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Clinical Quality Associate

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Company 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.

Job Description

Working closely with the Market-based Population Health teams, primary care providers (PCP’s), networked partners, and operations team at Privia Health, the Clinical Quality Associate will provide ownership and execution on defined Value-Based Care program performance metrics and support for Privia’s at-risk patients within a defined region. Primary work will include completing quality audits, providing context for provider education, patient outreach to provide coordination services, fill gaps in care, payer attestations, and regular review and action on local performance reports and regional action plans. The candidate will have relevant clinical experience, educational background or license/certification to support the Quality Management team.

Collaborate with local teams to define performance metrics
Own the execution and proactively resolving issues and performance toward defined performance metrics
Review patient non-compliance reports to ensure timely disease specific and wellness visits
Identify concerns and demonstrates critical thinking to determine plan of action and/or support care centers
Subject matter expert on all requests related to population health and quality measure specifications.
Analyzing payer reports and determines what information is shared back to care centers
Provide education and assistance with patient self-management goals
Make appropriate referrals to internal care team, payer programs, community resources, home care, and disease management programs
Perform necessary payer attestation and performance reporting through payer portals
Operate independently to achieve agreed upon goals
Collaborate effectively with both internal and external teams to support population health and quality metrics
Diligently maintain HIPAA and HR training, knowledge base and compliance at all times
Manage and lead detailed special projects and communicate status to the client and Privia management team
perform other duties as assigned

Qualifications

2+ years of population health or healthcare experience preferred.
MA, CHW, EMT, Health Coach, Case Management certification and/or experience preferred
Preferred experience with remote communication.
Must comply with all HIPAA rules and regulations
Athena experience preferred.

The hourly rate range for this role is $23.00- $27.00hr in base pay. 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 10% .The base pay offered will be determined based on relevant factors such as experience, education, and geographic location.

Additional Information

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.

Privia Health Glassdoor Company Review

3.9

Privia Health DE&I Review

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CEO of Privia Health

Shawn Morris

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Average salary estimate

$52000 / YEARLY (est.)

min

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$47840K

$56160K

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What You Should Know About Clinical Quality Associate, Privia Health

Join the dynamic team at Privia Health as a Clinical Quality Associate and immerse yourself in a mission-driven environment where technology meets healthcare. As part of an innovative, physician enablement company, you'll collaborate with Market-based Population Health teams, primary care providers, and networked partners to elevate the standard of care for our at-risk patients. Your role will involve executing Value-Based Care program performance metrics, completing quality audits, and providing invaluable patient outreach to fill care gaps. In this remote position, you will operate independently to tackle challenges and drive improvements by analyzing non-compliance reports, ensuring timely follow-ups, and supporting care centers with your clinical expertise. You'll be the go-to resource for understanding population health metrics and will actively engage in educational initiatives aimed at empowering patients to manage their health effectively. With a focus on collaboration, you'll communicate regularly with internal and external teams, review local performance reports, and help implement action plans. Your background in healthcare, along with experience in roles like MA, Health Coach, or EMT, will be essential as you contribute to our mission of improving patient outcomes and satisfaction. With competitive pay ranging from $23 to $27 per hour and eligibility for annual bonuses, Privia Health values your unique contributions and supports a thriving work environment that reflects the diversity of the communities we serve. If you’re passionate about quality healthcare and looking to grow with a forward-thinking company, this is the opportunity for you.

Frequently Asked Questions (FAQs) for Clinical Quality Associate Role at Privia Health

What are the main responsibilities of a Clinical Quality Associate at Privia Health?

As a Clinical Quality Associate at Privia Health, you will be responsible for executing Value-Based Care program performance metrics, conducting quality audits, and providing patient outreach for care coordination. Your role will also include reviewing performance reports, educating patients on self-management goals, and ensuring compliance with healthcare standards. Your expertise will support both internal teams and providers to enhance the quality of care delivered to at-risk patients.