Privia Health™ is a national physician platform transforming the healthcare delivery experience. We provide tailored solutions for physicians and providers, creating value and securing their future. 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.
Job DescriptionThis person will be part of a team contracting and managing a diversified value based care platform with over 100+ VBC contracts and over 1 million attributed lives in commercial, Medicare (Medicare Advantage & MSSP) and Medicaid lines of business across 13 states.
This person will be responsible for the implementation and management of multiple existing and new value-based care arrangements and operations of initiatives related to these value based care arrangements in conjunction with payer contracting, business analytics and population health market leads. Troubleshoots issues across both Privia and payer partners across all lines of business. Serves as key communication liaison across payers and directs inquiries to the appropriate Privia health team.
Essential Job Duties:
Management of assigned book of business consisting of existing and new value-based care arrangements and operations of initiatives related to these value based care arrangements. Including Managing risks and developing opportunities in collaboration with local and national value based care teams.
Create refine and Lead Implementation workflows, Issues/Troubleshooting and Value Based Care Reporting discussions for Quality, Cost and RA VBCs in New and Existing markets including identifying business owners and subject matter experts, identifying potential business or operational gaps and payer nuances.
Ability to learn, understand and demonstrate analytical/quantitative thinking around the economic and clinical drivers of success in the VBC programs expressed through an understanding of the program technical designs, terms and metrics
Develop, lead, and deliver value-based program operationalization training to internal stakeholders and external stakeholders as needed.
Partner with cross functional and matrixed teams to drive key operational decisions, oversee implementation progress and milestones, and other project management functions.
Serve as the escalation point for issues originating from the payer, market and/or Privia internal teams
Project management support
Develop and manage all aspects of projects including scope, requirements, project plans, risk identification and mitigation plans, communication, and issue resolution
Develop project related deliverables with minimal supervision including project plans, PowerPoint presentations, status reports, meeting minutes, issue/risk logs, and meeting facilitation documents
Assist with and present, as needed, presentations and updates of findings and make recommendations to internal and external stakeholders/leaders for assigned projects
Monitor implementation and progress of various projects including, working closely with various internal PMG departments to efficiently communicate and execute on action plans and compliance-related initiatives
Manage the coordination of various workgroups, committee meetings, and other best practice sharing events
Qualifications
Typically requires a bachelor's degree and 5 to 7 years of experience.
2+ years of experience in managed care operations, value-based care, and/or provider reimbursement and analytics
Understanding of commercial, Medicare Advantage and Medicaid managed care preferred
Experience with project management tools
Handles basic issues and problems, and refers more complex issues to higher-level staff.
Possesses beginning to working knowledge of subject matter.
Must comply with all HIPAA rules and regulations
Interpersonal Skills & Attributes:
Collaborative, customer-focused and able to create visible value
Team approach to working with others, ability to perform a variety of duties within any work-day and organizational skills from planning to execution of tasks and projects.
Extensive project management experience
Process oriented with the ability to drive a project to completion
Conflict management skills
Problem solving skills with a proven track record
Attention to detail
Ability to work in a very fast-paced and changing work environment
Ability to work independently and as a team member
Self-directed and resourceful
Excellent communication and client facing skills
Excellent organizational skills
Technical Aptitude
The salary range for this role is $85,000 to $100,000.00 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% and restricted stock units. The base pay offered will be determined based on relevant factors such as experience, education, and geographic location.
Additional InformationAll 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. Privia is a better company 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.