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The Director Clinical Program Management will work directly with national and market teams to develop and scale Privias clinical programs particularly with regard to medication adherence and care coordination. They will be responsible for meticulously managing the tactical components of design in partnership with clinical and administrative thought leaders across the organization with the goal of achieving quality cost and patient experience goals under our valuebased contracts.
Collaborate with national departments and market leaders to project manage design implement monitor evaluate and improve the performance of Clinical Programs that improve performance of Value Based Contracts.
Collaborate with market and provider leaders to monitor and evaluate the effectiveness of valuebased care programs identifying areas for improvement with a particular focus on measures related to medication adherence and care coordination.
Collaborate with vendors technology teams and market leaders to enable seamless care coordination across all sites of care. Drive initiatives to improve contract quality measures including readmissions medication reconciliation and transitional care management.
Build and maintain corporate expertise on medication adherence strategies. Partner with market leaders to test and evaluate various medication adherence approaches. Use data to identify and promote medication adherence strategies that demonstrably improve contract quality compliance rates.
Collaborate with analytics teams to track and analyze nearterm and longterm outcomes (including ROI) and quality metrics. Utilize data insights to identify trends opportunities for improvement and to inform tactical decisionmaking alongside market and national teams.
Maintain a close working relationship with the National Director Contract Quality to ensure a comprehensive understanding of quality contract performance. Proactively identify and address potential quality contract performance gaps. Ensure that initiatives and processes are aligned with contract requirements.
Document repeatable processes and best practices in the form of Standard Operating Procedures (SOPs). Promote the use of standardized processes to ensure consistency and efficiency across the organization. Drive continuous quality improvement efforts.
Qualifications :
Nursing Social work pharmacy medical or similar clinical expertise preferred.
5 years of experience in a clinical management role
Familiarity with reimbursement models such as payforperformance shared risk and full capitation and strong understanding of valuebased care tenets and tactics
Highly collaborative with and credible among multiple stakeholders; including clinical administrative and analytic teams
Analytical and comfortable with numbers will use ROI analyses to drive decisions
Strong project management skillset
Must comply with HIPAA rules and regulations
The salary range for this role is $127000.00 $149000.00 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
Remote