Monogram Health

Operations

• Assist in processing Health Plan(s) and Contracted Provider(s) daily files and uploads for all acute and post-acute admissions
• Assist with inpatient and concurrent calls to verify and confirm admission and obtain member information
• Assist with monitoring skilled nursing facility discharges
• Create Care Events as needed for new admissions to be followed by the Clinical Review Team
• Request clinical as needed; retrieve and document clinical from our EMR system(s).
• Communicate with the care team and other internal and external stakeholders
• Analyze data and develop reports/presentations
• Ability to multitask and prioritize in a busy work environment
• Maintain safe, secure, and healthy work environment by establishing and following standards and procedures and complying with legal regulations

Review Operations Assistant

Pharmacist

• Help develop and implement Monogram’s medication therapy management (MTM) program
• Perform timely written member medication reconciliations and drug therapy action plans
• Conduct telephonic consultations with medical providers
• Collaborate with clinical care manager operations personnel
• Serve as a pharmacist resource for Monogram field clinicians
• Assist with the development and delivery of MTM training sessions
• Monitor important medication availability and use trends
• Stay current with evidence-based prescribing for individuals with kidney disease
• Participate in interdisciplinary care team case rounds or meetings
• Implement medication optimization processes

Clinical Pharmacist

Medical Billing and Coding

• The HCC Certified Coder will be responsible for abstracting clinical information and assigning appropriate diagnosis and procedure codes in accordance with nationally recognized coding guidelines
• Analyze and translate medical and clinical documentation in alignment with the CMS Risk Adjustment Models
• Collaborate closely with the coding team and providers to ensure accurate and compliant documentation and coding practices
• Perform coding for patient health assessments
• Conduct peer coding quality reviews
• Support provider and coding team training and education
• Conduct prospective medical chart audits
• Perform coding abstraction and medical chart quality audits to ensure clinicians have accurate clinical documentation to support ICD-10 codes
• Educate clinicians on coding opportunities identified in chart reviews
• Perform accurate and timely coding (CPT, ICD-10, HCPCS, modifiers)
• Provide timely correspondence with providers regarding clinical documentation opportunities and queries
• Identify trends through data analysis or chart review
• Maintain a minimum of 95% coding accuracy and meet established productivity standards
• Stay current with regulatory, documentation, and coding guidelines

HCC Certified Coder

Medical Director

• Monogram Market Physician Executive (MPE) are mission driven physician leaders who are dedicated to improving the well-being, quality of life, and health outcomes for our patients
• The MPE will lead our in-home multi-specialty polychronic care model in an assigned market
• The MPE will collaborate with Monogram Health’s Multi-Specialty Platform to leverage employed specialists to deliver in-home specialty care
• Aligning with the quadruple AIM, the MPE will focus to improve patient experience, population health outcomes, provider satisfaction and lower costs
• The primary goal of each MPE to deliver exceptional outcomes through disease detection and evidence based clinical pathways and disease treatment
• Reporting to the Region President, the Market Physician Executive (MPE) 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 within the market
• The MPE oversees the daily clinical and business operations through delivery of direct patient care, care management services, social worker support and pharmacy services within the market

Market Physician Executive

Business Analyst

• Lead requirements gathering with internal teams, clients, and vendor partners
• Create detailed documentation including user stories, functional specs, file specs, and process flows
• Support client onboarding and assist with integration requirements and workflow coordination
• Develop current- and future-state workflow documentation and process maps
• Facilitate implementation readiness activities, including dependency alignment and risk identification
• Participate in planning through go-live, supporting UAT, and project documentation
• Validate solutions using defined acceptance criteria; conduct basic data validation using Excel/SQL

