Population Health Consultant

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

The Population Health Consultant will working closely with our primary care providers (PCP’s) to own and execute on defined Value-Based Care program performance metrics and support for Privia’s at-risk patients within a defined region. They are the primary point of contact and accountable for practice success with our largest and most complex groups. They are responsible for setting the strategic direction of the relationship, delivering data to providers and staff, and following through on action plans.

Travel Required: Yes, 50% within region (driving distance)

Essential Job Duties:

• Sets the annual goals and strategy for key PCP partners
• Meets regularly with PCP partners to ensure the annual goals are being met
• Works closely with care centers to close key quality measures and makes recommendations for improved documentation and workflows related to quality measures.
• Collaborates with healthcare providers, administrative and other care center staff to succeed in population health goals
• Assesses care centers’ needs, including, but not limited to, education, training, support and resources
• Provides on- and off-site support to healthcare providers, front/back office and administrative staff, including, but not limited to: providing education and training to providers and staff; developing and maintaining resource materials, guides and process workflows; mining, scanning and uploading patient medical documents from EMRs; and patient outreach. 
• Accesses patient health information and documentation through the EMR and various payer portals; Engages in patient EMR chart reviews and “sprint work” to help close care gaps for a variety of payers and programs, as needed
• Ensures that activities are in compliance with organizational and external standards
• Other duties as assigned

Qualifications

• High School diploma or general equivalency; Medical Assistant diploma preferred
• Ability to drive to physician practices daily
• 5+ years' of experience in a medical practice setting
• Prior experience with Health Insurance Portability and Accountability Act (HIPAA), the Centers for Medicare and Medicaid Services (CMS), Healthcare Effectiveness Data and Information Set (HEDIS) measures and Medicare Stars measures
• Knowledge of medical terminology and procedures, ICD-10 and CPT coding, insurance processes
• Previous experience with electronic medical records (EMR), preferrably Athena 
• MS Office literacy including intermediate Excel skills

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.