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.
*This position is a hybrid role that requires in office on Tuesdays and Thursdays at 1200 Binz St Suite 1490 Houston TX 77004. Mon, Wed, and Fri are typically work from home.*
The Regional Population Health Coordinator will provide ownership and execution on defined Value-Based Program Performance Metrics, care coordination and support for Privia’s at-risk patients. Primary work will include driving Population Health performance for assigned care centers, patient outreach to schedule patients for appointments, quality measure attestations, quality measure education to care centers, coding and documentation and payer attestations.
Primary Job Duties:
Review Value Based Care Program performance data (ie: quality, risk adjustment, patient satisfaction, patient scheduling rates) for assigned care centers and create action plans that support organizational goals
Evaluate payer and internal reports to identify physician and office trends
Build and develop collaborative relationships with assigned care centers in order to drive performance in Value Based Care Programs
Coordinate and facilitate monthly meetings with physicians and staff, as necessary.
Conduct patient outreach in accordance with HIPAA and patient privacy guidelines to support quality-related programs and ensure target goals are achieved
Prepare and present patient, provider, and care center level reports from the EMR and various payer portals to the care centers
Engage in patient EMR chart reviews to help close care gaps for a variety of payers and programs
Engage in multiple healthplan/payer portals to submit supplemental data to close quality gaps.
Collaborate effectively with internal teams to support care coordination for patients and drive metrics in Value Based Contracts
Provide quality measure training and other presentations, as needed, to care center staff and providers
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
Accepts other duties, as required, willingly. Demonstrates follow through on assigned duties.
Clinical or office manager/leadership preferred
Knowledge of medical terminology and procedures, ICD-10, and CPT coding
Proficient with Microsoft Office applications including Word, Excel, and PowerPoint as well as Google Docs
Previous experience in a physician office and/or Medicare Advantage Program
Excellent organizational skills
Strong interpersonal skills
EHR experience preferred
Must comply with all HIPAA rules and regulations
Strong verbal communication skills, especially over the phone, and strong written communications skills
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 in a virtual environment and meet defined goals
Excellent organizational skills
Possess a focused work ethic and a high level of professionalism
Flexible, as work location is a combination of corporate office and remote operations time
Self-motivated: Identifies opportunities and finds solutions to problems
Able to multitask effectively
Ability and willingness to work flexible hours to meet staffing needs
All of your information will be kept confidential according to EEO guidelines.
Technical Requirements (for remote workers):
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.
We place the patient-provider relationship at the heart of healthcare. To nurture this vital relationship, we deliver tools, talent, and technology built to help doctors and their teams keep patients healthy.
800+
Total
Employees
920+
Practice
Locations
3,500+
Providers
4M+
Total
Patients
Our exceptional providers, proprietary technology, and team-based approach offer a first-rate patient experience to help manage and improve the health of the communities we serve.
We work with key stakeholders on a joint mission to increase patient engagement, accelerate the transition to value-based care, reduce unnecessary costs and utilization, and create a high-quality healthcare experience for patients and providers.
As a physician-focused organization, we understand the pivotal role providers serve in shaping the healthcare landscape. Our diverse leadership and industry expertise help optimize quality, value, and efficiency.
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