Full-Time Director, Network Management

• Work with market leaders to develop, document, and execute Privia’s network management roadmap to measurably and favorably impact total cost of care.
• Collaborate with Market, Provider, and Payer Leadership to identify key opportunities for priority contracts, create goals, and facilitate sharing across markets and between entities.
• Review and interpret market intelligence derived from clinical and financial data for preferred networks among both PMG and PQN providers to inform network decisions.
• Partner with IT teams to implement operational workflows that enhance the efficiency and effectiveness of network management across all markets.
• Develop and expand tactics like eConsult models, decision support, patient outreach tools, and similar to facilitate necessary referrals and ensure care is most likely to occur with high quality, low cost, and accessible providers.
• Manage external vendors and delegated partners that are leveraged to effectuate network management tactics, ensuring performance accountability, successful integration, and alignment with Privia’s strategic goals.
• Act as the internal subject matter expert for Market Teams and Providers, on network topics, such as keepage, appropriate referral volume, preferred provider relationships, and payers’ High-Value Networks.
• Partner with market teams to develop strategic care delivery relationships with healthcare entities, including specialists, and later, hospitals, skilled nursing, and other sites of care.
• Ensure diligent execution of the network management roadmap, tracking progress against key milestones and proactively addressing any potential roadblocks.

• Masters Degree, MPH, MHA, or MBA preferred
• Analytical, quantitative and financial skills
• Experience in business development
• Knowledge of interoperability of electronic health records in coordination with network partners
• Background with providers in clinically integrated networks

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