Privia Health

Sr. Manager, Privia Quality Network Operations

Privia Health$90K — $110K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Master's degree in Public Health, Business Management, Healthcare Administration, or relevant experience strongly preferred
  • 4+ years of relevant experience including management of teams
  • In-depth knowledge of population health management and value-based care
  • Demonstrated people management experience with high-performing teams
  • Ability to thrive in a fast-paced and dynamic environment
  • Proficiency in data collection and document management
  • Healthcare experience; familiarity with Quality programs like MSSP or HEDIS preferred

Responsibilities

  • Drive clinical quality strategy to align contract requirements with performance opportunities
  • Lead strategic projects to enhance Population Health initiatives in quality, cost, and operations
  • Oversee Population Health Advisors and Clinical Quality Associates to achieve health goals
  • Identify and reduce operational barriers for improved efficiency
  • Promote new ideas and strategies to physician leadership
  • Assist in the development of strategies and action plans for specific regions
  • Design workflows for quality outcomes and create HEDIS process documentation
  • Manage relationships with payers and collaborate for clinical quality outcomes

Benefits

  • Medical, dental, and vision insurance
  • Life and pet insurance
  • 401K plan
  • Paid time off
  • Wellness programs
  • Eligible for annual bonus and Restricted Stock Units
  • Expense reimbursement for home office setup
Full Job Description
Job Description

Travel: 5%, Preferred location based on role requirements - Mid-Atlantic (MD, VA, DC, CT)

Privia's VBC Operations Sr. Manager acts as a value-based care strategist, operator, and subject matter expert in Quality to Privia's Mid-Atlantic market. This position will work closely with Privia's Population Health team, Performance Management team, and Chief Medical Officers to improve VBC performance and operational execution. The VBC Operations Sr. Manager owns the management of Privia's Population Health strategies that are designed to move practices further into value-based care, which includes understanding of MIPS, MSSP, and MA STARS programs, and commercial value-based care programs. The Sr. Manager will oversee and manage the Population Health Advisor team and the Clinical Quality Associate team.
  • Drive clinical quality strategy by aligning contract requirements with performance opportunities; serve as the internal subject matter expert (SME) on key clinical quality metrics.,
  • Lead strategic projects that advance core Population Health initiatives across quality, cost, and operational efficiency.
  • Lead team of Population Health Advisors and Clinical Quality Associates in implementing market-specific strategies to achieve population health goals and targets.
  • Resolve barriers to operational execution across both teams to improve efficiency and provide clear resolution.
  • Influence physician leadership to adopt new ideas, products, and / or approaches and continue growing and sustaining positive, collaborative relationships.
  • Support teams in the development of functional, regional- and POD-specific strategies, action plans and organizational priorities.
  • Design and implement workflows to achieve quality outcomes, partnering with internal teams to build process documentation for HEDIS measures.
  • Manage payer relationships and collaborate with external payer teams to drive clinical quality outcome strategies.
  • Maintain a working knowledge of the organization's EHR to support physician specific workflows.


Qualifications
  • Master's degree in Public Health, Business Management, Healthcare Administration or relevant program highly preferred OR Equivalent relevant experience
  • 4+ years of relevant working experience, including people management.
  • Knowledgeable about population health management and value based care.
  • People management skills with experience in mentoring high-performing teams.
  • Ability to work in a very fast-paced and changing work environment.
  • Experience with data collection and document management.
  • Healthcare experience required; Experience with Quality programs such as MSSP or HEDIS strongly preferred.
  • Must reside in the market of assignment unless otherwise agreed upon with the Market President.
  • Must comply with HIPAA rules and regulations.

The salary range for this role is $90,000.00 to $110,000.00 in base pay and exclusive of any bonuses or benefits (medical, dental, vision, life, and pet insurance, 401K, paid time off, and other wellness programs). This role is also eligible for an annual bonus targeted at 15% & Restricted Stock Units. The base pay offered will be determined based on relevant factors such as experience, education, and geographic location.

Additional Information

All your information will be kept confidential according to EEO Guidelines

Technical Requirements (for remote workers only, not applicable for onsite/in office work):

In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like https://www.speedtest.net/. This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your connection. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost.

Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. We understand that healthcare is local and we are better when our people are a reflection of the communities that we serve. Our goal is to encourage people to pursue all opportunities regardless of their age, color, national origin, physical or mental (dis)ability, race, religion, gender, sex, gender identity and/or expression, marital status, veteran status, or any other characteristic protected by federal, state or local law.

About Privia Health

Privia Health is a national physician organization that transforms the healthcare delivery experience for providers and consumers. Through high-performance physician groups, accountable care organizations, and population health management programs, Privia works in partnership with health plans, health systems and employers to better align reimbursements to quality and outcomes. Privia's platform provides the tools to manage patient care, physician utilization, and population health, enabling better patient experiences and outcomes.
Learn more about Privia Health
Size
1,700 employees
Market Cap
$2.6 billion
Industry
Founded
2007
NASDAQ

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