Population Health Associate

SmartRecruiters, Inc.; Houston (TX); Hybrid; USD 50,000 - 59,000; Full time

Job summary

Privia Health in Houston seeks a Population Health Associate to support population health initiatives for an attributed patient population. The role combines virtual and in-person engagement with Privia providers and care centers to review performance and drive improvement.

You will analyze performance data to create actionable reports, present findings to care centers, and maintain ownership of key metrics. Travel to PODS meetings is required as needed.

Qualifications

• Bachelor's degree with commensurate experience preferred.
• 3+ years of experience in a medical office setting.
• Healthcare experience; MSSP/MIPS/HEDIS/STARS experience preferred.
• Experience with EMR workflows, preferably athenaNet.
• Basic knowledge of coding and documentation, particularly around hierarchical condition coding, preferred.
• Must reside in market of assignment.
• Must comply with HIPAA rules and regulations.

Responsibilities

• Reviews and analyzes performance data from payers and Privia analytics to create actionable reports for providers that include specific measurable performance goals that support larger team or organizational goals for performance on access, quality, coding, documentation, and other value-based care metrics
• Present data and actionable reports with providers and care center staff during regular in-person and/or one-on-one monthly meetings on site at care centers, creating accountability for success in assigned care centers
• Maintains ownership and accountability over the performance of key metrics for each assigned care center
• Build and develop collaborative relationships with assigned care centers to drive performance in Value-Based Care Programs
• Provide quality measure training and other presentations, as needed, to care center staff and providers
• Uses knowledge of EMR and previous medical office experience to provide personalized workflow guidance, best practices, and troubleshooting to support performance in value-based care
• Analyze medical records to identify quality measure gap closure opportunities and trends.
• Submit supplemental data to the appropriate payer portals
• Participate in special projects and perform other duties as assigned

Skills

EMR workflows

Value-based care familiarity

Coding & documentation

Critical thinking

HIPAA compliance

Self-starter

Education

Bachelor's degree

Job description

• Department: Clinical Operations - Market

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

*This positionis a hybrid role that requires in office on Tuesdays and Thursdays at 1200 Binz St Suite 1490 Houston TX 77004. Mon, Wed, and Fri are typically work from home but subject to change.

The Population Health Associate serves in a consultative role, supporting population health initiatives for an attributed patient population. This position partners closely with the Quality, Risk Adjustment, Population Health Leadership, and Practice Operations teams to develop and implement action plans and goal-setting strategies with assigned providers and care centers. The focus is on improving quality performance, accurate coding, and clinical documentation to support success in value-based care agreements.

The role includes both virtual and in-person engagement with Privia providers and care center teams to review performance, identify opportunities, and align on focus areas and improvement strategies.

This position requires travel and mandatory attendance at two annual PODS (Physician Organization Delivery System) meetings. Flexibility is essential, as meetings may occur outside of standard business hours to accommodate provider and care center availability.

• Reviews and analyzes performance data from payers and Privia analytics to create actionable reports for providers that include specific measurable performance goals that support larger team or organizational goals for performance on access, quality, coding, documentation, and other value-based care metrics
• Present data and actionable reports with providers and care center staff during regular in-person and/or one-on-one monthly meetings on site at care centers, creating accountability for success in assigned care centers
• Maintains ownership and accountability over the performance of key metrics for each assigned care center
• Build and develop collaborative relationships with assigned care centers to drive performance in Value-Based Care Programs
• Provide quality measure training and other presentations, as needed, to care center staff and providers
• Uses knowledge of EMR and previous medical office experience to provide personalized workflow guidance, best practices, and troubleshooting to support performance in value-based care
• Analyze medical records to identify quality measure gap closure opportunities and trends.
• Submit supplemental data to the appropriate payer portals
• Participate in special projects and perform other duties as assigned

Qualifications

• Bachelor's degree with a commensurate level of experience preferred
• 3+ years of experience, preferably in a medical office setting
• Healthcare experience required; experience with value-based care programs such as MSSP, MIPS, HEDIS, or STARS preferred
• Fluent in EMR clinical workflows; strong preference for experience in athenaNet
• Basic knowledge of coding and documentation, particularly around hierarchical condition coding, preferred
• Self-starter, demonstrates critical thinking to determine the best way to support care centers as needed, given expertise, knowledge, and strategies
• Must reside in market of assignment
• Must comply with HIPAA rules and regulations

The salary range for this role is $50,000.00 to $58,656.00 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 10% . 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. We understand that healthcare is local and we are better whenour 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.

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