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
Lead and develop a team, setting clear expectations, managing performance directly, and building a team that surfaces problems and drives solutions independently
Own provider quality program and define what quality means at Grow, setting and maintaining the clinical standard across the provider network, and driving measurable improvement in provider quality across the network
Oversee MIC program integrity and VBC performance monitoring by ensuring Grow is on track against payor contract targets, identifying clinical risks early, and partnering with Operations and Product to close gaps
Grow Therapy aims to be the trusted partner for therapists growing their practice, and patients accessing high-quality care, operating as a three-sided marketplace that empowers providers, augments insurance payors, and serves patients. They have empowered more than ten thousand therapists and hundreds of thousands of clients across the country.
Drive and own Evergreen's performance across CKCC quality measures
Establish the reporting structure, performance cadence, and accountability required to manage quality performance across the organization
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach. They are committed to improving patient outcomes and quality of life by delaying disease progression and shifting care to the home and accelerating kidney transplants.
Conduct quality reviews, audit revenue cycle claims and workflows against established standard operating procedures (SOPs).
Develop, collect, analyze, report and measure multiple quality improvement initiatives that supports RCM operational functions.
Identify potential deficiencies in processes via analysis and trends.
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. The Privia Platform 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.
Implementing quality programs to improve care for patients with cardiovascular disease and stroke.
Engaging with clients to deliver the American Heart Association’s suite of quality programs and hospital certifications.
Consulting with appropriate hospital teams to resolve compliance issues and facilitate program participation.
Since its founding in 1924, the American Heart Association has cut cardiovascular disease deaths in half. They are working to overcome today’s biggest health challenges and accelerate progress, needing passionate individuals to ensure a healthier future for all.
Own the execution of clinician chart audits and watchlist tracking.
Investigate clinical incidents, chart audits, and collaborate on root cause documentation.
Track quality, safety, and clinician performance metrics using manual and automated tools.
Wheel is evolving the traditional care ecosystem by equipping the nation's most innovative companies with a premier platform to deliver high-quality virtual care at scale. They offer proven strategies and cutting-edge technologies to foster consumer engagement, build brand loyalty, and maximize return on investment.
Design and oversee patient safety initiatives, safety reporting programs, and continuous clinical care improvement initiatives informed by safety data, audit findings, and peer review outcomes
Provide oversight of clinical care standards across all disciplines — therapy, dietary, medical, and psychiatry — ensuring alignment with evidence-based eating disorder treatment standards.
Develop and maintain clinical practice guidelines and documentation standards in partnership with discipline-specific leaders and the Compliance team.
Equip is a virtual, evidence-based eating disorder treatment program with a mission to ensure everyone with an eating disorder can access treatment. Founded in 2019, Equip has been a fully virtual company and is recognized as one of the most influential companies of 2023.
Implement the population health framework for assigned customers to improve overall health and utilization patterns.
Develop and maintain knowledge of current customer contracts and performance guarantees.
Serve as a liaison between all parties to the population health initiative assigned.
Capital Blue Cross promises to go the extra mile for our team and our community. They have been consistently voted one of the “Best Places to Work in PA.”
Establish and monitor performance metrics to measure the reliability and latency of payer data feeds.
Serve as the primary point of escalation for high-priority payer data issues, coordinating with various teams.
Oversee the documentation and submission processes for clinical data extracts to ensure audit readiness.
Aledade empowers independent primary care practices to deliver better patient care and thrive in value-based care. As the largest network of independent primary care in the country, they focus on creating value-based contracts, strengthening care continuity, and aligning incentives to ensure physicians are paid for keeping patients healthy.
Drive and elevate provider quality initiatives at Rula through data-driven decision making.
Lead scalable quality initiatives across the provider network by identifying gaps and driving programs.
Translate complex data into clear actions for initiatives like provider quality reviews and AI-powered documentation.
Rula is committed to destigmatizing and embracing mental health as integral to overall well-being. They provide quality, evidence-based care and aim to empower individuals in their mental health journey, operating as a remote-first company.
Lead, develop, and support a high-performing team of medical providers, driving accountability, engagement, and care quality.
Deliver high-quality, evidence-based virtual care across a range of women's health conditions.
Help shape how care is delivered at scale by contributing to clinical protocols, quality improvement initiatives, and provider education.
Allara is a comprehensive women’s health provider that specializes in expert, longitudinal care. Trusted by over 60,000 women nationwide, Allara makes expert healthcare accessible by connecting patients with multidisciplinary care teams. As one of the fastest-growing women’s health platforms in the U.S., Allara is bridging long-overlooked gaps in healthcare for women.
