Position: Southeast Regional Medical Executive

Monogram Regional Medical Executives 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 Regional Medical Executive 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 in conjunction with the Practice Medical Executives to motivate and provide medical direction in pursuit of evidence based and cost effective, quality healthcare.

The Regional Medical Executive will plan, organize and supervise appropriate clinical and operational aspects of their regional market in conjunction with their assigned Practice Medical Executives.

Roles and Responsibilities

• Reduce unnecessary episodes of care, including hospital readmissions
• Analyze data built by Practice Medical Executives 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 across multiple specified markets
• 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
• Monitor and assist Practice Medical Executives regarding care management and practice operations within your market
• Monitor Practice Medical Executives across multiple markets and their respective clinical metrics and goals for delivering improved health outcomes at a lower total cost of care across your market
• Remain available for occasional coverage of Practice Medical Executives responsibilities
• Take responsibility for quality outcomes for multiple panels of health plan members in specified geographic regions
• Utilize IT and data tools to report, monitor, and improve quality and utilization
• Assist Practice Medical Executives to conduct retrospective reviews of hospitalizations and dialysis treatment episodes to ensure Monogram's care management services are effectively rendered
• Assist Practice Medical Executives to oversee the implementation and continual refinement of the clinical strategies, evidence-based clinical care guidelines, and care management programs for effectiveness and efficiency
• Identify regional trends and implement actions plans to improve population health outcomes
• 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
• Develop and maintain compliance with regional budgets
• Assess, develop and recommend strategies for compliance with regulatory requirements
• Uphold the mission and values of Monogram Health in all aspects of your role and activities
• Other duties as requested

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 occasional domestic travel
• Demonstrated experience applying evidence based clinical criteria
• 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 organization that is transforming the delivery of polychronic disease care
• Hybrid schedule with In-home, value-based care model
• Competitive salary plus company bonus program
• Full benefits including medical, dental, vision and life insurance
• Paid time off and 401(k) with matching contributions
• Relocation assistance and sign on bonus on case-by-case

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.

Monohram 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. Monogram Health is based in Nashville, Tennessee, operates throughout 37 states, and is privately held by Frist Cressey Ventures, Norwest Venture Partners, TPG Capital, as well as other leading strategic and financial investors. To learn more about Monogram Health, ranked by Inc. Magazine as 2024’s No. 3 fastest growing private company in the United States, please visit here.