Market Physician Executive - Northern New Jersey
About the role
The Monogram Market Physician Executive (MPE) is a mission-driven physician leader dedicated to improving patient health outcomes through in-home multi-specialty polychronic care. They oversee the delivery of direct patient care, care management services, and pharmacy services within their assigned market.
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 documentation 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.
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.
Provide coverage for other MPEs, during PTO or vacancy, as needed.
Requirements
Must be willing and able to obtain hospital privileges at required facilities.
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
Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts
Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources
Time Off & Leave – Paid holidays, flexible vacation time/PSSL, and paid parental leave
Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts
NJ Salary Transparency Law: The salary range for this role is $260,000 to $380,000 and reflects the range of experience and qualifications we may consider. Final compensation will be determined based on geographic location and job-related factors such as experience, skills, education, certifications, and internal compensation considerations. While the full range is posted, most offers will typically fall within a narrower band based on these factors.
About Monogram Health
Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram Health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders. Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home. Monogram Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum.