Job Closed

This listing is no longer active.

Privia Health logo
Privia Health

A health management technology company, Privia Health is a national practice led by physicians. The company was founded in 2007 to provide physician groups with resources dedicated

Clinical Quality Associate

Location

United States + 9 moreAll locations: United States | United Kingdom | Canada | Germany | France | India | Brazil | Australia | Estonia | Japan

Posted

61 days ago

Salary

$55K - $65K / year

Seniority

Mid Level

No structured requirement data.

Job Description

Clinical Quality Associate

Privia Health

Role Description Location: Must reside in GA 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 - 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. - Collaborate with local teams to define and improve performance metrics - Own the execution and proactively resolve issues and performance toward defined performance metrics - Review quality measure performance reports to identify areas for improvement - Identify concerns and demonstrate critical thinking to determine plan of action and/or support care centers - Subject matter expert on all requests related to population health and quality measure specifications - Analyze payer reports and determine what information is shared back to care centers in collaboration with the operations team - Perform necessary payer quality attestation and performance reporting through payer portals - Operate independently to achieve agreed upon goals - Collaborate effectively with both internal and external teams to support population health and quality metrics - Diligently maintain HIPAA and HR training, knowledge base and compliance at all times - Operationally complete special projects and communicate status to the Privia management team - Perform other duties as assigned Qualifications - 2+ years of population health or healthcare experience, and/or experience handling multiple projects at once - Solid background with Excel and analytic skills - Preferred experience with remote communication - Must comply with all HIPAA rules and regulations Requirements - The salary range for this role is $55,000 to $65,000 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 10% - The base pay offered will be determined based on relevant factors such as experience, education, and geographic location Benefits - Eligible for expense reimbursement to offset internet costs for remote workers 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.

Related Categories

Related Job Pages

More Clinical Operations Jobs

Role Description The Senior Clinical Project Manager (Sr. CPM) is responsible to plan, initiate, execute and report assigned clinical studies in accordance with the study protocol, ICH-GCP guidelines, SOP’s and other relevant laws and regulations. The Sr. CPM selects, guides, and supervises third party vendors and defines budgets, timelines, and resources for the assigned clinical studies. The person in this position implements effective training and guidance of study team interactions, study sites and external contributors throughout the course of a trial. This needs to be executed in close cooperation and transparent communication with cross-functional teams such as: Clinical study team, Pharmacovigilance, Supply Chain, Regulatory Affairs, Quality Assurance - requiring a huge ability to coordinate multiple, parallel processes in order to oversee and control a successful course. Responsibilities - Coordinate with cross-functional teams during the clinical study development phase to ensure there are appropriate internal resources, IMP and sufficient budget for the conduct of the clinical study. - Oversee project level operational aspects of the clinical study, including development and management of study timelines, budget and deliverables. - Lead the selection, contracting and budget negotiations of CROs, other third-party vendors and clinical trial sites. - Plan and implement the development of essential study documents (e.g. study protocol, SAP, ICF, etc.) and manage the review by in- and external teams. - Oversee the preparation of regulatory submissions to the IRB/EC (local/central) and national health authority(ies) for the assigned studies. - Provide direction to study team members with a support role (CPCs and CTAs). - Monitor and track project progress to proactively identify risks to study timelines and budget, mitigation strategies and mitigate risks by implementing appropriate corrective and preventive actions, escalating as necessary. - Ensure adequate oversight and management of clinical study sites by the CRO/monitors. - Oversee process and aspects of timely data cleaning, data analysis and the reporting of headline results, manage and contribute to the data review process, tables/listing/figures review and development of the CSR. - Proactively identify any issues or risks for the assigned studies and implement appropriate action and escalation of the issues. - Ensure appropriate procedures are in place for timely reporting and adequate follow-up of SAEs to PHV, and subsequently to the authorities. Other Responsibilities - Provide leadership, direction, and motivation to project team members, to promote their professional development. - Prepare updates for senior leadership on the progress of study timelines/milestones, budget and resources, and summarize associated risks and risk mitigation plans. - Provide updates and information related to assigned clinical stud(ies) to cross-functional departments, as needed (i.e. to PHV for periodic safety reports). - Participate in process improvement and quality related initiatives, such as review and/or provide input and/or write departmental SOPs, templates and forms. Qualifications - Bachelor’s degree or higher in a scientific or medical field preferred; work experience can be considered in lieu of degree. - At least five years of experience in sponsor-side Clinical Project Management roles at small-to-mid sized biotech/pharma companies. - At least two years of experience with global clinical trials. - In depth knowledge of ICH-GCP and regulatory requirements. - Ability to work across multiple time zones, including Europe. - Strong knowledge of protocol and clinical drug development processes, monitoring, clinical study planning, conduct and management. - Requires project management skills and study leadership ability. - Must have excellent interpersonal, written and verbal communication skills. - Excellent time management skills. Salary Range The base salary range for this role is from $145,000-$180,000 per year. Compensation & Benefits - A fully remote work schedule. - Competitive compensation package including annual target bonus. - Long-term incentive program. - 401(k) plan with company match. - Paid Time Off (PTO). - 13 Company Holidays per year. Other Benefits - Excellent benefit plans including medical, dental, and vision. - Flexible spending accounts. - Company-provided life insurance, short-term disability, and long-term disability plans. - Optional accident, hospital indemnity, critical illness, and pet insurance plans. - Tuition reimbursement program. - Health and wellness program. - Choice of company provided mobile phone or cell phone stipend.

