Internal Medicine Physician Opportunity Details

Practice Medical Director - Harrisburg, Lancaster, York - PA, USA

Job Description

Practice Medical Director - Harrisburg, Lancaster, York

Practice Medical Director  - Harrisburg, Lancaster, York

Monogram Practice Medical Directors are quality driven physicians who are dedicated to improving the well-being, quality of life, and health outcomes for our patients. We partner with the nation's leading clinical specialists to create transformative polychronic care. Monogram Health uses next generation AI algorithms to predict necessary care to promote the delay of complex disease progression, such as chronic kidney disease and the seamless transitions to dialysis, pre-emptive kidney transplant, conservative management.      

 

The Practice Medical Director 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 their market. The Medical Director oversees the delivery of care management services within their market, ensuring that patient care is high quality, consistent and compliant by continually reviewing patient care plans and notes and providing guidance to field clinicians when needed.   

 

Roles and Responsibilities  

  • Take responsibility for quality outcomes for large panels of health plan members in specified geographic regions  
  • Utilize IT and data tools to report, monitor, and improve quality and utilization  
  • Conduct retrospective reviews of hospitalizations and dialysis treatment episodes to ensure Monogram's care management services are effectively rendered  
  • Oversee the implementation and continual refinement of the clinical strategies, evidence-based clinical care guidelines, and care management programs for effectiveness and efficiency  
  • Reduce unnecessary episodes of care, including hospital readmissions  
  • Prepare clinical care reports in a timely fashion  
  • Apply evidence-based criteria to determine the appropriate / necessary care and lead case rounds with nurse practitioners and care managers   
  • Analyze data to build member care plans and ensure care goals are achieved  
  • Identify quality of care issues for health plan clients  
  • Optimize patient health outcomes and total performance against health plan contracts  
  • Lead efforts to share and explain all clinical policies, procedures and guidelines with Monogram employees and our physician partners  
  • Represent Monogram as a clinical leader to health plans, providers, and other organizations  
  • Oversee the clinical elements of the day-to-day execution of care management and practice operations within your market  
  • Achieve clinical metrics and goals for delivering improved health outcomes at a lower total cost of care  
  • Create a work environment that fosters fulfilment and personal development for employees and encourages empathy and compassion toward patients  
  • Support Monogram as necessary with any tasks required to deliver excellent personalized clinical care and perform all other duties as assigned  
  • Uphold the mission and values of Monogram Health in all aspects of your role and activities  

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 Story

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.

Contact Email: sulynn.lopez@monogramhealth.com
Employer: Monogram Health
Location: PA, USA
Position Type: Physician (MD, DO, Resident)
Employment Type: Permanent
Specialty: Internal Medicine
Salary Range: