Sr. Director, Value-Based Care

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 Senior Director, Value-Based Care is responsible for leading the successful performance of Privia Quality Network-Central (PQN) FL / Privia Medical Group - FL in defined value-based care programs. This includes operating in a highly complex market, including employed and independent providers in highly varied practice models. The leader will maintain and enhance existing physician governance models, ensure processes support meeting cost, quality, and patient experience targets, and maintain a connection to the market’s operational leaders across specialties. The ultimate goal for this individual is to oversee PQN Central FL’s success in value-based care programs.

Essential Job Duties:

• Own and maintain accountability for success in high-value contracts, including MSSP and MA contracts. Maintain a cadence of success in Pay-for-Performance programs.
• Promote and obtain efficient vended or internally hosted tools and resources for VBC tactic teams and engaged provider leaders to meet performance targets. 
• Ensure that the staffing structure and budget for the VBC team meets the demands of the market in a cost-effective manner as it grows. Assess and maintain provider engagement through partnership with providers leaders and maintenance of provider governance in the market, including the PQN Board of Directors and other leader teams
• Maintain bi-directional communication with executive market and corporate leader teams on market performance and trends.
• Collaborate with National VBC team on infrastructure development and adoption
• Use data and analytics to help develop, impact, and monitor the market’s performance.
• Consult with payer contracting teams to ensure current and future programs align with market strategy.
• Take a leadership role in payer joint operating committees
• Maintain a connection to national network management leadership to ensure local market leaders are aware and responsive to key players in the market
• Partner with the Sales team in activities requiring VBC representation.
• Maintain relationships with partner leaders of CINs, IPAs and similar systems in the market.  
• Facilitate data sharing between Privia and employer groups 
• Demonstrate excellence in communication; express complex ideas ideas clearly and effectively to a varied audience of physicians, care center staff, and Privia employees

Qualifications

• Bachelor’s Degree required, MBA or advanced degree preferred
• 5-10 years of relevant experience as a project or program leader within healthcare
• Ideally, has had P&L responsibility in prior roles
• A proven ability to gain trust and work effectively with providers and their teams
• Documented experience in a high-growth environment and proven ability to develop and implement existing operating infrastructure including people, processes and IT systems
• 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

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.

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