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High Risk Physician Lead

Mesa, Arizona
Closing date
May 17, 2025

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Family Medicine
Full Time
Position Type

We’re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care.

Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians.

When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.

Job Description


At VillageMD, we are committed to helping patients achieve greater health by delivering the most effective, accessible, and efficient healthcare in the world through partnership with primary care physicians. Our high-risk program offers individualized, evidence-based, multidisciplinary, value-based care to our patients with the greatest needs in the care setting best suited to support their wellbeing including the PCP office, high risk clinics, patient homes, and other settings (e.g., dialysis centers). The high-risk team is dedicated to caring for complex, high-needs patients to improve their quality of life, enable them to live well and age healthfully at home and avoid hospitalizations. Each team member will play an essential, role within the team. As a High-Risk Programs Physician lead you will lead a team of advance practice providers (APPs), social workers, and medical assistants, to improve the quality of life of high-risk, complex patients and their caregivers, enable them to age at home, and reduce costly hospitalizations. This work is critical to VillageMD’s mission to create the best at risk primary care practice on the planet and its vision to help patients achieve greater health by delivering the most effective, accessible, and efficient healthcare in the world.

How You Will Get Things Done:

Team Oversight

  • Lead a team caring for complex, value-based care (VBC) patients to include: Advanced Practice Providers, Social Workers, Clinical Pharmacists and Coordinators

  • Supervises and deploys team for greatest efficiency (all team members work at top of license), effectiveness (patient outcomes, key performance indicators), and return on investment.

  • Accountable for the total comprehensive care of all patients

  • Lead team meetings and provide education.

APP Supervision

  • Actively manage all aspects of APP care: medical decision making, specialty consults, home health and hospice referrals and review minimum of 5% of APP charts for clinical care (emphasis on medication optimization, palliative care/advance directives) and appropriate HCC/HEDIS exclusion documentation.

  • Participate in new APP training including spending time in clinic and participating in house calls while reviewing 100% of charts for the first month of clinical care.

  • Review all hospitalizations, ED visits, and lead utilization rounds.

  • Be available for APP questions

Direct patient care

  • Provide visits in clinic, in the home and virtually to manage complex patients and reduce utilization. Unless unstable, new patients will be seen after APP does initial geriatric and palliative care assessments to afford physician ample clinical information for medical decision making and care plan recommendations.

  • Hospital rounding to oversee care (not actively manage) and ensure optimal discharge plans

  • Emergency department evaluations for appropriate triaging

  • Skilled Nursing Facility rounds to oversee care and facilitate discharge home


  • Work with other high-risk teams and coordinating care.

  • Lead palliative care services for the market.

  • Serve as liaison between high-risk programs and market physicians.

  • Serve as liaison between high-risk programs and market leadership Manage patient and primary care provider complaints.

  • Attend monthly national clinical leadership meetings


  • Active and Current License for State of Practice, or eligibility to receive necessary licensure

  • Internal or Family Medicine board certification

  • 3+ years post-residency of clinical experience caring for complex patients with significant palliative and geriatric needs

  • Certified in Basic Life Support (BLS) or Advanced Cardiac Life Support (ACLS)

  • Active registration or eligible to register with the Drug Enforcement Agency (DEA) Active Medicare/Medicaid enrollment or be eligible to enroll

  • Comfortable with Electronic Medical Record (EMR) system; Athena preferred


About Our CommitmentTotal Rewards at VillageMD

Our team members are essential to our mission to reshape healthcare through the power of connection. VillageMD highly values the critical role that health and wellness play in the lives of our team members and their families.  Participation in VillageMD’s benefit platform includes Medical, Dental, Life, Disability, Vision, FSA coverages and a 401k savings plan.

Equal Opportunity Employer

Our Company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws.

View full job description here.

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