Remote Jobs RockRemote Jobs Rock

Population Health Associate

🕒 17 days ago
Population HealthValue-based CarePerformance Data AnalysisQuality Measures
Apply Now

📜 Description

  • Analyze payer and internal performance data and prepare reports with measurable goals for providers.
  • Review performance with providers and care center teams in regular meetings, identifying improvement opportunities and focus areas.
  • Own performance metrics for assigned care centers and build collaborative relationships to improve value-based care results.
  • Train care center staff and providers on quality measures and provide workflow guidance and troubleshooting.

🛠️ Requirements

  • Bachelor's degree with a commensurate level of experience preferred
  • 3+ years of experience, preferably in a medical office setting
  • Healthcare experience required; experience with value-based care programs such as MSSP, MIPS, HEDIS, or STARS preferred
  • Fluent in EMR clinical workflows; strong preference for experience in athenaNet
  • Basic knowledge of coding and documentation, particularly around hierarchical condition coding, preferred
  • Strong Excel skills
  • Self-starter, demonstrates critical thinking to determine the best way to support care centers as needed, given expertise, knowledge, and strategies
  • Must reside in market of assignment
  • Must comply with HIPAA rules and regulations
  • Participate in special projects and attend required annual PODS meetings.

✨ Benefits

  • Medical insurance
  • Dental insurance
  • Vision insurance
  • Life insurance
  • Pet insurance
  • 401(k)
  • Paid time off
  • Wellness programs and an annual bonus targeted at 10%
  • Review medical records for quality measure gaps and trends, and submit supplemental data to payer portals.
Full job description

Company Description

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

Job Description

*This position is a hybrid role that requires in office on Tuesdays and Thursdays at 1200 Binz St Suite 1490 Houston TX 77004. Mon, Wed, and Fri are typically work from home but subject to change.*

The Population Health Associate serves in a consultative role, supporting population health initiatives for an attributed patient population. This position partners closely with the Quality, Risk Adjustment, Population Health Leadership, and Practice Operations teams to develop and implement action plans and goal-setting strategies with assigned providers and care centers. The focus is on improving quality performance, accurate coding, and clinical documentation to support success in value-based care agreements.

The role includes both virtual and in-person engagement with Privia providers and care center teams to review performance, identify opportunities, and align on focus areas and improvement strategies.

This position requires travel and mandatory attendance at two annual PODS (Physician Organization Delivery System) meetings. Flexibility is essential, as meetings may occur outside of standard business hours to accommodate provider and care center availability.

  • Reviews and analyzes performance data from payers and Privia analytics to create actionable reports for providers that include specific measurable performance goals that support larger team or organizational goals for performance on access, quality, coding, documentation, and other value-based care metrics
  • Present data and actionable reports with providers and care center staff during regular in-person and/or one-on-one monthly meetings on site at care centers, creating accountability for success in assigned care centers
  • Maintains ownership and accountability over the performance of key metrics for each assigned care center
  • Build and develop collaborative relationships with assigned care centers to drive performance in Value-Based Care Programs
  • Provide quality measure training and other presentations, as needed, to care center staff and providers
  • Uses knowledge of EMR and previous medical office experience to provide personalized workflow guidance, best practices, and troubleshooting to support performance in value-based care
  • Analyze medical records to identify quality measure gap closure opportunities and trends.
  • Submit supplemental data to the appropriate payer portals
  • Participate in special projects and perform other duties as assigned

Qualifications

  • Bachelor's degree with a commensurate level of experience preferred
  • 3+ years of experience, preferably in a medical office setting
  • Healthcare experience required; experience with value-based care programs such as MSSP, MIPS, HEDIS, or STARS preferred
  • Fluent in EMR clinical workflows; strong preference for experience in athenaNet
  • Basic knowledge of coding and documentation, particularly around hierarchical condition coding, preferred
  • Strong Excel skills
  • Self-starter, demonstrates critical thinking to determine the best way to support care centers as needed, given expertise, knowledge, and strategies
  • Must reside in market of assignment
  • Must comply with HIPAA rules and regulations

The salary range for this role is $50,000.00 to $58,656.00 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 10% . 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 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.

Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. We understand that healthcare is local and we are better 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.  

Mindoula Health

Behavioral Health Case Manager & Hospital Coordinator

🕒 yesterday
Mindoula Health👥 201 - 500 employees🏢 Hospital & Health Care

Coordinates hospital operations for a readmissions reduction program and provides behavioral health case management, including client intake, care coordination, crisis response, and discharge support.

Behavioral Health Case ManagementHospital CoordinationCare CoordinationCrisis Intervention
Northwestern Medicine

Quality Utilization Specialist Full-time, Days, Hybrid ($4,000 sign-on bonus)

🕒 3 days ago
Northwestern Medicine👥 10,000+ employees🏢 Hospital & Health Care

The Quality Utilization Specialist, an experienced registered nurse, reviews medical necessity and level of care, partners with clinical teams and payors, and advances utilization practices through audits and improvement initiatives.

Registered NursingUtilization ReviewMedical Necessity ScreeningLevel-of-care Guidelines
Bounce Therapy

Board Certified Behavior Analyst - In home

🕒 4 days ago
Bounce Therapy👥 11 - 50 employees🏢 Healthcare

As a Board Certified Behavior Analyst (BCBA) at Bounce ABA Therapy, you will conduct assessments, develop treatment plans, and supervise technicians to provide impactful ABA services to children with ASD.

BCBA CertificationABA ServicesFunctional Behavior AssessmentsTreatment Plans
Localiza&Co

ENFERMEIRO(A) DO TRABALHO PLENO | BELO HORIZONTE/ MG

🕒 6 days ago
Localiza&Co👥 10,000+ employees🏢 Leisure, Travel & Tourism

Gerencia informações e indicadores de saúde ocupacional, apoia a equipe médica e supervisiona técnicos de enfermagem, conduzindo programas de saúde, afastamentos, absenteísmo e interface com operadoras.

Enfermagem Do TrabalhoSaúde OcupacionalGestão De Indicadores De SaúdeGestão De Informações De Saúde

Prepare and submit healthcare insurance authorization requests, organize supporting documentation, navigate payer portals, and track submissions while resolving routine issues accurately and independently.

Healthcare Insurance AuthorizationsInsurance PortalsAuthorization Request TrackingSupporting Documentation

Trusted by Remote Workers