Jobs
>
Philadelphia

    North East Regional Medical Director - Philadelphia, United States - Monogram Health

    Monogram Health
    Monogram Health Philadelphia, United States

    2 weeks ago

    Default job background
    Description

    Position:
    North East Regional Medical Director


    Monogram Regional Medical Directors 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 Director 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 Directors to motivate and provide medical direction in pursuit of evidence based and cost effective, quality healthcare.


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

    The North East Regional Medical Director will support the East Region in states PA, NJ, CT, DC, DE, MA, RI, and VT.

    Roles and Responsibilities


    • Reduce unnecessary episodes of care, including hospital readmissions
    • Analyze data built by Practice Medical Directors 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 Directors regarding care management and practice operations within your market
    • Monitor Practice Medical Directors 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 Director 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 Directors to conduct retrospective reviews of hospitalizations and dialysis treatment episodes to ensure Monogram's care management services are effectively rendered
    • Assist Practice Medical Directors 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


    • 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 value-based provider organization that is transforming the delivery of kidney care
    • Competitive salary and opportunity to participate in the company's bonus program
    • Comprehensive medical, dental, vision and life insurance
    • Flexible paid leave and vacation policy
    • 401(k) plan with matching contributions
    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.
  • Jazz Pharmaceuticals

    Associate Medical Director, Medical Affairs

    4 days ago

    Jazz Pharmaceuticals Philadelphia, United States

    Overview: · Position Profile: · **Overview**: · **Position Summary and Core **Responsibilities**: · **The Associate Medical Director, Jazz Oncology, Medical Affairs will support US Medical Affairs activities related primarily to HER2+ target therapy in Gastroesophageal adenocarci ...

  • Spark Therapeutics

    Medical Director- Neurology

    5 days ago

    Spark Therapeutics Philadelphia, United States

    Join the Spark Team · We were born of innovation, springing from the curiosity, imagination and dedication of remarkable scientists and healthcare visionaries. Our shared mission is to unlock the power of gene therapy to accelerate healthcare transformation. · We don't follow foo ...

  • Blue Cross and Blue Shield Association

    Medical Director

    1 week ago

    Blue Cross and Blue Shield Association Philadelphia, United States

    At Independence, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. ...

  • Integrity Healthcare

    Medical Director

    2 weeks ago

    Integrity Healthcare Philadelphia, United States

    Remote Opportunity: Primarily this position is remote from the providers home. Once a week may be expected to conduct team meetings from an office space and possibly see patients in the patients home once in a while. - The Medical Director will not Medical Director, Director, Med ...

  • Community Behavioral Health.

    Director, Medical Director

    1 week ago

    Community Behavioral Health. Philadelphia, PA, United States Full time

    The Medical Director of Adult Services is responsible for providing administrative oversight and supervision of the CBH physician advisors conducting utilization review for our adult members. The position provides leadership in the development and implementation of clinical/medic ...

  • Mazzoni Center

    Medical Director

    1 week ago

    Mazzoni Center Philadelphia, United States

    Job Summary: The position of "Medical Director" is responsible for the coordination and oversight of all medical care provided at Mazzoni Center and for the quality of services rendered. The Medical Director will report to the Executive Medical Officer and will ensure proper func ...

  • Public Health Management Corporation

    Medical Director

    1 week ago

    Public Health Management Corporation Philadelphia, United States

    PHMC is proud to be a leader in public health. PHMC requires all employees to be fully vaccinated for COVID-19 before the first day of employment. We will offer the vaccination at no cost via our Health Centers. · LEAD IN A DYNAMIC AND GROWING HEALTH CENTER NETWORK SERVING ACROSS ...

  • Calcium+Company

    Medical Director

    2 weeks ago

    Calcium+Company Philadelphia, United States

    Job Description · Job DescriptionJOB DESCRIPTION · MEDICAL DIRECTOR · Vitamin MD · Reports to: EVP, Medical Director · Job Summary · The Medical Director is a core member of the Medical team at Vitamin MD and will be responsible for providing sound scientific support and directi ...

