MDPCP Program Manager

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

The Program Manager, Maryland Primary Care Program is responsible for the ongoing execution of the Maryland Primary Care Program (MDPCP) at Privia. This includes holding total ownership and accountability of program requirements and partnering with clinical leadership and internal teams to manage program performance. Additionally, this role is responsible for maintaining close relationships with the Maryland Department of Health and CMMI contacts to ensure Privia is positioned for success given any future program changes. This role also serves as the main Privia liaison to Chesapeake Regional Information System for our Patients (CRISP), Maryland's Healthcare Information Exchange. The ultimate goal for this individual is to oversee Privia’s success in the Maryland Primary Care Program.

• Own and hold accountability for the successful day-to-day operations of the Maryland Primary Care Program (MDPCP), including quarterly funds flow, and annual/semi-annual program requirements (i.e. eCQM reporting, financial reporting, care management reporting)
• In collaboration with the Analytics and Product Teams, manage internal and external reporting needs related to the MDPCP and CRISP
• Ensure successful completion of annual Patient Family Advisory Council (PFAC) meetings at each MDPCP practice
• Serve as Privia's CRISP liaison, meeting regularly with CRISP and overseeing recurring processes and ad-hoc issues
• Develop ongoing and ad hoc internal and external communications and presentation materials related to MDPCP and CRISP
• Troubleshoot MDPCP and CRISP issues
• Maintain accurate provider rosters
• Monitor program changes and present them succinctly to various stakeholders
• Regularly review data from multiple sources, identifying key trends and action steps
• Collaborate closely with the Population Health Team, Care Management Team, and Operations Consultants to align priorities and ensure successful operation of the MDPCP program
• Support the Care Center Transformation team in preparing for POD meetings and Clinical Leadership Summits as it relates to the MDPCP program
• Serve as an MDPCP/CRISP subject matter expert across internal and external teams, contributing to cross-team projects and leading relevant discussions

Qualifications

• Bachelor's degree required
• At least 5 years of progressive experience in a fast-paced healthcare environment
• Value-based care knowledge, experience with CMS programs is a plus
• Experience and comfortability working with intricate financial data and foundational Excel formulas and pivot tables
• Extremely organized and self-sufficient in tracking key deadlines
• Experience leading cross-team projects and managing multiple priorities
• Experience working in an EMR
• Strong attention to detail and ability to interpret and explain complex data
• Experience with project management tools
• Strong communication skills with experience presenting clearly to stakeholders at multiple levels
• Proactive and a self-starter
• Must comply with HIPAA rules and regulations

The salary range for this role is $71,000.00 - $84,000.00 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.

Preferred experience with profession-based telephonic or remote communication ● Must comply with all HIPAA rules and regulations 

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. 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.