Population Health Physician (Telehealth, PCP)

at Somatus in Montpelier, Vermont, United States

Job Description

Population Health Physician (Telehealth, PCP) at Somatus


Summary :

Somatus. is seeking Telehealth Population Health Physicians for an exciting opportunity to join innovative clinical practices in multiple markets. Focused on bringing high quality and episodic care services to patients with chronic conditions through team based proactive preventive care and population health management.

Preferred state licensures: FL, GA, IL, IN, MI, KY, NJ, NY, OH, PA, TX, VA

The Population Health Physician will have the opportunity to practice in an evidence-based environment, utilizing a robust extended team of clinicians (Nurse Practitioners, RN Case Managers, Social Workers, Clinical Pharmacists, Registered Dietitians, and Patient Health Advocates) to deliver outstanding high value clinical care for patients with chronic conditions.

The primary focus of the clinical model is the provision of holistic, comprehensive care that is focused on achieving quality clinical outcomes, spending more time with patients, and practicing patient-centered medicine. The ideal candidate will partner with a collaborative team to expand this clinical practice with a uniquely innovative, value-based model focused on delivering high quality clinical care.

Benefits :

· Lucrative Sign- On Bonus

· 24/7 Triage Line to Support you

· Valuable Work Life Balance

· Malpractice Coverage

· Company Paid Licensure in additional states to practice in

· Comprehensive Benefits Package

Essential Duties and Responsibilities:

+ Provide full spectrum primary clinical care as well as urgent, episodic care for adult and geriatric patients, focused on bringing high quality primary care services to patients through team-based proactive preventive care and population health management.

+ Responsible for provision of care and licensure in several states, providing direct predominantly telehealth in addition to supporting a Patient Health Advocate conducting in-home face to face care on an asynchronous as well as longitudinal basis.

+ Practice within a population health model which prioritizes robust and reliable provision of timely, proactive evidence-based clinical care to optimize patient health and address gaps in care.

+ Oversees market based APPs who provide direct virtual and in-home clinical care.

+ Clinical leadership of a multidisciplinary care team, including RN care managers, registered dietitians, social workers, pharmacists, and patient health advocates, focused on delivering truly integrated, value-based primary care, with a focus on preventative care.

+ Ensure smooth communication and coordination of care for patients with established primary and specialty care relationships.

+ Collaborate with and support Somatus Multispecialty Group, P.C. specialty providers.

+ Responsible for driving the continuous improvement of care across the entire panel of patients including achieving reductions in avoidable utilization (e.g., avoidable ED, inpatient admissions, and hospital readmissions), as well as achieving top decline performance across measurable quality of care outcomes, patient activation, and patient satisfaction.

+ Partner with a multidisciplinary team to help understand medical, behavioral, and psychosocial needs of each patient, identify gaps in care and barriers to achieving optimal health outcomes.

+ Establish and maintain strong physician relationships with local physicians and health systems. Provide timely transitions of care visits and care, with a focus on keeping patients healthy at home and reducing avoidable inpatient utilization.

+ Provide comprehensive and timely communication to referring physicians and collaborate closely with other local treating physicians to ensure coordinated care with an ideal patient-centered experience.

+ Oversee all program requirements including participation and responsibilities for quality assurance and quality improvement.

+ Serve as collaborative physician to provide oversight to nurse practitioner(s) performing risk adjustment visits in relevant states.

+ Provides ongoing coaching, feedback, and assistance to Somatus care team members for leadership and management support.

+ Uses proven techniques of practice facilitation to influence and promote high-value healthcare. Identifies practice educational needs and matches them with available Somatus or industry resources.


+ Graduate of an accredited medical school. M.D./D.O. degree is required.

+ Completion of approved residency in internal medicine.

+ At least 2-3 years of post-graduate experience caring for complex adult populations.

+ Board certified in internal medicine.

+ Current state medical license without restrictions to practice and free of sanctions from Medicaid or Medicare. Willingness to become licensed in multiple states as company and patient needs require.

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Our priority is the health and safety of our members, colleagues, partners, and community. Proof of COVID-19 Vaccination is required for employment. If you are unable to be vaccinated for medical reasons or sincerely-held religious beliefs, we will consider requests for reasonable accommodations consistent with our policy, and where we are able to provide such accommodations without undue hardship to the company pursuant to applicable law. All requests for proof of vaccination or for exemptions from the vaccination requirement will be subject to any limitations stipulated by current state and/or federal laws.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions .

Somatus, Inc. provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by state, federal, or local law. Further, the company takes affirmative action to ensure that applicants are employed, and employees are treated during employment without regard to any of these characteristics. Discrimination of any type will not be tolerated.

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Job Posting: JC236758043

Posted On: Mar 22, 2023

Updated On: Jun 04, 2023

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