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 Population Health Analyst will work cross functionally within the team, helping develop a suite of purpose-driven analytic reporting to maximize the health of our patients and the performance of our physicians using proprietary applications. You will work with a cross-functional team composed of Population Health Market Leadership, IT, Quality, Risk Adjustment, and Operations to understand evolving requirements and business needs to build reports using payer and internal data. You will execute business and payer-facing ad hoc analyses, using data to guide strategic discussions among and between internal and external stakeholders.
Primary Job Duties:
- Champion understanding of Medicare Advantage Programs with emphasis in STARs and Documentation & Coding performance in Medicare Advantage Programs
- Calculate key performance metrics and apply data mining techniques to identify opportunities for improvement
- Apply data mining techniques to STARs, HCC, Total Cost of Care Performance and opportunities for improvement
- Understand and manage patient attribution and provider rosters
- Clinical Analytics
- Assist in reporting quality and utilization measures performance
- Assist in identifying opportunities for performance improvement within value-based care programs and assist in developing the provider facing materials to support change
- Leverage clinical data to identify opportunities to close care gaps
- Leverage payer reports to develop provider level reporting to improve performance
- Build physician profiles to identify performance outliers
- Perform analysis to understand utilization patterns
- Become a data SME on data from MA Payers, EMRs, ADTs, and other vendors
- Operational Support
- Collaborate closely with Care Center Transformation, Quality, Risk Adjustment, and Operations teams to develop reporting for performance meetings and PODs
- Support market-level incentive payment distribution, including calculation of bonus distributions and managing the distribution process in collaboration with Payer Partnerships, Accounting, BI teams, and more.
- Work closely with the Population Health, Quality, and Risk Adjustment team to understand their evolving information needs, and plan and execute on analytics strategies and solutions that are in alignment with those needs.
- Produce ad-hoc reporting and perform other duties as assigned
Qualifications
- 2+ years of professional experience
- Bachelor’s Degree preferred, preferably quantitative major (e.g. engineering, analytics,, applied math, statistics, etc)
- Experience with SQL required. Experience with data mining software (R, SAS, Python) desirable
- Experience working with data (claims, EMR, ADT, Rx labs, etc. )
- Understand basic business concepts related healthcare claims/insurance and/or physician group dynamics
- Experience working at a health plan, hospital system, ACO, provider organization, consulting firm, technology start-up, or previous healthcare analytics experience and capabilities highly preferred
- Must comply with HIPAA rules and regulations
Colorado, New York, New Jersey, California and Washington Residents Only: The salary range for this role is $72,250 to $85,000 in base pay and exclusive of any bonuses or benefits. 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. 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.
