Clinical Quality Associate

Privia Health•Atlanta, GA

2h•Hybrid

About The Position

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. Working on the Market-based Population Health teams and in collaboration with primary care providers, networked partners, and the operations team at Privia Health, the Clinical Quality Associate will provide ownership and execution on defined Value-Based Care program performance metrics. Primary work will include completing quality audits, providing context for provider education, addressing quality gaps in care, payer quality attestations, and regular review and action on local quality performance reports and regional action plans. The candidate will have relevant experience with project management, educational background or license/certification to support the team.

Requirements

2+ years of population health or healthcare experience, and/or experience handling multiple projects at once
Solid background with Excel and analytic skills
Must comply with all HIPAA rules and regulations

Nice To Haves

Preferred experience with remote communication

Responsibilities

Collaborate with local teams to define and improve performance metrics
Own the execution and proactively resolving issues and performance toward defined performance metrics
Review quality measure performance reports to identify areas for improvement.
Identify concerns and demonstrate critical thinking to determine plan of action and/or support care centers
Subject matter expert on all requests related to population health and quality measure specifications.
Analyzing payer reports and determines what information is shared back to care centers in collaboration with the operations team
Perform necessary payer quality attestation and performance reporting through payer portals
Operate independently to achieve agreed upon goals
Collaborate effectively with both internal and external teams to support population health and quality metrics
Diligently maintain HIPAA and HR training, knowledge base and compliance at all times
Operationally complete special projects and communicate status to the Privia management team
Perform other duties as assigned