Homeward · 11 hours ago
Physician Lead - Michigan
Michigan
Full-time
Hybrid
Senior Level, Lead/Staff
$243K/yr - $328K/yr
8+ years expHomeward is focused on rearchitecting healthcare delivery for rural communities in America. The Physician Lead will oversee clinical quality and provider performance within a value-based care model, combining direct patient care with broader clinical oversight responsibilities.
Artificial Intelligence (AI)Health CareHospital
Responsibilities
Serve as the primary clinical authority for Care Delivery programs
Establish and maintain clinical standards aligned with evidence-based practice and value-based care
Identify, assess, and mitigate clinical quality and safety risks
Maintain clinical practice to preserve frontline calibration and credibility
Provide formal clinical oversight for providers across Care Delivery
Conduct regular chart audits to assess documentation quality, diagnostic accuracy, risk stratification, and utilization appropriateness
Establish calibration standards and audit expectations
Deliver direct, case-based feedback to providers
Intervene when care, documentation, or utilization falls outside acceptable standards
Identify persistent performance concerns and partner with operational leadership as appropriate
Own clinical accountability for documentation quality and coding defensibility
Ensure accurate and clinically appropriate CAP assessment and quality gap closure
Translate CDI and coding requirements into clear clinician expectations
Identify systemic documentation risks and trends impacting quality, compliance, or revenue integrity
Serve as the clinical escalation point for documentation disputes or concerns
Serve as the physician representative for payor-facing clinical discussions
Support medical necessity reviews, utilization alignment, and payer audits
Ensure clinical documentation supports defensible utilization decisions
Partner with internal teams to respond to payor inquiries, audits, or escalations
Oversee clinical governance for Care Delivery, including peer review, incident review and follow-up, and member complaint review related to clinical care
Conduct or oversee root cause analysis for safety events or patterns of care variation
Serve as the final clinical escalation point for quality, safety, documentation, and utilization concerns
Provide clinical leadership input into program design, pilots, and workflow changes (e.g., CHF, COPD, TOC)
Partner with Product, AI, and Data teams through defined CDSU leadership workflows to review, validate, and operationalize clinical tools (e.g., Percepta, Nabla, ChartSync)
Ensure clinical tools and workflows are defensible, usable, and aligned with care standards
Participate in interviewing and onboarding of providers
Reinforce clinical standards, escalation pathways, and documentation expectations
Maintain structured accessibility for provider questions, coaching, and escalations
Support provider engagement and mitigate burnout by reducing ambiguity and clinical friction
Lead and participate in clinical governance and leadership huddles, including debriefs for safety events or quality failures, to support a culture of learning and improvement
Reinforce adherence to clinical standard operating procedures and workflows, including peer review participation, timely documentation, and coding accuracy, intervening when out of standard or when clinical defensibility is at risk
Review and support the development of clinical SOPs and safety protocols to ensure alignment with best practices and provider usability
Support Utilization Management and special case reviews by providing clinical input, identifying trends, and educating providers to drive care alignment
Partner to address provider engagement and burnout
Maintain structured accessibility for clinical questions and escalations within defined workflows, including ride-alongs and real-time clinical support
Complete provider chart reviews and provide feedback at a consistent cadence (bi-weekly/monthly/quarterly) on clinical trends, provider needs, or quality/safety concerns
Deliver quarterly clinical quality and outcomes reviews to SLT/CDSL, including trend analysis, risks, and improvement actions
Actively support and model use of clinical technology tools (e.g., AI documentation support, coding prompts, virtual triage tools), providing feedback to improve implementation and adoption
Proactively identify clinical risks, emerging trends, and workforce challenges impacting care delivery
Represent Care Delivery in payer, vendor, and health system meetings, providing clinical leadership to ensure alignment with value-based care priorities
Serve as the designated escalation physician for complex clinical decision-making, with on-call expectations defined and limited to escalation coverage
Qualification
Required
MD or DO with an active medical license; board certification in family medicine, internal medicine, or another primary care specialty strongly preferred
Must be licensed in Michigan and ideally Minnesota, preferably both
8+ years of clinical experience with demonstrated clinical leadership responsibility, including experience in rural or underserved settings
Experience overseeing providers with strong documentation, CDI, and utilization management expertise
Excellent communication, interpersonal, and collaboration skills
Comfort serving as the clinical authority in payor, audit, and escalation scenarios
Ability to balance clinical practice with broad leadership accountability
Occasional travel to meet with providers across the region
Preferred
Experience in a healthcare leadership role in a value-based care setting
Knowledge of rural health systems and the unique challenges faced by rural healthcare providers and patients
Experience in data-driven care models, including the use of population health tools and electronic medical records (EMRs)
Benefits
Competitive salary, equity grant, generous paid time off
Comprehensive benefits package including medical, dental & vision insurance with 100% of monthly premium covered for employees
Company-sponsored 401k plan
Flexible working arrangement
Company
Homeward
Homeward is focused on improving access to high-quality, affordable primary and specialty care in rural communities.
51-200 employees
Funding
Current Stage
Growth StageTotal Funding
$82MKey Investors
Advanced Research Projects Agency for HealthGeneral Catalyst
2025-02-12Grant· $12M
2022-08-03Series B· $50M
2022-03-07Series A· $20M
Leadership Team
Alexandre Thome
SVP Product & Technology
Recent News
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