Operations Consultant II

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

Travel Required: Yes 

The Operations Consultant II is responsible for directly managing and supervising a portfolio of clinically integrated multi-specialty practices and being accountable for driving operational performance and growth.  Additionally they will work closely with the Director or Practice Operations and Value Based Care Leadership to ensure the success of our value-based / ACO programs.  This includes launching and managing new value based and population health initiatives.

Primary Job Duties:

• Drive growth and operational improvement to a portfolio of physician practices.
• Partner with physicians owners and focus on strategic planning & execution (VBC & FFS performance, same store growth, succession planning)
• Partner with Privia VBC and physician leadership to drive care transformation
• Track and manage metrics and goals related to finance, revenue cycle, productivity, clinical performance, value-based care and customer experience.
• Review data, share best practices and coach Care Center teams on strategies to succeed in value-based care agreements with payers.
• Aide in the transition of the physician practice from Fee-For-Service to the future Risk-based world of healthcare reimbursement

• Works collaboratively with market operations team and Value-Based Care team to develop and deploy strategies and tactics to succeed in value-based contracts
• Analyzes population health and utilization metrics to determine areas of focus for improvement
• Leads regular physician meetings, both group and one on one, to review population health training, initiatives, and data
• Trains specific physician practices on how to transform their group and staff to the new world of value-based care, on topics including Quality, Risk Adjustment, and Total Cost of Care

• Champion deep understanding and thought leadership of deal mechanics predominantly in support of population health risk arrangements in Medicare (FFS/MSSP)
• Cultivate understanding of actuarial aspects of program design, understanding opportunities and threats to the business
• Utilize data mining expertise to for insight into drivers of cost & utilization mediating contract performance
• Model and understand risk status and coding efforts as a mediator of contract achievement

Qualifications

• Bachelor’s degree preferred. Healthcare Master’s or MBA highly preferred.
• 5+ years of healthcare experience required, particularly working with physicians and medical group staff 
• Quantitatively and financially proficient; must know how to read, interpret and explain financial data
• Comfort in functioning independently and autonomously and can effectively build a case to effect change. Demonstrates the judgment to appropriately escalate situations as necessary..
• Project management experience, juggling multiple projects and urgent deliverables while providing exceptional client service
• Firm understanding of Population Health Management and how it applies to risk-based contracts.
• Experienced  in value-based payer programs, risk, and successful tactics to improve quality and generate savings
• Ability to interact with all levels including senior management and influence decision-making
• Able to grasp both clinical and business concepts
• Analytical, quantitative, and metrics driven; must know how to interpret value-based program requirements and understand the impact on financial results
• Demonstrated ability to work with, train, and collaborate with clinicians
• Proficient in HCC, Quality and AWV workflows to assist practices
• Must have access to reliable transportation
• Must comply with HIPAA rules and regulations

• Interpersonal skills and attributes:

• Able to have honest, difficult conversations with physicians and their teams about financial performance and areas of opportunity for improvement
• Skilled in establishing and maintaining effective working relationships with providers, management, clients and staff, in order to get buy-in to decisions
• Expresses ideas clearly and eff