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Program Manager, Value-Based Care

Privia Health

Program Manager, Value-Based Care

Orlando, FL
Full Time
Paid
  • Responsibilities

    Job Description

    Travel Required: 15% - 20%

    The Program Manager, Value Based Care acts as a strategy and subject matter expert to 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 mapping out technology needs and enhancements, partnering with payers, and identifying and establishing tactics with providers and network partners. The Program Manager will be responsible for coordinating strategy and operations for Medicare (MSSP), Medicare Advantage, and Commercial VBC programs.

    Primary Job Duties:

    • 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 internal teams to implement them, including building process documentation for 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 team members when applicable
    • Working knowledge of EHR quality management programs
    • Perform other duties as assigned
  • Qualifications

    Qualifications

    • Bachelor’s degree Preferred; Master’s degree in Healthcare Administration or Public Health 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, with the Orlando area preferred
    • Must comply with HIPAA rules and regulations

    Interpersonal Skills & Attributes:

    • Process and Systems Oriented- Able to build process from scratch (flowcharts, documentation, etc.)
    • Organized and Detail-oriented- Remarkably organized, can juggle disparate tasks simultaneously while keeping it all together and organized
    • Analytical - Turns the unknown into knowledge in short order
    • Excellent communicator – expresses complex ideas ideas clearly and effectively to a varied audience of physicians, care center staff, and Privia employees
    • Collaborative- Able to work with anyone across the team to work through issues
    • Strategic – able to develop sophisticated relationships with network partners and payers

    The salary range for this role is $95,000 to $115,000 in base pay and exclusive of any bonuses or benefits. This role is also eligible for an annual bonus targeted at 15% and restricted stock units based on performance in the role. The base pay offered will be determined based on relevant factors such as experience, education, and geographic location.

    Additional Information

    All of 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 likehttps://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.

  • Industry
    Financial Services