Sr. Manager, Privia Quality Network Operations

Privia Health; Virginia (MN); On-site; USD 90,000 - 110,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Pet insurance

401K

Paid time off

Other wellness programs

Job summary

Privia Health is seeking a Senior Manager, VBC Operations to drive value-based care initiatives across the Mid-Atlantic market. You will lead Population Health Advisors and Clinical Quality Associates, shaping quality metrics, workflow design, and payer collaborations to improve outcomes while mentoring teams.

The role requires a Master’s or equivalent experience, 4+ years of leadership, and familiarity with MSSP/HEDIS. Travel ~5% and residency in the market are preferred.

Qualifications

• Master's degree in Public Health, Business Management, Healthcare Administration or equivalent (or comparable experience).
• 4+ years of relevant working experience, including people management.
• Knowledgeable about population health management and value-based care.
• People management skills with experience mentoring high-performing teams.
• Ability to work in a fast-paced and changing environment.
• Experience with data collection and document management.
• Healthcare experience; experience with MSSP or HEDIS preferred.
• Must reside in the market of assignment and comply with HIPAA rules.

Responsibilities

• Drive clinical quality strategy by aligning contract requirements with performance opportunities.
• Lead strategic projects advancing Population Health initiatives across quality, cost, and operations.
• Oversee Population Health Advisors and Clinical Quality Associates teams to meet targets.
• Resolve barriers to operational execution and improve efficiency.
• Influence physician leadership to adopt new ideas, products or approaches.
• Support teams in developing region- and POD-specific strategies and priorities.
• Design workflows to achieve quality outcomes and document processes for HEDIS measures.
• Manage payer relationships to drive clinical quality outcomes.
• Maintain knowledge of the organization’s EHR to support physician workflows.

Skills

People management

Data collection

HIPAA compliance

Healthcare knowledge

Quality program experience

Stakeholder management

Project management

Education

Master's degree or equivalent

Job 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.

Travel: 5%, Preferred location based on role requirements - Mid-Atlantic (MD, VA, DC, CT)

Privia's VBC Operations Sr. Manager acts as a value-based care strategist, operator, and subject matter expert in Quality to Privia's Mid-Atlantic market. This position will work closely with Privia's Population Health team, Performance Management team, and Chief Medical Officers to improve VBC performance and operational execution. The VBC Operations Sr. Manager owns the management of Privia's Population Health strategies that are designed to move practices further into value-based care, which includes understanding of MIPS, MSSP, and MA STARS programs, and commercial value-based care programs. The Sr. Manager will oversee and manage the Population Health Advisor team and the Clinical Quality Associate team.

• Drive clinical quality strategy by aligning contract requirements with performance opportunities; serve as the internal subject matter expert (SME) on key clinical quality metrics.,
• Lead strategic projects that advance core Population Health initiatives across quality, cost, and operational efficiency.
• Lead team of Population Health Advisors and Clinical Quality Associates in implementing market-specific strategies to achieve population health goals and targets.
• Resolve barriers to operational execution across both teams to improve efficiency and provide clear resolution.
• Influence physician leadership to adopt new ideas, products, and / or approaches and continue growing and sustaining positive, collaborative relationships.
• Support teams in the development of functional, regional- and POD-specific strategies, action plans and organizational priorities.
• Design and implement workflows to achieve quality outcomes, partnering with internal teams to build process documentation for HEDIS measures.
• Manage payer relationships and collaborate with external payer teams to drive clinical quality outcome strategies.
• Maintain a working knowledge of the organization’s EHR to support physician specific workflows.
• Master's degree in Public Health, Business Management, Healthcare Administration or relevant program highly preferred OR Equivalent relevant experience
• 4+ years of relevant working experience, including people management.
• Knowledgeable about population health management and value based care.
• People management skills with experience in mentoring high-performing teams.
• Ability to work in a very fast-paced and changing work environment.
• Experience with data collection and document management.
• Healthcare experience required; Experience with Quality programs such as MSSP or HEDIS strongly preferred.
• Must reside in the market of assignment unless otherwise agreed upon with the Market President.
• Must comply with HIPAA rules and regulations.

The salary range for this role is $90,000.00 to $110,000.00 in base pay and exclusive of any bonuses or benefits.

• Medical insurance
• Dental insurance
• Vision insurance
• Life insurance
• Pet insurance
• 401K
• Paid time off
• Other wellness programs

This role is also eligible for an annual bonus targeted at 15% & Restricted Stock Units. The base pay offered will be determined based on relevant factors such as experience, education, and geographic location.

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.