Monogram Health

Actuary

• Apply actuarial principles to analyze healthcare claims and utilization data
• Develop, maintain, and analyze projection models
• Lead the forecasting process
• Develop and incorporate ADT-based claims projections into forecasting and reporting processes
• Own central actuarial reporting deliverables for executive audiences
• Lead reinsurance analytics and reporting
• Establish, document, and maintain actuarial standards, procedures, and controls

Director, Actuarial Services

Medical Director

• 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
• Focus to improve patient experience, population health outcomes, provider satisfaction and lower costs
• Oversee the daily clinical and business operations through delivery of direct patient care
• Review and approve care plans and direct the treatment plans for our patients
• Provide clinical guidance and direction to Market teams to drive Population Health Management activities
• Engage with patients on treatment plans, community provider collaboration, and direct evidence-based care pathways
• Participate in Monogram On-Call activities

Market Physician Executive – Float

Pharmacist

• Helps develop and implement Monogram’s medication therapy management (MTM) program which will ensure appropriate use of medication management resources
• Performs timely written member medication reconciliations and drug therapy action plans for all Monogram members and communicate them to Monogram clinical staff and treating nephrologists, primary care physicians and other providers
• Conducts telephonic consultations with medical providers when medication changes appear necessary
• Speaks with members about medication use concerns
• Works collaboratively with clinical (e.g. nurse and social worker) care manager operations personnel to integrate medication management into Monogram’s overall care model
• Ensures that field clinicians are executing on MTM policy and procedures
• Drives meaningful medication interventions that result in medical providers’ and members’ adhering to evidence-based medication guidelines
• Reviews member care reports, clinical notes and other medical records as needed for medication action plan development, targeted clinical outreach programs and quality assurance purposes
• Serves as a pharmacist resource for Monogram field clinicians regarding medication use and Monogram MTM resources
• Assists with the delivery of MTM training sessions aimed at building a standardized and effective MTM program for Monogram clinical staff
• Monitors important medication availability and use trends for populations under Monogram’s care management
• Stays current with evidence-based prescribing for individuals with kidney disease
• Participates in external and internal interdisciplinary care team case rounds or meetings and produce MTM related documentation to be shared with appropriate treating providers
• Implements medication optimization processes that meet the needs of managed care organizations and their members

Clinical Pharmacist

Risk

• Develop and maintain standardized Stars and Risk Adjustment reporting using internal data sources and CMS files within Databricks and Power BI
• Lead code development and end-user dashboard creation, applying subject-matter expertise to meet defined business needs
• Serve as a subject matter expert on Risk Adjustment data sources, including MAO-004, 837, MMR, and MOR files
• Present internal overviews and detailed analytical findings to stakeholders to ensure alignment and clarity on next steps
• Analyze data to identify trends, performance opportunities and develop actions plans to address gaps
• Build a deep understanding of clinical workflows and collaborate to enhance processes that support departmental efficiency and effectiveness
• Partner with internal teams to share insights that may influence underwriting, contracting, operations and other business areas
• Support the growth of direct and matrixed team members by fostering knowledge‑sharing and sustainable progress toward departmental goals

Senior Analyst, Medical Economics – Stars and Risk Adjustment

• 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
• Focus on improving patient experience, population health outcomes, provider satisfaction and lowering costs
• Deliver exceptional outcomes through disease detection and evidence based clinical pathways and disease treatment
• 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
• Review and approve care plans and direct the treatment plans for our patients
• Collaborate with community physicians, facilities, and partners in peer to peer and direct patient care decision making

Market Physician Executive

Manager

• Manage performance against clinical and operational metrics
• Lead, motivate, and drive accountability for a team of nurse practitioners, registered nurses, and social workers
• Prepare, review and analyze performance and health outcome reports
• Plan staffing schedules to optimize efficiency and productivity
• Assist in the hiring of clinical staff members
• Execute corporate and regional strategy to deliver quality patient care
• Perform other duties as assigned
• Uphold the mission and values of Monogram Health

Market Manager

• Perform in-home and telehealth care management visits to assess and determine social and behavioral status
• Work closely with Care Team to ensure collaboration and optimal patient outcomes
• Assess social determinants of health needs and develop a plan for addressing them
• Identify, vet, and build relationships with local Community-Based Organizations
• Educate patients on appropriate resources, assist with referral completion, and follow up for closure outcomes
• Serve as subject matter expert on social determinants for other members of the Care Team
• Complete behavioral, environmental, and social support assessments
• Deliver individual, family and group education on living with chronic illness
• Engage family and social support groups in the education and care of patients
• Assess patients and refer to behavioral health specialists if diagnosis and treatment needed
• Help patients to understand, accept and follow medical and lifestyle recommendations
• Review and document patient updates and progress in care management platform

Care Manager, Social Worker

Machine Learning Engineer

• Architect and maintain enterprise-grade ML infrastructure, including model versioning, automated testing frameworks, containerization strategies, CI/CD pipelines, and comprehensive monitoring systems for model performance, data quality, and drift detection
• Drive MLOps strategy and standards across the organization
• Mentor data scientists and engineers on production best practices, system design, and scalable architecture patterns
• Own the complete journey from model development through production deployment, including real-time and batch inference systems, A/B testing frameworks, and automated retraining pipelines
• Collaborate with clinical leaders, product teams, and data scientists to translate complex healthcare requirements into robust, scalable ML solutions
• Present technical strategies to executive stakeholders
• Build fault-tolerant, compliant systems that meet healthcare security and privacy standards
• Establish SLAs, incident response protocols, and disaster recovery procedures for mission-critical ML services
• Evaluate and integrate cutting-edge MLOps tools and practices
• Design systems that scale with Monogram's growth while reducing operational overhead and improving model iteration velocity

Staff Machine Learning Engineer

• Own and implement end-to-end ML workflows, including model versioning, testing, containerization, automated deployment pipelines (CI/CD), and post-deployment monitoring for performance and data drift.
• Independently develop and deploy scalable, robust machine learning models to support Monogram’s operational and clinical objectives.
• Conduct data analyses of large datasets to provide insights that aid strategic planning, risk assessments, and resource allocation.
• Identify and bridge research and production gaps related to model outputs or explore alternative use cases for existing models to enhance reporting and decision-making processes.
• Partner with program owners and data scientists to understand program goals, key performance indicators, and operational details to build and ensure that machine learning models are effectively aligned with program intentions.
• Create and present machine learning solution proposals to program owners, aiming to secure buy-in and facilitate the implementation of data-driven solutions.
• Identify, promote, and adhere to best practices in software development, data engineering, and machine learning to ensure high-quality and maintainable code.
• Remain current with the latest advancements in machine learning and data science, applying new techniques and methodologies to improve model performance and reliability.
• Continuously evaluate efficiency, accuracy, maintain and update deployed models, troubleshooting any issues that arise during deployment.

Senior Machine Learning Engineer

Vice President

• Shape the digital product strategy in close collaboration with clinical & operations leaders.
• Co-develop a digital product strategy that supports Monogram’s care model, workflow realities, and goals.
• Ensure the roadmap reflects shared priorities.
• Roadmap will be inclusive of AI initiatives.
• Lead cross-functional product discovery and requirements definition.
• Facilitate structured discovery with Clinical, Operations, Engineering, Analytics, etc., to better understand problems, validate opportunities, and translate insights into clear product requirements.
• Ensure product decisions are grounded in real-world constraints and business value.
• Advance an AI-First Product Portfolio.
• Collaborate with engineering leadership to embed AI into the product ecosystem in ways that enhance clinical decision support, care navigation, workflow efficiency, and member engagement.
• Promote responsible & workflow-aligned AI adoption across product surfaces.
• Drive product governance, prioritization, and ROI alignment.
• Steward a transparent, collaborative process for intake, prioritization, and roadmap planning.
• Partner with business leaders to align value, feasibility, and timing.
• Ensure product investments are tied to clear success metrics and shared organizational goals.
• Partner with change management and operations team to support successful adoption.
• Work closely with teams responsible for training, rollout, and change management to ensure products are intuitive and operationally ready.
• Provide clear workflows, user insights, and feedback loops that help teams succeed without owning the rollout itself.
• Build and lead a high-performing product organization.
• Recruit, mentor, and develop a strong team of product managers, analysts & designers.
• Establish standards for discovery, design quality, and cross-functional collaboration.
• Foster a culture of curiosity, clarity, and continuous improvement.

