provide clinical guidance to drive PHM activities, identify and intervene on high-risk patients, reduce admissions/readmissions, complete quality post-discharge visits, and improve quality of visits; collaborate with Medical Economics, Finance and other stakeholders to address utilization trends; present population health strategies in clinical and operational meetings; conduct patient reviews to target high utilizers and high-risk cohorts. Miscellaneous: Participate in on-call activities (7 days on call minimum once per quarter) and provide coverage for other MPEs during PTO or vacancy as needed. Position 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 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; willingness to become licensed in multiple states. 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. MD or DO degree from an accredited medical school. BC or BE in an ACGME-approved specialty (e.g., Nephrology, Internal Medicine, Family Practice, Emergency Medicine, Critical Care, Cardiology, Endocrinology, Hepatology, or Geriatrics). Benefits
Competitive salary with 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 leading multispecialty provider of in-home, evidence-based care for patients with multiple chronic conditions. The company leverages a robust clinical team across nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues, review and prescribe medications, provide guidance and education, and assist with daily needs in the home. Monogram Health is based in Nashville, Tennessee and operates in multiple states. For more information, visit the company website.
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