Remote Director Ancillary Service Jobs in Delaware

Why this role exists

Most of our patients are cared for by outstanding Advanced Practice Providers in their own homes. What has been missing is a physician looking across the whole picture — an annual physician visit, a physician-reviewed care plan, and consistent oversight of the care management happening between visits.

The Virtual Supervising Physician is how we close that gap. You will be the physician responsible for roughly 3,000 homebound patients receiving the right care, from the right clinician, at the right time — documented, every year, for every patient on your panel.

What you'll do

• Conduct approximately 20 telehealth visits per day (target 4,000–5,000 per year) with established homebound Medicare patients — video-first, with audio-only available where a patient cannot or prefers not to use video. Visits are 15–20 minutes, scheduled for you, with an auto-dialer placing the calls.
• Review and sign the care plan for every patient on your panel — a January batch for newly established patients, and care plan review paired with the annual visit thereafter.
• Serve as the general supervising and collaborating physician for a pod of nurse practitioners and physician assistants, including executing and maintaining state collaboration agreements. Thirty minutes of protected, paid supervision time daily.
• Review clinical escalations, conduct chart audits, and sign skills exams and operational checklists for the clinical staff under your supervision.
• Train care coordinators on care management protocols and documentation standards, and provide ongoing clinical guidance and quality-assurance feedback to APPs.
• Complete ancillary services as add-ons during your visits — Annual Wellness Visits, Advance Care Planning, cognitive assessments, transitional care management.
• Work entirely within OA, our purpose-built clinical and operations platform, with a dedicated module for this role.

You will report to the Regional Chief Medical Officer for your market.

Compensation

This role is compensated per activity rather than by base salary. We publish the full rate card during the interview process. At full-time volume, total compensation targets $240,000–$270,000 per year.

• Per-visit rates on a published point schedule (established patient moderate-MDM $30, high-MDM $50; new patient moderate $50, high $75)
• $20 per ancillary encounter (AWV, ACP, cognitive assessment, TCM)
• $5 per patient per month for Remote Patient Monitoring review; $5 PPPM for Behavioral Health Integration
• Annual bonuses: $30,000 value-based care, $15,000 care plan completion, $15,000 patient engagement

What we require

• MD or DO, board certified and maintained throughout employment (Internal Medicine, Family Medicine, or Geriatrics preferred)
• Active, unrestricted license to practice medicine in MD/VA; willingness to obtain licensure in additional states we serve, at company expense
• Current DEA registration in good standing
• Eligible to enroll and bill as a Medicare practitioner; not excluded or debarred from any federal health care program
• Insurable under our professional liability policy
• Able to work full-time and exclusively for Ennoble Care, and to commit to a one-year term
• Comfortable with a high-volume telehealth schedule and with productivity measurement
• Strong, efficient clinical documentation

What sets a candidate apart

• Home-based primary care, house-call, or PACE experience
• Experience supervising or collaborating with nurse practitioners and physician assistants
• Chronic Care Management, Advanced Primary Care Management, RPM, or BHI familiarity
• Value-based care, ACO, MSSP, or Medicare Advantage experience
• Licensure already held in more than one of our states, or Interstate Medical Licensure Compact eligibility
• Palliative or hospice background
• Spanish or another second language

Benefits

Full-time employees qualify for medical, dental, and vision coverage; life insurance; short- and long-term disability; FSAs for medical and dependent care; accident, critical illness, and hospital indemnity coverage; paid time off; and paid office holidays. All employees receive paid sick time, 401(k) with up to 3% company match, our referral program, and Payactiv pay-on-demand.

This role additionally includes company-provided occurrence-based professional liability coverage, $1,000 per year in CME reimbursement, and company-paid licensure and certification costs, including additional state licenses.

Candidates must disclose any current or future need for employment-based immigration sponsorship before an offer is extended.

Ennoble Care is an Equal Opportunity Employer, committed to hiring the best team possible, and does not discriminate against protected characteristics including but not limited to race, age, sexual orientation, gender identity and expression, national origin, religion, disability, and veteran status.

#tan