Build and maintain trusted, collaborative relationships with assigned providers (physicians, practice administrators, and staff).
Clarify Health's AI-driven healthcare analytics solutions help healthcare entities pinpoint new ways to improve margins and missions. They value a happy, diverse, and impact-driven team, with a collaborative workplace that challenges and celebrates their work.
Oversee & manage program KPIs for the frontline clinical staff working across the Virtual Primary Care (VPC) and Virtual Care Support (VCS) teams
Create and implement data-driven staffing and resource plans, partnering with relevant teams (Forecasting, Clinical Leadership, Recruitment, Licensing)
Drive a POV on the technical enablement and tooling optimization opportunities to drive operational efficiencies for scale and clinical outcomes
Included Health delivers integrated virtual care and navigation to raise the standard of healthcare for everyone. The company breaks down barriers to provide high-quality care for every person in every community, offering care guidance, advocacy, and access to personalized virtual and in-person care.
Build strong relationships with physicians and Practice Management.
Develop tailored strategies that enhance productivity, increase membership, and improve overall Practice performance.
Act as a trusted advisor to enhance patient engagement, workflow efficiency, and practice outcomes.
MDVIP is a national leader in personalized healthcare, empowering over 425,000 members to achieve their health and wellness goals through a network of more than 1,400 concierge primary care physicians. Recognized as a Great Place to Work® since 2018, MDVIP is committed to excellence in patient care and employee satisfaction.
Conduct outreach calls to practices, and build immediate rapport and trust by adapting approach to their needs
Lead individual and group practice meetings to build successful workflows with the Stellar application and drive performance on key outcomes
Quickly triage inbound emails and answer questions from practices
Stellar Health helps primary care providers put patient health first with their technology platform, people, and analytics. They are a US-based Health-tech backed by Top VCs with an established product & proven operating model.
Partner with RCM leadership to monitor performance trends and identify revenue cycle opportunities.
Support payer contracting activities, including onboarding clinical network agreements.
Act as program manager for strategic payer partnership initiatives and drive implementation.
Headspace provides access to lifelong mental health support. They combine content, clinical care, and technology to help millions of members around the world get support. Their culture is collaborative, inclusive, and grounded in their values.
Define and execute the long-term vision for credentialing and enrollment, transitioning from manual processes to a tech-enabled, scalable operation.
Oversee the end-to-end enrollment process for Medicare, Medicaid, and Commercial payers. Be the primary liaison for enterprise contract activations.
Lead the internal Credentialing Committee, presenting provider files and ensuring all primary source verifications (NPDB, OIG, SAM) are flawless.
Foodsmart is the leading telenutrition and foodcare solution, backed by a robust network of Registered Dietitians. Their platform is designed to foster healthier food choices, drive lasting behavior change, and deliver long-term health outcomes. At Foodsmart, their mission is to make nutritious food accessible and affordable for everyone, regardless of economic status.
Identify areas for process improvement based on metric analysis findings.
Develop and disseminate action plans to correct knowledge gaps in CDI and Coding.
Collaborate on data reports for the Coding and CDI departments.
Cooper University Health Care's commitment to providing extraordinary health care begins with their team. They are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols and offer opportunities for career growth.
Coordinate the implementation and monitoring of compliance and quality assurance measures for the clinic.
Perform regular reviews of data to identify trends, patterns, and areas for quality improvement.
Implement strategies to mitigate and manage risks, ensuring compliance with regulatory standards.
Montu is Australia's largest healthtech business with a focus on alternative healthcare. Founded in 2019, it supports patients, doctors and pharmacies through its Alternaleaf clinic and continues to evolve on its journey as the largest business of its kind outside North America.
Be responsible for the happiness of our care partners and clinicians
Create new strategies to engage with clinicians that refer to Headway
Build and grow relationships with care partners’ (health systems, medical clinics, and other strategic partners) teams and leadership
Headway's mission is to fix the mental healthcare system by building a new one everyone can access. They have automated the admin work for therapists and over 70,000 providers across all 50 states run their practice on their software, serving over 1 million patients.
Oversee day‑to‑day clinical operations for UM, CM, and DM teams.
Ensure operational workflows meet productivity, quality, and turnaround time expectations.
Partner with the VP of Care Management on operational priorities and process improvements.
Personify Health created the first and only personalized health platform bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together in one place. It serves employers, health plans, and health systems with data-driven solutions that reduce costs while actually improving health outcomes.