Program Manager, VBC

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 Program Manager, Value Based Care acts as a strategy and operational leader for the Value Based Care (VBC) team in the Florida market and across the company. The Program Manager is responsible for creating strategy and processes within their specific market in Privia Health to succeed in VBC outcomes, such as identifying and establishing tactics with providers and network partners and working with internal teams to implement new technologies and solutions. This position will coordinate strategy and operations for Medicare (MSSP), Medicare Advantage, Medicaid, and Commercial VBC programs for a team of Quality and Population Health associates.

• Become a subject matter expert and build strategy on key opportunity areas by understanding the details of Privia’s VBC payer contracts and the outcomes they require
• Design workflows to meet contract measures and partner with staff to implement them, including building process documentation for total cost of care, risk adjustment and quality measures
• Work closely with physician leaders to review population health training, initiatives, and data, along with co-leading provider committees as needed
• Collaborate with external payer team members on strategies for VBC contracts
• Manage and support relationships between internal partners and facilitate best practice sharing
• Work with teams across the company to support their key processes or areas of improvement
• Manage day to day operations of direct employees to include, hiring, training, development and performance management.
• Working knowledge of EHR quality management programs
• Perform other duties as assigned

Qualifications

• Bachelor’s degree in Healthcare Administration, Public Health, Nursing, or similar field required; Master’s degree preferred
• 5+ years of experience working in health plans, health systems, or provider organizations, managing value-based and risk-based contracts required
• Analytical, quantitative, and metrics driven; must know how to interpret value-based program requirements and understand the impact on financial results
• Strong project manager able to juggle multiple projects and urgent deliverables across a wide variety of teams and stakeholders
• Must reside in market of assignment
• Must comply with HIPAA rules and regulations

The salary range for this role is $92,000  to $115,000 in base pay. This role is also eligible for an annual bonus targeted at 15%. 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.

Preferred experience with profession-based telephonic or remote communication ● Must comply with all HIPAA rules and regulations 

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.