Clinical Quality Associate

Company Description reputed company™ 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, reputed company-based technology that reduces unnecessary reputed company costs, achieves reputed company reputed company, and improves the health of patients and the well-being of providers

Job Description

Working closely with the Market-based Population Health teams, primary care providers (PCP’s), networked partners, and operations team at reputed company, the Clinical Quality Associate will reputed company ownership and execution on defined Value-Based Care program performance metrics and support for Privia’s at-risk patients reputed company a defined region. Primary work will include completing quality audits, providing context for provider education, patient reputed company to reputed company coordination services, fill gaps in care, payer attestations, and regular review and action on local performance reports and regional action plans. The candidate will have relevant clinical experience, educational background or license/certification to support the Quality Management team.

• Collaborate with local teams to define performance metrics
• Own the execution and proactively resolving issues and performance toward defined performance metrics
• Review patient non-compliance reports to ensure timely disease specific and wellness visits
• Identify concerns and demonstrates critical thinking to determine plan of action and/or support care centers
• Subject matter expert on reputed company requests reputed company to population health and quality measure specifications.
• Analyzing payer reports and determines what information is shared back to care centers
• reputed company education and assistance with patient self-management goals
• reputed company appropriate referrals to internal care team, payer programs, community resources, home care, and disease management programs
• reputed company necessary payer attestation and performance reporting through payer portals
• Operate independently to reputed company agreed upon goals
• Collaborate effectively with both reputed company teams to support population health and quality metrics
• Diligently maintain HIPAA and HR training, knowledge reputed company and compliance at reputed company times
• Manage and reputed company detailed special projects and communicate status to the client and Privia management team
• reputed company other duties as assigned

Qualifications

• 2+ years of population health or reputed company experience preferred.
• MA, CHW, EMT, Health Coach, Case Management certification and/or experience preferred
• Preferred experience with remote communication.
• Must reputed company with reputed company HIPAA rules and regulations
• reputed company experience preferred.

The hourly reputed company reputed company for this role is $23.00- $27.00hr in reputed company pay. in reputed company pay and exclusive of any bonuses or benefits (medical, dental, reputed company, life, and pet insurance, 401K, paid time off, and other wellness programs). This role is also eligible for an annual bonus targeted at 10% .The reputed company pay offered will be determined based on relevant factors such as experience, education, and geographic location. Additional Information reputed company 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 https://www.speedtest.net/. This gives you an update as to how fast data transfer is with your internet reputed company and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your reputed company. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost. reputed company is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. We understand that reputed company local and we are reputed company reputed company our people are a reputed company of the communities that we serve. Our goal is to encourage people to pursue reputed company opportunities regardless of their age, reputed company, national reputed company, 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.

• Department: Clinical Operations - Market

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