Sr. Manager, Privia Quality Network Operations
Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings.
About the role
This position acts as a value-based care strategist, operator, and subject matter expert in Quality for Privia's Mid-Atlantic market. The VBC Operations Sr. Manager will work closely with Privia's Population Health team, Performance Management team, and Chief Medical Officers to improve VBC performance and operational execution. The role owns the management of Privia's Population Health strategies designed to move practices further into value-based care, including understanding of MIPS, MSSP, MA STARS programs, and commercial value-based care programs. The Sr. Manager will oversee and manage the Population Health Associate 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 a 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.
Travel: 5%. Preferred location based on role requirements: Mid-Atlantic (MD, VA, DC). Must reside in the market of assignment unless otherwise agreed upon with the Market President.
Requirements
- 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 comply with HIPAA rules and regulations.
Pay
The salary range for this role is $90,000.00 to $110,000.00 in base pay, exclusive of any bonuses or benefits. The base pay offered will be determined based on relevant factors such as experience, education, and geographic location. This role is also eligible for an annual bonus targeted at 15% and Restricted Stock Units.
Benefits
- Medical, dental, and vision insurance
- Life and pet insurance
- 401K
- Paid time off
- Other wellness programs
Schedule
Technical requirements for remote workers: Minimum 5 MBPS download speed and 3 MBPS upload speed. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost.