Remote Credit Risk Modeling Jobs in Naples, FL (NOW HIRING)

Monogram Health is seeking a mission-driven Market Physician Executive (MPE) to lead its in-home multi-specialty polychronic care model within an assigned market. This role involves overseeing daily clinical and business operations, delivering direct patient care, and collaborating with community partners to improve patient well-being and health outcomes. The MPE will leverage Monogram Health's proprietary AI algorithms and risk-based model to ensure health equity and deliver exceptional outcomes through evidence-based clinical pathways.

Practice Info

• Lead an in-home multi-specialty polychronic care model in an assigned market.
• Each market comprises 5-10 practices led by local APPs, RNs, LCSWs, and pharmacists.
• Collaborate with Monogram Health's Multi Specialty Platform to leverage employed specialists for in-home specialty care.
• Deploy a proven risk-based model using proprietary next-generation AI algorithms to predict appropriate care levels.
• Focus on improving patient experience, population health outcomes, provider satisfaction, and lowering costs, aligning with the Quadruple AIM.
• Oversee daily clinical and business operations through direct patient care, care management services, social worker support, and pharmacy services within the market.

Responsibilities

• Know, understand, and deliver on Monogram Health's proprietary evidenced-based clinical pathways.
• Review and approve APP, RN, SW, and PharmD plans of care, and co-sign APP encounters.
• 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.
• 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.
• Collaborate with Medical Economics, Finance, and other stakeholders to root cause and action against utilization trends.
• Participate in Monogram On-Call activities (7 days on call minimum once/quarter) and provide coverage for other MPEs as needed.

Compensation

• Competitive compensation
• 401k with employer match

Benefits

• Medical, dental, and vision insurance
• Employee assistance program
• Employer-paid and voluntary life insurance
• Disability insurance
• Health and flexible spending accounts
• Paid holidays
• Flexible vacation time/PSSL
• Paid parental leave
• Work life assistance resources
• Physical wellness perks
• Mental health support
• Employee referral program
• BenefitHub for employee discounts

Shift & Schedule

• 7 days on call minimum once/quarter

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.
• 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 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.