Director Clinical Programs

Company Description

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. The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers.

Job Description

The Director, Clinical Program Management will work directly with national and market teams to develop and scale Privia’s clinical programs, particularly with regard to medication adherence and care coordination. They will be responsible for meticulously managing the tactical components of design in partnership with clinical and administrative thought leaders across the organization with the goal of achieving quality, cost and patient experience goals under our value-based contracts.

• Collaborate with national departments and market leaders to project manage, design, implement, monitor, evaluate and improve the performance of Clinical Programs that improve performance of Value Based Contracts.

• Collaborate with market and provider leaders to monitor and evaluate the effectiveness of value-based care programs, identifying areas for improvement, with a particular focus on measures related to medication adherence and care coordination. 

• Collaborate with vendors, technology teams, and market leaders to enable seamless care coordination across all sites of care. Drive initiatives to improve contract quality measures, including readmissions, medication reconciliation, and transitional care management. 

• Build and maintain corporate expertise on medication adherence strategies. Partner with market leaders to test and evaluate various medication adherence approaches. Use data to identify and promote medication adherence strategies that demonstrably improve contract quality compliance rates. 

• Collaborate with analytics teams to track and analyze near-term and long-term outcomes (including ROI) and quality metrics. Utilize data insights to identify trends, opportunities for improvement, and to inform tactical decision-making alongside market and national teams. 

• Maintain a close working relationship with the National Director, Contract Quality to ensure a comprehensive understanding of quality contract performance. Proactively identify and address potential quality contract performance gaps. Ensure that initiatives and processes are aligned with contract requirements. 

• Document repeatable processes and best practices in the form of Standard Operating Procedures (SOPs). Promote the use of standardized processes to ensure consistency and efficiency across the organization. Drive continuous quality improvement efforts.

Qualifications

• Nursing, Social work, pharmacy, medical, or similar clinical expertise preferred.

• 5+ years of experience in a clinical management role

• Familiarity with reimbursement models such as pay-for-performance, shared risk, and full capitation and strong understanding of value-based care tenets and tactics

• Highly collaborative with, and credible among, multiple stakeholders; including clinical, administrative and analytic teams

• Analytical and comfortable with numbers – will use ROI analyses to drive decisions

• Strong project management skillset 

• Must comply with HIPAA rules and regulations

The salary range for this role is $127,000.00 - $149,000.00 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 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. 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.