Monogram Health

Data Scientist

• Independently develop and deploy machine learning models to support Monogram’s operational and clinical objectives.
• Conduct data analyses related to model outputs or explore alternative use cases for existing models to enhance reporting and decision-making processes.
• Engage with program owners to understand program goals, key performance indicators, and operational details to 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.
• Adhere to and promote best practices in software development, data engineering, and machine learning to ensure high-quality and maintainable code.
• Stay updated with the latest advancements in machine learning and data science, applying new techniques and methodologies to improve model performance and reliability.
• Maintain and update deployed models, ensuring their accuracy and efficiency over time, and troubleshoot any issues that arise during deployment.

Senior Data Scientist

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, and support provider and coding team training and education
• Conduct prospective medical chart audits to identify, monitor, and document claims and encounter coding related to Hierarchical Condition Categories (HCC)
• Educate clinicians on coding opportunities identified in chart reviews and keep them informed of current coding and documentation guidelines
• 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 and develop new policies and recommend solutions to meet objectives
• Maintain a minimum of 95% coding accuracy and meet established productivity standards
• Stay current with regulatory, documentation, and coding guidelines, demonstrating proficiency in CPT, ICD-10, and HCPCS coding, as well as E/M code assignment, auditing, and education

HCC Certified Coder

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

Concurrent Review Operations Assistant

Business Analyst

• Under general direction of the Technical Product Manager, the Senior Technical Business Analyst (TBA) will bridge the gap between business needs and technical solutions by gathering, analyzing, and translating business or clinical ambiguity into a well-scoped modeling problem.
• Work with a product owner mindset, framing the decisions that a model is supposed to impact, not just defining how the model will work.
• Take ownership of the user story backlog to ensure the team is consistently delivering.
• Provide mentorship to more junior staff.
• Ensure that the final product aligns with the requirements and meets quality standards.
• Lead the creation of clear and detailed requirement artifacts, which may include User Stories, Use Cases, Process Diagrams, Data Flow Diagrams.
• Serve as primary point of contact when communicating and collaborating with both technical and non-technical stakeholders to ensure a shared understanding of the requirements.
• Work closely with development teams to provide technical insights and guide them in implementing solutions that align with business goals.
• Establish traceability between requirements, making it clear which features or functions are tied to which business needs and objectives.
• Lead testing efforts to verify that solutions meet business expectations.
• Work with data scientists to help monitor model performance drift post implementation.

Senior Technical Business Analyst

Director

• Develop and execute a comprehensive, system wide clinical education and competency strategy aligned with organizational priorities, regulatory requirements, accreditation standards, and evolving clinical models of care
• Serve as the centralized owner of clinical education and competency management across all clinical roles and specialties
• Act as a subject matter expert and strategic advisor to executive and clinical leadership on workforce readiness, competency risk, and education best practices
• Establish standardized frameworks for onboarding, ongoing competency assessment, role specific training, and performance remediation
• Oversee the development, implementation, and evaluation of initial, annual, and role-based competency programs for clinicians
• Identify training gaps and performance risks through data, quality signals, and stakeholder input, and design targeted remediation plans to address them
• Ensure competency validation processes are evidence based, consistently applied, auditable, and aligned with CME and accreditation standards
• Maintain continuous readiness for regulatory surveys, audits, and accreditation reviews related to clinical education, competency, and CME requirements
• Oversee BLS/CPR and required clinical certification processes to ensure all clinicians remain current and compliant
• Partner with operational and clinical leaders to plan and execute educational blocks, training rollouts, and competency refresh cycles that minimize disruption while maximizing impact
• Define and monitor key metrics to assess education effectiveness, competency outcomes, clinician readiness, and return on investment
• Use performance data, quality outcomes, and clinician feedback to continuously improve education content, delivery methods, and competency processes
• Contribute to the broader clinical performance feedback loop by informing practice excellence leaders and quality teams of systemic education or competency trends

Director, Clinical Education and Competency

Manager

• The Market Manager will be responsible for the day-to-day operations of the Market.
• Oversee all aspects of the people, process and systems that support the delivery of care, growth, and talent for the Market.
• Responsible for aspects of the P&L, including administration and oversight.
• Operate in a heavily matrixed organization to help lead a profitable business segment for Monogram Health.
• Work closely with Regional/Market and Centralized clinical and operations Leaders to deliver quality patient care and overall patient and staff experience.
• Represent the Market in Monthly Operating Reviews, champion change, implement strategic priorities, optimize operations, deliver results, and drive great culture.

Market Manager

• Own the development and deployment of machine learning models to support operational and clinical use cases at Monogram under the guidance of more senior data scientists
• Perform ad-hoc data analyses related to outputs or alternative use-cases for existing models (e.g. summarize outputs for reporting purposes)
• Work with program owners to understand the goals, key performance measures, and operational details of programs and processes to ensure models are aligned with program intent
• Create and present proposals for machine learning solutions to program owners with the aim of ensuring buy-in to proposed solution(s)

Principal Data Scientist

Full-stack Engineer

• Work within a collaborative engineering team utilizing an agile process.
• Provide technical guidance and mentoring to offshore team.
• Participate in defining scope, objectives, technical direction and be able to independently analyze and design implementations.
• Collaborate with business partners to provide recommendations for technology decisions for complex healthcare integrations.
• Establish, maintain, and ensure compliance with standards and procedures for design, development, testing, documentation, and Cl/CD, contributing to high quality, secure, and reliable systems that meet our business needs.
• Work closely with cross-functional teams, including other developers, business analysts, and product owners, to understand project requirements.
• Identify opportunities for process improvement within the Engineering process, create buy in and enact positive change.
• Exhibit time management, organizational, and prioritization skills and an ability to balance and fulfill multiple priorities.

Software Engineer II

Customer Support

• Assist in managing the health of your panel of patients and proactively track whether your patients are up to date on preventative measures
• Assist in the facilitation of referrals, prior authorizations, and lab order fulfillment
• Proactively follow-up with patients regarding logging vitals (BP, BS, weight), symptom assessments, and scheduling needs
• Aid patients in the fulfillment, initiation and follow-up for prescriptions
• Help patients and family members understand their chronic conditions and how to prevent further disease progression
• Ensure that care provided is collaborative and act to engage specialists as needed
• Assist clinicians as needed
• Other duties as assigned