Director, Value-Based Care

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.

Location: Mid-Atlantic, remote with up to 25% in market travel in DC/MD/VA

The Associate Director, Value-Based Care is responsible for the development, implementation, and ongoing execution of work supporting Privia Quality Network (PQN) within defined ACO Programs. As part of the PQN Leadership team and partnering with the Operations Team Leads, other Program Leads,  and clinical leadership, develop and implement value-based programs, performance metrics and accountability, and performance improvement measures as needed. Additionally, this role is responsible for maintaining close relationships with payer partners to ensure Privia is positioned for success given any future program changes. This is a market-based role and candidates must reside within Maryland, Virginia, or the District of Columbia.

Essential Job Duties:

• Accountable for the program performance, administration, and operations of the MSSP Program(s) and value-based care programs across lines of business

• Lead and collaborate with the Board Committees  and Clinical Leaders to meet performance targets

• Develop and lead critical projects that will improve overall performance in the ACO

• Adept at managing multiple mission-critical priorities at once

• Educate the provider market and other key stakeholders on the program’s initiatives and performance

• Collaborate with internal teams to drive success in key areas, including but not limited to Quality, HCC Documentation & Coding, Clinical Operations, and Performance Management

• Drive results through dynamic leadership both internally and externally as a customer-facing leader 

• Serve as subject matter expert and internal resource for all things related to value-based care and collaborate with clinical and market leadership to guide program success 

• Organize population health team efforts and collaboration across lanes

• Prepare and participate in monthly operation reviews with senior leadership

• Work across value-based care and operational teams to advance performance and best practices in the market 

• Excellent communicator – expresses complex ideas ideas clearly and effectively to a varied audience of physicians, Care Center staff, and Privia employees

• Collaborator – able to develop buy-in and drive action across a wide set of team members

• Experienced and comfortable in environments that require  problem-solving without clear guidance and direction 

• Strategic – able to develop sophisticated relationships with network partners and payers

• Bachelor’s Degree highly preferred or relevant equivalent experience, MHA or advanced degree preferred

• 5+ years of relevant experience as a project or program leader within  healthcare

• Ideally, has had experience with CMS programs in the past

• A proven ability to gain trust and work effectively with physicians

• Demonstrated success in building and maintaining a strong operating organization, reinforcing the mission and culture of an enterprise as exemplified by uniform standards and consistent performance

• Strong orientation toward client service, quality, and team building

• Must comply with HIPAA rules and regulations

The salary range for this role is $105,000 to $125,000 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% & 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.