IT Business Analyst

Salesforce Developer

• Facilitates collaboration with the Salesforce Administrators and Developers to validate business requirements and review proposed technical designs, including any considerations (e.g., security, scalability, limits)
• Conducts peer review of any designed builds
• Develop/Review/understand Apex (classes and triggers), Visualforce, (based on specific requirements) to extend Salesforce as needed to support business requirements of higher degree and complexity
• Serves as part of the Salesforce team developing Custom User Interfaces, including Visualforce pages/Lightning pages, Aura Components, and Lightning Web Components
• Use Salesforce APIs to integrate with other systems used in the organization
• Adhere to Salesforce best practices, maintain code documentation, and write / maintain test classes for all custom development
• Take ownership of project development release cycles to implement and deploy new/updates to existing applications and code
• Collaborate with IT / Developers for other systems as needed to integrate across the business
• Implements and optimizes data validation, deduplication, and cleansing strategies to ensure high-quality data in Health Cloud
• Ensures HIPAA, SOC2, and general Salesforce security best practices are consistently applied, including field-level security, encryption, and audit logging.
• Troubleshoots governor limits, optimize SOQL queries, and design scalable batch/async processing solutions.

Senior Salesforce Developer

• Monogram Market Physician Executive (MPE) are mission driven physician leaders who are dedicated to improving the well-being, quality of life, and health outcomes for our patients.
• The MPE will lead our in-home multi-specialty polychronic care model in an assigned market.
• Each market is comprised of 5-10 practices led by local advanced practice providers (APP), registered nurses(RN), licensed clinical social workers (LCSW), and pharmacists (PharmD).
• Collaborate with Monogram Health’s Multi-Specialty Platform to leverage employed specialists to deliver in-home specialty care.
• The primary goal of each MPE to deliver exceptional outcomes through disease detection and evidence based clinical pathways and disease treatment.
• Reporting to the Region President, the Market Physician Executive (MPE) 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 within the market.
• The MPE oversees the daily clinical and business operations through delivery of direct patient care, care management services, social worker support and pharmacy services within the market.
• In support of the advance practice providers the MPE is expected to review and approve care plans and direct the treatment plans for our patients.
• The MPE will collaborate with community physicians, facilities, and partners in peer to peer and direct patient care decision making.

• Market Physician Executive (MPE) are mission driven physician leaders who are dedicated to improving the well-being, quality of life, and health outcomes for our patients.
• The MPE will lead our in-home multi-specialty polychronic care model in an assigned market.
• Collaborate with Monogram Health’s Multi-Specialty Platform to leverage employed specialists to deliver in-home specialty care.
• Reporting to the Region President, the MPE 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 within the market.
• Oversee the daily clinical and business operations through delivery of direct patient care, care management services, social worker support and pharmacy services within the market.
• Actively lead daily high risk and concurrent review rounds.
• Direct supervision of front line clinical and operations team members.
• Provide direct and indirect patient care (including diagnosis and treatment of disease).

Market Physician Executive – MPE

Account Executive

• Conduct daily in-person outreach to high-risk, hard-to-reach patients by visiting their homes unannounced and educating them in-person about the Monogram Health program
• Proactively schedules and completes at least 15 home visits daily
• Drive a designated territory daily to engage new and existing members
• Meet or exceed sales targets and KPIs
• Facilitate a high completion rate of scheduled visits
• Collaborate with internal sales and marketing teams to optimize outreach strategies
• Maintain accurate records in CRM systems

Field Sales Representative

• Conduct daily in-person outreach to high-risk, hard-to-reach patients by visiting their homes unannounced and educating them in-person about the Monogram Health program
• Proactively schedules and completes at least 10 home visits daily
• Drive a designated territory daily to engage new and existing members
• Meet or exceed sales targets and KPIs
• Facilitate a high completion rate of scheduled visits
• Collaborate with internal sales and marketing teams to optimize outreach strategies
• Maintain accurate records in CRM systems

• Conduct daily in-person outreach to high-risk, hard-to-reach patients by visiting their homes unannounced and educating them in-person about the Monogram Health program
• Proactively schedule and complete at least 15 home visits daily
• Drive a designated territory daily to engage new and existing members
• Meet or exceed sales targets and KPIs
• Facilitate a high completion rate of scheduled visits
• Collaborate with internal sales and marketing teams to optimize outreach strategies
• Maintain accurate records in CRM systems