  • Tower Health

    Medical Director

    6 days ago

    Tower Health Philadelphia, United States

    Job Summary · St. Christopher's Hospital for Children is seeking a Medical Director/Outpatient Pediatrician for our Center for the Urban Child - Pediatric Practice on our hospital campus in Philadelphia, PA. The Medical Director will direct the clinical activities of the practice ...

  • Mazzoni Center

    Medical Director

    2 weeks ago

    Mazzoni Center Philadelphia, United States

    Job Description · Job DescriptionJob Summary: The position of "Medical Director" is responsible for the coordination and oversight of all medical care provided at Mazzoni Center and for the quality of services rendered. The Medical Director will report to the Executive Medical Of ...

  • Children's Hospital of Philadelphia

    Medical Director

    4 weeks ago

    Children's Hospital of Philadelphia Philadelphia, United States

    SHIFT: · Day (United States of America) Seeking Breakthrough Makers · Children's Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and driv ...

  • Intercommunity Action I

    medical director

    2 weeks ago

    Intercommunity Action I Philadelphia, United States

    Job Description · Job DescriptionPosition Type: Part Time/Full TimePURPOSE: · The Medical Director is responsible for psychiatric oversight supporting outpatient clinical operations. They will work in a community mental health outpatient setting, delivering compassionate, trauma ...

  • Tower Health

    Medical Director

    6 days ago

    Tower Health Philadelphia, United States

    Job Summary: · St. Christophers Hospital for Children is seeking a Medical Director/Outpatient Pediatrician for our Center for the Urban Child - Pediatric Practice on our hospital campus in Philadelphia, PA. The Medical Director will direct the clinical activities of the practic ...

  • Cabaletta Bio

    Medical Director/Senior Medical Director, Medical Affairs

    1 week ago

    Cabaletta Bio Philadelphia, United States

    Medical Director/Senior Medical Director, Medical Affairs · Philadelphia, PA · About the Position · Reporting to the Vice President, Medical Affairs, we are seeking a highly motivated and experienced Medical Director/Senior Medical Director to join our Medical Affairs team. The i ...

  • PATH People Acting To Help, Inc.

    Medical Director

    2 weeks ago

    PATH People Acting To Help, Inc. Philadelphia, United States

    Job Description · Job DescriptionABOUT PATH INC. · PATH (People Acting to Help) Inc. is a comprehensive Community Behavioral Health and Intellectual Disability Center. We offer a wide of array of services and supports to meet the needs of our community in Northeast Philadelphia. ...

  • Quantum Innovations

    Medical Director

    3 weeks ago

    Quantum Innovations Lionville, United States

    There are many reasons to collaborate with European Medical Consulting Adam. In the following section, you will see how you can benefit from our free services and save valuable time: · You will be informed about exclusive and unpublished job opportunities · Our relocation service ...

  • Omega Dynamics

    Medical Director

    3 weeks ago

    Omega Dynamics Schwenksville, United States

    As a renowned consulting firm, we specialize in the placement of specialized and executive personnel exclusively in the medical field. Our consultants and recruiters have extensive experience and a wide network of decision-makers in the medical sector. Our clients include well-kn ...

  • Advanced MedAesthetic Partners Inc

    Medical Director

    2 weeks ago

    Advanced MedAesthetic Partners Inc Cooper City, United States

    Job Description · Job DescriptionDescription: Elevate your career at The Aesthetic Clinique, where we pioneer groundbreaking techniques for a natural aesthetic appearance. Committed to the highest standards of expertise, safety, and customer service, we are dedicated to deliverin ...

  • Advanced MedAesthetic Partners Inc

    Medical Director

    4 weeks ago

    Advanced MedAesthetic Partners Inc Cooper City, United States

    Job Description · Job Description Description: · Elevate your career at · The Aesthetic Clinique , where we pioneer groundbreaking techniques for a natural aesthetic appearance. Committed to the highest standards of expertise, safety, and customer service, we are dedicated to ...

  • AIDS Healthcare Foundation

    Medical Director

    3 hours ago

    AIDS Healthcare Foundation Philadelphia, United States Full time

    AIDS Healthcare Foundation is public health, mission-based organization with a network of services that include healthcare centers, pharmacies and wellness clinics. We are now looking for a family practice or internal medicine physician at an AHF HIV primary care outpatient facil ...