Remote Risk Adjustment Coder Jobs in Georgia (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 key clinical leadership role involves developing and overseeing clinical strategies, policies, and operations to improve patient health outcomes. The MPE will focus on enhancing patient experience, population health outcomes, and provider satisfaction while delivering exceptional care 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 territories 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 utilizing proprietary next-generation AI algorithms to predict appropriate levels of care
• Oversee daily clinical and business operations through direct patient care, care management, social worker support, and pharmacy services
• This position will be remote within the designated market with occasional in-home patient treatment visits and occasional domestic travel

Responsibilities

• Lead daily high-risk and concurrent review rounds
• Provide direct supervision of front-line clinical and operations team members, including regular shadowing/ride-alongs in the field
• Oversee and delegate operational responsibility to the Market Manager for daily operations, patient engagement, scheduling, and P&L management
• Provide direct and indirect patient care, including diagnosis and treatment of acute and chronic diseases
• Engage with patients on treatment plans, community provider collaboration, and direct evidence-based care pathways
• Conduct Peer to Peer consults with community, facility, and health plan partners
• 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

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

• Participate in Monogram On-Call rotation which will vary; e.g. 7 days on call minimum once/quarter

Requirements

• 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
• Active, unrestricted state medical license required in each state within the market, and ability to obtain additional states as needed
• Demonstrated experience applying evidence-based clinical criteria
• Experience in multispecialty, geriatrics and/or value-based care
• Advanced management and communication skills
• Experience with high need Medicare Advantage and managed Medicaid populations
• Experience with NCQA, HEDIS, Medicaid, Medicare, quality improvement, medical utilization management, and risk adjustment