Position Title: Mid Atlantic Practice Medical Director

Monogram Practice Medical Directors are quality-driven physicians who are passionate and dedicated to improving the well-being, quality of life, and health outcomes of our patients. We partner with the nation's leading clinical specialists to create transformative care. Monogram uses next-generation AI algorithms to predict necessary care to promote the delay of complex disease progression, such as CKD. Monogram is dedicated to creating a seamless transition to dialysis, pre-emptive kidney transplant, and conservative management. The practice medical director oversees the delivery of care management services within their market, ensuring high-quality patient care, by continually reviewing patient care plans and providing education and guidance to field clinicians when needed.

Responsibilities:

• Oversight of large panels of health plan members in MD, VA, NC, and SC
• Utilize IT and data tools to report, monitor, and improve quality and utilization
• Conduct retrospective reviews of hospitalizations and dialysis treatments to ensure all services are effectively rendered
• Oversight of implementation and refinement of clinical strategies, evidence-based guidelines, and care management programs for effectiveness and efficiency
• Reduce unnecessary episodes of care including hospital readmissions
• Prepare clinical care reports promptly
• Lead case rounds with POD NPs and CMs
• Analyze data to build member care plans and ensure care goals are achieved
• Optimize patient health outcomes and total performance against health plan contracts
• Represent Monogram as a leader to health plans, providers, and other organizations
• Achieve clinical goals for delivering improved health outcomes at a lower cost of care

Requirements:

• This is a hybrid telemedicine position with occasional in-home patient treatment visits and planning meetings requiring occasional domestic travel
• Demonstrate experience applying evidence-based clinical criteria
• 2 years of experience in CKD, ERSD, and chronic diseases
• Strong management and communication skills
• Experience with high-need Medicare Advantage and Medicaid population
• Experience with NCQA, HEDIS, quality improvement, utilization management, and risk adjustment
• Current medical license in MD, VA, NC, SC and willingness to become licensed in additional states
• MD (medical doctor) from an accredited medical school
• BC in an ACGME-approved specialty IM, Nephrology, CC, EM, or Palliative Care

Benefits

• Comprehensive medical, dental, vision and life insurance
• Paid vacation and holiday time
• 401(k) plan with matching contributions (employer match vested 100% from day 1)
• Pet Insurance
• Company paid life insurance
• FSA & HSA

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.