Population Health Quality Coordinator

Txhealthcare; Fort Worth (TX); Hybrid; USD 42,000 - 62,000; Full time

Job summary

Privia Health seeks a Population Health Quality Coordinator to execute defined value-based program metrics and coordinate care for at-risk patients. You will engage in patient outreach, gap closure, and action on performance reports and regional plans.

The role requires clinical or licensure background, phone-based communication, EHR familiarity, and HIPAA compliance. Collaborative work with PCPs, care centers, and partners is essential.

Qualifications

• MA, EMT, Case Management certification and/or clinical experience preferred
• Preferred experience with profession-based telephonic or remote communication
• EHR experience preferred
• Must comply with all HIPAA rules and regulations

Responsibilities

• Conduct patient outreach to support quality-related programs and ensure target goals are achieved
• Assist in scheduling PCP and specialist patient appointments
• Prepare patient, provider, and care center level reports from the EMR and payer portals
• Review performance data for assigned region and create action plans that support organizational goals
• Build collaborative working relationships with care centers and population health specialists
• Demonstrate critical thinking to determine the best way to support care centers
• Answer and resolve business office inbound calls related to population health or other clinical activities
• Make referrals to internal care team, payer programs, community resources, home care, and disease management programs

Job description

Working closely with the Market-based Population Health teams, primary care providers (PCPs), networked partners, and Performance Management at Privia Health, the Population Health Quality Coordinator will provide execution on defined Value-Based Program Performance Metrics, care coordination, and support for Privia’s at-risk patients. Primary work will include patient outreach to provide coordination services, fill gaps in care, and regular review and action on local performance reports and regional action plans. The candidate will have relevant clinical experience, phone experience, educational background or license/certification to support the Population Health team.

Primary Job Duties:

• Conduct patient outreach in accordance with HIPAA and patient privacy guidelines to support quality-related programs and ensure target goals are achieved
• Assist in scheduling PCP and specialist patient appointments
• Prepare patient, provider, and care center level reports from the EMR and various payer portals rams
• Review performance data for assigned region and work closely with population health specialists to create action plans that support organizational goals for performance
• Build collaborative working relationships with care centers and population health specialist
• Demonstrate critical thinking to determine the best way to support care centers as needed given expertise, knowledge, and strategies.
• Answer and resolve business office inbound calls related to population health, care coordination, or other clinical activities
• Make appropriate referrals to internal care team, payer programs, community resources, home care, and disease management programs

Minimum Qualifications:

• MA, EMT, Case Management certification and/or clinical experience preferred
• Preferred experience with profession-based telephonic or remote communication
• EHR experience preferred
• Must comply with all HIPAA rules and regulations

Interpersonal Skills & Attributes:

• Innovative thinker
• Strong verbal communication skills, especially over the phone
• Team-focused: understands the need to work as a group to achieve goals, support team members, and listen to other points of view
• Demonstrate sound judgment and strategic mindset through critical decision-making
• Maintain a positive, caring attitude towards patients
• Ability to function efficiently and meet defined goals
• Must be detail-oriented
• Possess a focused work ethic and a high level of professionalism
• Self-motivated: Identifies opportunities and finds solutions to problems
• Able to multitask effectively
• Proficient with Microsoft Office applications including Word, Excel (Intermediate/Advanced), and PowerPoint as well as Google Docs
• Familiarity with HEDIS quality measures and or familiarity with HL7, CCDA, ADT feeds