VP, Digital Product

General Counsel

• Negotiating and drafting agreements and contracts on behalf of the company, including commercial vendor contracts, client agreements, leases and technology licenses
• Offering counsel on a variety of legal and compliance issues, including healthcare regulatory matters (especially privacy issues)
• Collaborating with senior executives and departments within the company on important strategic initiatives
• Researching and anticipating unique legal and healthcare regulatory/compliance issues that could impact the company
• Using independent judgement to escalate important legal and compliance issues to the company's governing body

Assistant General Counsel – Value Based Care Contracts

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
• 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

• The Support Services Manager will play a critical role in ensuring that Monogram Health has the most up-to-date clinical data for our member census and allows for accurate, evidence-based care and quality management.
• They will report to the Director of Clinical Integration and will be charged with leading a growing team of clinical support services personnel.
• Leadership, day-to-day management, feedback, and professional development of support services teams.
• Driving high performance and prioritizing work using reporting, dashboards, and data analytics
• Responsible for ensuring clinical support team members update patient records accurately and consistently utilizing standard processes
• Generating and managing reports, dashboards, and data analytics related to patient information
• Lead or participate in special projects
• Create a work environment that fosters professional development for employees and encourages empathy and compassion toward patient care

Support Services Manager

Operations

• Facilitate Quality Committee meetings and prepare the Quality deck for the Board of Directors
• Responsible for ensuring Quality-related accreditations (e.g., NCQA) are met and executed upon on an annual basis
• Develop innovative initiatives in partnership with clinician leaders to drive efficient and effective clinical outcomes
• Educate internal and external parties on the Star Rating system and Risk Adjustment history, changes, and where programs are moving forward
• Liaison and represent Quality Team with various clients as it relates to value-based care initiatives and reporting
• Present both internally and externally overview and specific findings to relative parties to ensure understanding and next steps
• Analyze data to determine areas of opportunity and develop actions plans to address the identified gaps, aligned with Star Ratings, Risk Adjustment, and NCQA quality measures
• Collaborate to enhance the clinical workflow to address the needs of the department in an efficient and comprehensive manager
• Review and assist in the development of reporting around Stars and Risk Adjustment to help gain insights into key areas of opportunity and drive strategic initiatives
• Assist in the development of overall quality program, including Star Ratings, Risk Adjustment, and NCQA-aligned quality standards, to support high-quality patient care and organizational performance
• Alleviate operational barriers as they are addressed with conflicting and compromising business initiatives across the organization

Director of Operations, Quality

Technical Product Manager

• Create and maintain the product roadmap, outline the features, enhancements, and updates for the product over time
• Understand pain points of operations team
• Align roadmap to business objectives
• Collaborate with engineers and administrators to define technical solutions, evaluate trade-offs, and ensure that features are feasible to build within given constraints
• Use data analysis to help inform the product roadmap or help resolve ad hoc issues
• Effectively communicate and collaborate with both technical and non-technical stakeholders to ensure a shared understanding of the requirements
• Ensure that the documented requirements are accurate, complete, and aligned with the stakeholders' expectations
• Perform validation testing to ensure features align with intent
• Exhibit excellent time management, organizational, and prioritization skills and an ability to balance and fulfill multiple priorities
• Performs other duties as assigned