Lead Palliative Care Physician

Monogram Health is seeking a full-time physician specializing in palliative care to join our team amid continued nationwide growth. This is an in‑market, field‑based position requiring residence within one of our approved territories. As an in‑market specialist, this physician will care for seriously ill patients in their community, including individuals with CKD/ESRD, COPD, and CHF. The Lead Palliative Care Physician will work closely with the Market Physician Executive (MPE) and primarily deliver care in the home.

Monogram Health physicians are quality-driven physicians who apply their clinical expertise in a managed care, population health context. They also engage in population health management in a sophisticated, outcomes-driven manner that promotes palliative care where clinically appropriate and focuses on patient quality of life, education, and shared-decision making.

• Opportunity to work in a dynamic, fast-paced and innovative organization that is transforming the delivery of polychronic disease care
• Autonomous schedule with In-home visits in a value-based care model
• Competitive salary plus company bonus program
• Full benefits including medical, dental, vision and life insurance
• Paid time off and 401(k) with matching contributions
• Relocation assistance and sign on bonus on case-by-case

The base salary range for this role is $260,000 to $340,000 and reflects the range of experience and qualifications we may consider. Final compensation will be determined based on geographic location and job-related factors such as experience, skills, education, certifications, and internal compensation considerations. While a larger range is posted, most offers will typically fall within a narrower band based on these factors.

In addition to base salary, this role is eligible for additional compensation, including bonus opportunities and a comprehensive benefits package.

• Collaborate with MPE and the care team to proactively identify patients who qualify for palliative care services and build a patient panel
• Developing and presenting metrics to executive leadership, as requested
• Responsible for the outcomes for patient panel, driving both predetermined clinical and financial Key Performance Indicators (KPIs) through interventions outlined below
• Treat panel of patients in-home to drive healthcare outcomes
• Evaluate and treat symptoms that may interfere with quality of life, like pain, pruritis, depression, anxiety, insomnia, etc.
• Refer members to appropriate specialists to drive clinical care (Monogram-based specialists or locally-aligned specialists)
• Conduct goals of care and family meetings as needed and document patient/family wishes in state AD/POLST forms
• Support patients utilizing our IDT, including Palliative Care Chaplain
• Assist with hospice transitions as appropriate
• Develop key relationships with local providers (PCP, nephrologists, specialists) to improve market alignment
• Participate in monthly meetings with RMD/CMO in areas of KPI and expectations around KPIs
• Educate and support team around palliative care, hospice care, advance directives, symptom assessment, and communication

• Must be willing and able to obtain hospital privileges at required facilities.
• Desire to practice in a forward-looking renal care environment focused on population health management
• Demonstrated experience applying evidence-based clinical criteria
• Comfort and skill in goals of care discussions and advance care planning
• Experience with high-need Medicare Advantage and managed Medicaid populations, as well as commercial populations
• Experience integrating acute and behavioral health care and appreciation of social determinants of health and the value of social workers
• Expertise in…