Operations Consultant II
Found in: Resume Library US A2 - 2 weeks ago
Travel Required: Yes, 70%
The Operations Consultant II is responsible for directly managing and supervising a portfolio of clinically integrated multi-specialty practices and being accountable for driving operational performance and growth. Additionally they will work closely with the Director or Practice Operations and Value Based Care Leadership to ensure the success of our value-based / ACO programs. This includes launching and managing new value based and population health initiatives.
Primary Job Duties:
Drive growth and operational improvement to a portfolio of physician practices.
Partner with physicians owners and focus on strategic planning & execution (VBC & FFS performance, same store growth, succession planning)
Partner with Privia VBC and physician leadership to drive care transformation
Track and manage metrics and goals related to finance, revenue cycle, productivity, clinical performance, value-based care and customer experience.
Review data, share best practices and coach Care Center teams on strategies to succeed in value-based care agreements with payers.
Aide in the transition of the physician practice from Fee-For-Service to the future Risk-based world of healthcare reimbursement
Works collaboratively with market operations team and Value-Based Care team to develop and deploy strategies and tactics to succeed in value-based contracts
Analyzes population health and utilization metrics to determine areas of focus for improvement
Leads regular physician meetings, both group and one on one, to review population health training, initiatives, and data
Trains specific physician practices on how to transform their group and staff to the new world of value-based care, on topics including Quality, Risk Adjustment, and Total Cost of Care
Champion deep understanding and thought leadership of deal mechanics predominantly in support of population health risk arrangements in Medicare (FFS/MSSP)
Cultivate understanding of actuarial aspects of program design, understanding opportunities and threats to the business
Utilize data mining expertise to for insight into drivers of cost & utilization mediating contract performance
Model and understand risk status and coding efforts as a mediator of contract achievement
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