Full-Time Value-Based Care Operations Manager
Privia Health is hiring a remote Full-Time Value-Based Care Operations Manager. The career level for this job opening is Manager and is accepting USA based applicants remotely. Read complete job description before applying.
Privia Health
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This person will be part of a team contracting and managing a diversified value-based care platform with over 100+ VBC contracts and over 1 million attributed lives in commercial, Medicare (Medicare Advantage & MSSP), and Medicaid lines of business across 13 states.
This person will be responsible for the implementation and management of multiple existing and new value-based care arrangements and operations of initiatives related to these value-based care arrangements in conjunction with payer contracting, business analytics, and population health market leads.
Troubleshoots issues across both Privia and payer partners across all lines of business. Serves as key communication liaison across payers and directs inquiries to the appropriate Privia health team.
Essential Job Duties:
- Management of assigned book of business consisting of existing and new value-based care arrangements and operations of initiatives related to these value-based care arrangements. Including Managing risks and developing opportunities in collaboration with local and national value-based care teams.
- Create, refine, and Lead Implementation workflows, Issues/Troubleshooting and Value-Based Care Reporting discussions for Quality, Cost, and RA VBCs in New and Existing markets including identifying business owners and subject matter experts, identifying potential business or operational gaps, and payer nuances.
- Ability to learn, understand, and demonstrate analytical/quantitative thinking around the economic and clinical drivers of success in the VBC programs expressed through an understanding of the program technical designs, terms, and metrics.
- Develop, lead, and deliver value-based program operationalization training to internal and external stakeholders as needed.
- Partner with cross-functional and matrixed teams to drive key operational decisions, oversee implementation progress and milestones, and other project management functions.
- Serve as the escalation point for issues originating from the payer, market, and/or Privia internal teams.
- Project management support: Develop and manage all aspects of projects including scope, requirements, project plans, risk identification and mitigation plans, communication, and issue resolution.
- Develop project-related deliverables with minimal supervision including project plans, PowerPoint presentations, status reports, meeting minutes, issue/risk logs, and meeting facilitation documents.
- Assist with and present, as needed, presentations and updates of findings and make recommendations to internal and external stakeholders/leaders for assigned projects.
- Monitor implementation and progress of various projects including, working closely with various internal PMG departments to efficiently communicate and execute on action plans and compliance-related initiatives.
- Manage the coordination of various workgroups, committee meetings, and other best practice sharing events.
Typically requires a bachelor's degree and 5 to 7 years of experience. 2+ years of experience in managed care operations, value-based care, and/or provider reimbursement and analytics.
Understanding of commercial, Medicare Advantage, and Medicaid managed care preferred.
Experience with project management tools.
Handles basic issues and problems, and refers more complex issues to higher-level staff. Possesses beginning to working knowledge of subject matter.
Must comply with all HIPAA rules and regulations.
Interpersonal Skills & Attributes:
- Collaborative, customer-focused and able to create visible value
- Team approach to working with others
- Ability to perform a variety of duties within any work-day
- Organizational skills from planning to execution of tasks and projects
- Extensive project management experience
- Process-oriented with the ability to drive a project to completion
- Conflict management skills
- Problem-solving skills with a proven track record
- Attention to detail
- Ability to work in a very fast-paced and changing work environment
- Ability to work independently and as a team member
- Self-directed and resourceful
- Excellent communication and client-facing skills
- Excellent organizational skills
Technical Aptitude
The salary range for this role is $85,000 to $100,000.00 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 15% and 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. Privia is a better company when our 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.
Possible employment type: Full-time
Possible allowed location: Remote, USA