Working closely with the Market-based Population Health teams, primary care providers (PCPs), networked partners, and Performance Management at Privia Health, the Population Health Quality Coordinator will provide execution on defined Value-Based Program Performance Metrics, care coordination, and support for Privia’s at-risk patients. Primary work will include patient outreach to provide coordination services, fill gaps in care, and regular review and action on local performance reports and regional action plans. The candidate will have relevant clinical experience, phone experience, educational background or license/certification to support the Population Health team.
Primary Job Duties:
Conduct patient outreach in accordance with HIPAA and patient privacy guidelines to support quality-related programs and ensure target goals are achieved
Assist in scheduling PCP and specialist patient appointments
Prepare patient, provider, and care center level reports from the EMR and various payer portals rams
Review performance data for assigned region and work closely with population health specialists to create action plans that support organizational goals for performance
Build collaborative working relationships with care centers and population health specialist
Demonstrate critical thinking to determine the best way to support care centers as needed given expertise, knowledge, and strategies.
Answer and resolve business office inbound calls related to population health, care coordination, or other clinical activities
Make appropriate referrals to internal care team, payer programs, community resources, home care, and disease management programs
Minimum Qualifications:
MA, EMT, Case Management certification and/or clinical experience preferred
Preferred experience with profession-based telephonic or remote communication
EHR experience preferred
Must comply with all HIPAA rules and regulations
Interpersonal Skills & Attributes:
Innovative thinker
Strong verbal communication skills, especially over the phone
Team-focused: understands the need to work as a group to achieve goals, support team members, and listen to other points of view
Demonstrate sound judgment and strategic mindset through critical decision-making
Maintain a positive, caring attitude towards patients
Ability to function efficiently and meet defined goals
Must be detail-oriented
Possess a focused work ethic and a high level of professionalism
Self-motivated: Identifies opportunities and finds solutions to problems
Able to multitask effectively
Proficient with Microsoft Office applications including Word, Excel (Intermediate/Advanced), and PowerPoint as well as Google Docs
Familiarity with HEDIS quality measures and or familiarity with HL7, CCDA, ADT feeds
THIS IS NOT A REMOTE/HYBRID position
Location: Fort Worth, TX.
Numbers & Facts
Location
Fort Worth, TX
Skills
CCDA - Cisco Certified Design Associateunmatched
Capacity and Performance Managementunmatched
Case Managementunmatched
Certified Case Manager (CCM)unmatched
Clinical Medicineunmatched
Communication Skillsunmatched
Detail Orientedunmatched
Disease Prevention and Controlunmatched
EMT-Paramedicsunmatched
Electronic Medical Recordsunmatched
Google Appsunmatched
HIPAA (Health Insurance Portability and Accountability Act)unmatched
HL7 (Health Level 7)unmatched
Healthcare Effectiveness Data and Information Set (HEDIS)unmatched
Home Careunmatched
Medical Record Systemunmatched
Microsoft Excelunmatched
Microsoft Officeunmatched
Microsoft PowerPointunmatched
Microsoft Wordunmatched
Multitaskingunmatched
Organizational Skillsunmatched
Patient Careunmatched
Performance Analysisunmatched
Performance Metricsunmatched
Presentation/Verbal Skillsunmatched
Primary Careunmatched
Problem Solving Skillsunmatched
Quality Metricsunmatched
Regulationsunmatched
Riskunmatched
Team Playerunmatched
🎯
Be found by employers
5,500+ employers search our resume database daily. Add yours to get found by recruiters looking for candidates like you.
Level up your application
Professional resume templates
Browse dozens of recruiter approved resume templates, layouts and formats. Choose your favorite and make it your own in minutes.