Primary Care Physician - Compass PLUS Program

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Job Summary

Compass PLUS is a home and community-based care management program for the patients with the highest complexity and hospital utilization in the Mass General Brigham MassHealth Accountable Care Organization (ACO). All participants receive clinical and support from a multi-disciplinary care team.
The Compass PLUS Primary Care Physician (PCP) is responsible for the care of a small panel of highly complex patients in the Compass PLUS program. Patients who see the Compass PLUS PCP typically have difficulty engaging in office-based primary care or are hospitalized too frequently to attend outpatient visits.

Primary Care Physician – Compass PLUS Program

Mass General Brigham Community Physicians Organization | Greater Boston, MA

About Compass PLUS

Compass PLUS offers a distinctive model of primary care for patients with complex medical and social needs. Designed for physicians who thrive in high-need outpatient settings, the program combines relationship-based care, clinical flexibility, and a highly collaborative approach centered on each patient’s priorities.

Rather than relying solely on traditional office visits, the Compass PLUS team meets patients where they are—primarily in their homes and community settings. The physician works alongside a Nurse Practitioner, Nurse, Behavioral Health Clinician, and Community Health Worker to address medical, behavioral, and social barriers to care.

Most patients remain connected to their existing primary care physician, with Compass PLUS providing added support. For patients with the most intensive needs, the Compass PLUS physician becomes the primary provider, with the goal of stabilizing care and transitioning patients back to traditional primary care when appropriate.

About the Role

This is a unique opportunity to practice primary care with more time, flexibility, and support. You will manage a focused panel of approximately 100 medically and socially complex patients, serve as PCP for those fully transitioned into Compass PLUS, and consult with clinicians across the system on high-risk patient care. By practicing primarily in homes and community settings, you can identify barriers firsthand, build trusted relationships, and create care plans that reflect each patient’s circumstances.

Key Responsibilities

• Provide comprehensive, relationship-based primary care to a small panel of high-acuity patients
• Partner with a multidisciplinary team to deliver care in patients’ homes and community settings
• Develop individualized care plans that integrate medical, behavioral health, and social needs
• Consult with primary care physicians and care teams across the system on complex patient management
• Coordinate patient-centered transitions among inpatient, emergency, and outpatient settings
• Improve health outcomes and help reduce avoidable hospital and emergency department use

Practice Details

• Focused panel of approximately 100 patients, allowing time for intensive, personalized care
• Primarily home- and community-based care, with traditional office space available as needed
• Greater Boston–based practice
• Local travel required, with occasional regional travel approximately 1–2 times per month
• No evening or weekend call obligations
• Significant clinical autonomy within a supportive, team-based environment

Qualifications

• MD or DO with training in Internal Medicine or Family Medicine
• Board certified or board eligible
• Outpatient experience in high-need settings, such as community health centers or home-based care, preferred
• Strong interest in population health and health equity
• Demonstrated success working within collaborative care teams
• Comfort practicing independently across varied care environments
• Eligible for Massachusetts medical licensure and DEA registration

To learn more about this unique primary care opportunity or to apply, please send your CV to Michele Gorham, Senior Physician Recruiter, at [email protected].

Hybrid399 Revolution Drive40RegularDay (United States of America)6010 Mass General Brigham Community Physicians, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

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