Primary Care Physician
Advanced Medical Management, Inc. · United States · 1 wk ago
RemoteRemoteHealthcareFull-time
Position Summary: We are seeking a mission-driven, compassionate, and forward-thinking Primary Care Physician (PCP), bilingual in Vietnamese and Cantonese to join our best-in-class, full-risk Value Based Care Primary Care Practice Group. This role is designed for a physician who thrives in a value-based care environment and wants to focus deeply on relationship-based medicine, proactive health management, and personalized patient engagement. Our practices enables physicians to deliver Quality Care and a team-based approach that allows providers to truly know their patients, manage complex conditions, and drive better health outcomes while reducing avoidable utilization. Key Responsibilities: Patient-Centered Clinical Care • Deliver comprehensive, longitudinal primary care to a panel of Commercial and Medicare age patients • Provide patient- centered appointments, allowing time for whole-person care, counseling, education, and shared decision-making. • Conduct Annual Wellness Visits (AWVs), preventive screenings, and evidence-based chronic care visits in alignment with CMS and other health plan quality metrics. • Develop and maintain personalized care plans based on patient goals, risk factors, and social determinants of health. • Integrate behavioral health, social support services, and care management into care plans in collaboration with the interdisciplinary team. Care Team Collaboration for Value-Based Performance & Quality • Drive quality performance by proactively identifying and closing care gaps aligned with HEDIS, STARS, and preventive screening measures. • Deliver accurate, complete, and compliant documentation following CMS HCC risk adjustment guidelines and MEAT criteria to ensure optimal RAF scoring. • Review and act upon pre-visit planning tools, post-visit summaries, and quality dashboards supported by the MSO/IPA. • Coordinate with Care Management, Pharmacy, Behavioral Health, and Social Work teams for complex patient needs and transitions of care. Ideal Candidate Profile: Education & Licensure • MD or DO from an accredited medical school. • Board Certified/Board Eligible in Family Medicine or Internal Medicine. • Active and unrestricted license in the state of California. • Current DEA and NPI registration. Experience • 2–3 years of outpatient primary care experience preferred (Internal or Family Practice); senior-focused or complex care highly preferred. • Prior exposure in Medicare Advantage, ACO, or Full-Risk VBC environments strongly preferred. • Experience managing chronic disease populations with multiple comorbidities. • Strong foundation in quality metrics (HEDIS/STAR), HCC risk coding, and care team leadership is preferred Core Competencies • Deep sense of empathy, compassion, and commitment to underserved and senior populations. • Excellent communicator who builds trust and long-term relationships with patients and teams. • High clinical judgment with a strong preventive and population health mindset. • Comfortable with EMR systems, data dashboards, and VBC analytics. • Committed to team-based care, clinical transformation, and lifelong learning. • Bilingual in Vietnamese and Cantonese Work Environment & Culture • Panel sizes intentionally kept small (typically 400–500 patients per physician) to ensure relationship-based care. • Longer appointment times and fewer daily visit requirements to enable high-touch, high-quality care. • Collaborative and mission-aligned practice culture focused on outcomes, not RVUs. • Access to strong MSO support in risk adjustment, clinical quality, care coordination, and patient engagement. Compensation & Benefits • Competitive base salary with performance-based bonus tied to quality outcomes, RAF accuracy, patient satisfaction, and clinical efficiency. • Comprehensive benefits including medical, dental, vision, retirement plans, CME support, and malpractice coverage. • Generous PTO and CME days. • Relocation assistance and sign-on bonuses may be available for qualified candidates.