Company Description

Job Description

The Regional Population Health Coordinator will provide ownership and execution on defined Value-Based Program Performance Metrics, care coordination and support for Privia’s at-risk patients. Primary work will include driving Population Health performance for assigned care centers, patient outreach to schedule patients for appointments, quality measure attestations, quality measure education to care centers, coding and documentation and payer attestations.

Primary Job Duties:

• Review Value Based Care Program performance data (ie: quality, risk adjustment, patient satisfaction, patient scheduling rates) for assigned care centers and create action plans that support organizational goals
• Evaluate payer and internal reports to identify physician and office trends
• Build and develop collaborative relationships with assigned care centers in order to drive performance in Value Based Care Programs
• Coordinate and facilitate monthly meetings with physicians and staff, as necessary.
• Conduct patient outreach in accordance with HIPAA and patient privacy guidelines to support quality-related programs and ensure target goals are achieved
• Prepare and present patient, provider, and care center level reports from the EMR and various payer portals to the care centers
• Engage in patient EMR chart reviews to help close care gaps for a variety of payers and programs
• Engage in multiple healthplan/payer portals to submit supplemental data to close quality gaps.
• Collaborate effectively with internal teams to support care coordination for patients and drive metrics in Value Based Contracts
• Provide quality measure training and other presentations, as needed, to care center staff and providers
• Demonstrate critical thinking to determine the best way to support care centers as needed given expertise, knowledge, and strategies.
• Answer and resolve business office inbound calls related to population health, care coordination, or other clinical activities
• Make appropriate referrals to internal care team, payer programs, community resources, home care, and disease management programs
• Accepts other duties, as required, willingly. Demonstrates follow through on assigned duties.

Qualifications

• Clinical or office manager/leadership preferred
• Knowledge of medical terminology and procedures, ICD-10, and CPT coding
• Proficient with Microsoft Office applications including Word, Excel, and PowerPoint as well as Google Docs
• Previous experience in a physician office and/or Medicare Advantage Program
• Excellent organizational skills
• Strong interpersonal skills
• EHR experience preferred
• Must comply with all HIPAA rules and regulations
• Strong verbal communication skills, especially over the phone, and strong written communications skills
• Team focused: understands the need to work as a group to achieve goals, support team members, and listen to other points of view
• Demonstrate sound judgment and strategic mindset through critical decision making
• Maintain a positive, caring attitude towards patients
• Ability to function efficiently in a virtual environment and meet defined goals
• Excellent organizational skills
• Possess a focused work ethic and a high level of professionalism
• Flexible, as work location is a combination of corporate office and remote operations time
• Self-motivated: Identifies opportunities and finds solutions to problems
• Able to multitask effectively
• Ability and willingness to work flexible hours to meet staffing needs

Additional Information

All your information will be kept confidential according to EEO guidelines.

Technical Requirements (for remote workers):

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.