Advanced Medical Management, Inc.

Primary Care Physician

This role focuses on delivering comprehensive, longitudinal primary care to Commercial and Medicare-age patients in a full-risk value-based care practice. The physician provides patient-centered appointments, annual wellness visits, preventive screenings, and chronic care while driving quality performance through HEDIS/STARS gap closure and accurate HCC risk documentation. The position emphasizes interdisciplinary collaboration, personalized care plans, and high-touch relationship-based medicine with small panel sizes and longer appointment times.

Key Responsibilities
  • • Deliver comprehensive, longitudinal primary care to a panel of Commercial and Medicare age patients
  • • Provide patient-centered appointments, allowing time for whole-person care, counseling, education, and shared decision-making.
  • • Conduct Annual Wellness Visits (AWVs), preventive screenings, and evidence-based chronic care visits in alignment with CMS and other health plan quality metrics.
  • • Develop and maintain personalized care plans based on patient goals, risk factors, and social determinants of health.
  • • Integrate behavioral health, social support services, and care management into care plans in collaboration with the interdisciplinary team.
  • • Drive quality performance by proactively identifying and closing care gaps aligned with HEDIS, STARS, and preventive screening measures.
  • • Deliver accurate, complete, and compliant documentation following CMS HCC risk adjustment guidelines and MEAT criteria to ensure optimal RAF scoring.
  • • Review and act upon pre-visit planning tools, post-visit summaries, and quality dashboards supported by the MSO/IPA.
  • • Coordinate with Care Management, Pharmacy, Behavioral Health, and Social Work teams for complex patient needs and transitions of care.
Required
  • • MD or DO from an accredited medical school.
  • • Board Certified/Board Eligible in Family Medicine or Internal Medicine.
  • • Active and unrestricted license in the state of California.
  • • Current DEA and NPI registration.
  • • Experience managing chronic disease populations with multiple comorbidities.
  • • Deep sense of empathy, compassion, and commitment to underserved and senior populations.
  • • Excellent communicator who builds trust and long-term relationships with patients and teams.
  • • High clinical judgment with a strong preventive and population health mindset.
  • • Comfortable with EMR systems, data dashboards, and VBC analytics.
  • • Committed to team-based care, clinical transformation, and lifelong learning.
  • • Bilingual in Vietnamese and Cantonese
Preferred
  • • 2–3 years of outpatient primary care experience preferred (Internal or Family Practice); senior-focused or complex care highly preferred.
  • • Prior exposure in Medicare Advantage, ACO, or Full-Risk VBC environments strongly preferred.
  • • Strong foundation in quality metrics (HEDIS/STAR), HCC risk coding, and care team leadership is preferred
Benefits & Perks
  • • Competitive base salary with performance-based bonus tied to quality outcomes, RAF accuracy, patient satisfaction, and clinical efficiency.
  • • Comprehensive benefits including medical, dental, vision, retirement plans, CME support, and malpractice coverage.
  • • Generous PTO and CME days.
  • • Relocation assistance and sign-on bonuses may be available for qualified candidates.

Position Summary: 


We are seeking a mission-driven, compassionate, and forward-thinking Primary Care Physician (PCP), bilingual in Vietnamese and Cantonese to join our best-in-class, full-risk Value Based Care Primary Care Practice Group. This role is designed for a physician who thrives in a value-based care environment and wants to focus deeply on relationship-based medicine, proactive health management, and personalized patient engagement.


Our practices enables physicians to deliver Quality Care and a team-based approach that allows providers to truly know their patients, manage complex conditions, and drive better health outcomes while reducing avoidable utilization.


Key Responsibilities:


Patient-Centered Clinical Care


• Deliver comprehensive, longitudinal primary care to a panel of Commercial and Medicare age patients 


• Provide patient- centered appointments, allowing time for whole-person care, counseling, education, and shared decision-making.


• Conduct Annual Wellness Visits (AWVs), preventive screenings, and evidence-based chronic care visits in alignment with CMS and other health plan quality metrics.


• Develop and maintain personalized care plans based on patient goals, risk factors, and social determinants of health.


• Integrate behavioral health, social support services, and care management into care plans in collaboration with the interdisciplinary team.


 


Care Team Collaboration for Value-Based Performance & Quality


• Drive quality performance by proactively identifying and closing care gaps aligned with HEDIS, STARS, and preventive screening measures.


• Deliver accurate, complete, and compliant documentation following CMS HCC risk adjustment guidelines and MEAT criteria to ensure optimal RAF scoring.


• Review and act upon pre-visit planning tools, post-visit summaries, and quality dashboards supported by the MSO/IPA.


• Coordinate with Care Management, Pharmacy, Behavioral Health, and Social Work teams for complex patient needs and transitions of care.


Ideal Candidate Profile:


 


Education & Licensure


• MD or DO from an accredited medical school.


• Board Certified/Board Eligible in Family Medicine or Internal Medicine.


• Active and unrestricted license in the state of California.


• Current DEA and NPI registration.


 


Experience


• 2–3 years of outpatient primary care experience preferred (Internal or Family Practice); senior-focused or complex care highly preferred.


• Prior exposure in Medicare Advantage, ACO, or Full-Risk VBC environments strongly preferred.


• Experience managing chronic disease populations with multiple comorbidities.


• Strong foundation in quality metrics (HEDIS/STAR), HCC risk coding, and care team leadership is preferred


 


Core Competencies


• Deep sense of empathy, compassion, and commitment to underserved and senior populations.


• Excellent communicator who builds trust and long-term relationships with patients and teams.


• High clinical judgment with a strong preventive and population health mindset.


• Comfortable with EMR systems, data dashboards, and VBC analytics.


• Committed to team-based care, clinical transformation, and lifelong learning.


• Bilingual in Vietnamese and Cantonese


 


Work Environment & Culture


• Panel sizes intentionally kept small (typically 400–500 patients per physician) to ensure relationship-based care.


• Longer appointment times and fewer daily visit requirements to enable high-touch, high-quality care.


• Collaborative and mission-aligned practice culture focused on outcomes, not RVUs.


• Access to strong MSO support in risk adjustment, clinical quality, care coordination, and patient engagement.


 


Compensation & Benefits


• Competitive base salary with performance-based bonus tied to quality outcomes, RAF accuracy, patient satisfaction, and clinical efficiency.


• Comprehensive benefits including medical, dental, vision, retirement plans, CME support, and malpractice coverage.


• Generous PTO and CME days.


• Relocation assistance and sign-on bonuses may be available for qualified candidates.

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