Sr. Manager, Value-Based Care Operations

Privia Medical Group; United States; Remote; USD 95,000 - 110,000; Full time

Job summary

An innovative healthcare organization is seeking a Sr. Manager for Value-Based Care Operations to lead a diverse portfolio of care arrangements. This role is pivotal in optimizing operations and enhancing patient experiences through collaboration with various stakeholders. The ideal candidate will have a strong background in managed care and value-based care, with excellent communication and problem-solving skills. This position offers the opportunity to make a significant impact in a technology-driven environment, supporting both in-person and virtual care settings. Join a forward-thinking company dedicated to improving healthcare outcomes and fostering an inclusive workplace.

Benefits

Annual Bonus Potential

Restricted Stock Units

Remote Work Expenses Support

Qualifications

• 2+ years in managed care operations or value-based care.
• Knowledge of HIPAA compliance required.

Responsibilities

• Implement and manage value-based care arrangements.
• Create workflows and lead implementation efforts.
• Serve as escalation point for issues.

Skills

Managed Care Operations

Value-Based Care

Provider Reimbursement

Project Management

Analytics

Interpersonal Skills

Problem Solving

Education

Bachelor's Degree

Tools

Project Management Tools

Job description

Sr. Manager, Value-Based Care Operations

• Full-time
• Department: Payer Contracting

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.

The Sr. Manager, Value-Based Care Operations will be part of a team managing a diversified value-based care platform with over 100+ VBC contracts and over 1 million attributed lives across commercial, Medicare (Medicare Advantage & MSSP), and Medicaid lines of business in 14 states.

This role involves implementing and managing existing and new value-based care arrangements, coordinating with payer contracting, business analytics, and population health market leads. The manager will troubleshoot issues, serve as a communication liaison with payers, and manage a portfolio of value-based care arrangements, including risk management and opportunity development.

Responsibilities include creating and refining workflows, leading implementation, developing relationships with business owners and subject matter experts, and understanding the technical designs, terms, and metrics of VBC programs. The role requires developing action plans, delivering operational training, partnering with cross-functional teams, and maintaining strategic payer relationships.

The manager will serve as an escalation point for issues and support project management activities, including scope definition, planning, risk mitigation, and stakeholder communication. They will also prepare project deliverables, monitor progress, and coordinate workgroups and meetings.

Minimum qualifications include a Bachelor's Degree or equivalent experience, 2+ years in managed care operations, value-based care, or provider reimbursement and analytics, with preferred experience in commercial, Medicare Advantage, and Medicaid managed care. Knowledge of project management tools and HIPAA compliance is required.

Interpersonal skills should include collaboration, customer focus, organizational ability, problem-solving, and adaptability to a fast-paced environment. Technical aptitude and excellent communication skills are essential.

The salary range is $95,000 to $110,000, excluding bonuses and benefits, with an annual bonus potential of 15% and restricted stock units. Compensation will be based on experience, education, and location.

Remote workers must have a minimum internet speed of 5 Mbps download and 3 Mbps upload, verified via online speed tests. Privia supports remote work expenses and fosters an inclusive work environment reflecting the communities served.