Value-Based Care Operations Manager

This person will be part of a team contracting and managing a diversified value based care platform with over 100 VBC contracts and over 1 million attributed lives in commercial Medicare (Medicare Advantage & MSSP) and Medicaid lines of business across 13 states.

This person will be responsible for the implementation and management of multiple existing and new valuebased care arrangements and operations of initiatives related to these value based care arrangements  in conjunction with payer contracting business analytics and population health market leads. Troubleshoots issues across both Privia and payer partners across all lines of business. Serves as key communication liaison across payers and directs inquiries to the appropriate Privia health team. 

Essential Job Duties:

• Management of assigned book of business consisting of existing and new valuebased care arrangements and operations of initiatives related to these value based care arrangements. Including Managing risks and developing opportunities in collaboration with local and national value based care teams.

• Create refine and Lead Implementation workflows Issues/Troubleshooting and Value Based Care Reporting discussions for Quality Cost and RA VBCs in New and Existing markets including identifying business owners and subject matter experts identifying potential business or operational gaps and payer nuances.

• Ability to learn understand and demonstrate analytical/quantitative thinking around the economic and clinical drivers of success in the VBC programs expressed through an understanding of the program technical designs terms and metrics

• Develop lead and deliver valuebased program operationalization training to internal stakeholders and external stakeholders as needed.

• Partner with cross functional and matrixed teams to drive key operational decisions oversee implementation progress and milestones and other project management functions.

• Serve as the escalation point for issues originating from the payer market and/or Privia internal teams 

Project management support

• Develop and manage all aspects of projects including scope requirements project plans risk identification and mitigation plans communication and issue resolution

• Develop project related deliverables with minimal supervision including project plans PowerPoint presentations status reports meeting minutes issue/risk logs and meeting facilitation documents

• Assist with and present as needed presentations and updates of findings and make recommendations to internal and external stakeholders/leaders for assigned projects

• Monitor implementation and progress of various projects including working closely with various internal PMG departments to efficiently communicate and execute on action plans and compliancerelated initiatives

• Manage the coordination of various workgroups committee meetings and other best practice sharing events

Qualifications :

• Typically requires a bachelors degree and 5 to 7 years of experience. 

• 2 years of experience in managed care operations valuebased care and/or provider reimbursement and analytics

• Understanding of commercial Medicare Advantage and Medicaid managed care preferred

• Experience with project management tools

• Handles basic issues and problems and refers more complex issues to higherlevel staff. 

• Possesses beginning to working knowledge of subject matter. 

• Must comply with all HIPAA rules and regulations

Interpersonal Skills & Attributes:

• Collaborative customerfocused and able to create visible value

• Team approach to working with others ability to perform a variety of duties within any workday and organizational skills from planning to execution of tasks and projects.

• Extensive project management experience

• Process oriented with the ability to drive a project to completion

• Conflict management skills

• Problem solving skills with a proven track record

• Attention to detail

• Ability to work in a very fastpaced and changing work environment

• Ability to work independently and as a team member

• Selfdirected and resourceful

• Excellent communication and client facing skills

• Excellent organizational skills

• Technical Aptitude

The salary range for this role is $85000 to $100000.00 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% and restricted stock units. 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 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.  

Remote Work :

Yes

Employment Type :

Fulltime