United States
$145K - $180K / year
Job Closed
Full TimeRemoteTeam 1,001-5,000

People are a company's greatest resource, which is why caring for patients and keeping them healthy is so important. Proactive MD offers a comprehensive health management solution that extends well beyond the clinic walls. By engaging patients and offering them a personal relationship with a primary care provider, we can deliver measurably better outcomes, making people happier, healthier, and more productive while significantly lowering overall medical costs. We put patients’ health first because amazing care yields amazing results. JOB SUMMARY The Clinical Operations Coordinator will supervise and assist with health center operations as delegated by the Regional Director of Clinical Operations. They will show initiative and demonstrate sound decision-making and problem-solving techniques, lead through example in training and support of teams. The Clinical Operations Coordinator will travel between assigned health centers to support staffing and observe opportunities for operational improvements. The goal of this position is to support assigned care teams to provide efficient & safe health center operations while ensuring our patient promise is delivered according to regulatory and quality standards. Remote with 30% Travel Assigned Health Centers: Westfield, WI; Waukesha, WI; Franklin, WI; Irving, TX; Romeo, MI; York, PA; and New Oxford, PA. ESSENTIAL DUTIES AND RESPONSIBILITIES - Travel between assigned health centers to provide consistent on-site support, maintaining a visible, hands-on presence within clinical environments. - Conduct regular site visits as directed by leadership to observe day-to-day administrative and clinical operations, assessing workflow efficiency, team performance, and overall functionality. - Support and improve clinical operations across multiple sites to ensure consistent, high-quality patient care and service excellence. - Monitor operational performance, including participation in interviews, precepting, and targeted retraining in collaboration with the Enterprise Training Manager and Regional Director of Clinical Operations. - Assist with staff training, coaching, and performance management to reinforce operational standards and best practices. - Monitor clinical systems and workflows to ensure adherence to best practices, including patient case management, throughput, scheduling, inventory, and dispensing processes. - Investigate, address, and respond to patient concerns, escalations, and survey feedback in a timely and professional manner. - Report clinical occurrences and support implementation of corrective actions in partnership with the Quality team. - Serve in a direct clinical support capacity as needed to maintain efficiency and continuity of care. - Identify operational or personnel concerns and communicate findings to the Regional Director of Clinical Operations. - Collaborate closely with regional leadership and quality teams to uphold organizational standards and drive continuous improvement initiatives. - Perform additional duties, responsibilities, and special projects as assigned by the Regional Director of Clinical Operations. REQUIRED KNOWLEDGE, SKILLS, & ABILITIES Required: - Current license or certification in specialty such as RN, LPN or CMA. - Current BLS certification through American Heart Association valid for at least 90 days after start date - Ability to prioritize and problem solve. - Strong clinical background with developed critical thinking skills Preferred: - Leadership experience - Clinical educator in a healthcare setting - Outpatient or Primary care experience Proactive MD is firmly committed to creating a diverse workplace and is proud to provide equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, gender identity and/or expression, sexual orientation, ethnicity, national origin, age, disability, genetics, marital status, amnesty status, or veteran status applicable to state and federal laws.

United States
$80K - $90K / year
CVS Health logo

Pharmacist - Clinical Operations Advisor

CVS Health

CVS Health is a leading healthcare company operating CVS Specialty, CVS Pharmacy, CVS MinuteClinic, and CVS Caremark. In 2018, CVS combined forces with healthca

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. The Clinical Operations Advisor is a client facing role that collaborates with HP Clinical Advisor to understand the client’s clinical strategy and roadmap to create a clinical operations plan. The Clinical Operations Advisor works with the Benefit Relationship Manager and client to facilitate gathering formulary and utilization management requirements and designs the drug level set up for projects on the operations plan while ensuring compliance to internal best practice and federal and state guidelines. The Clinical Operations Advisor designs the clinical set ups using Caremark technology solutions and supports the coding teams in the loading of clinical data into the adjudication system. The Clinical Operations Advisor partners with account team members to document clinical design best practices, provide input to streamline processes, and identify opportunities to improve the efficiency and accuracy of clinical set ups. The Clinical Operational Advisor supports internal and client audits of clinical set ups within adjudication systems, which includes verifying the client approved requirements and design. The Clinical Operations Advisor should be able to manage multiple health plan clients across multiple lines of business including Medicare, Medicaid, Exchange, and Commercial. This position can be located in a CVSH Corporate Hub or has the ability to work remotely/work from home within the United States. Clinical Operations Advisor must have the ability to travel up to 5% of the time. Required Qualifications - Pharmacist – Active Registered Pharmacist license in at least 1 state. - 3+ years prior relevant work experience as a pharmacist in managed care (PBM) environment and/or completion of PGY1 managed care residency - Demonstrated understanding of CVSH clinical portfolio, marketplace segments dynamics (Medicare, Medicaid, Exchange, and or Commercial) and industry trends - Proficiency with Microsoft applications - Excel, PowerPoint, Word, Outlook, Access, Teams - Demonstrated experience with CVSH internal reporting and analytic tools for client management or PBM industry equivalent - Excellent written and verbal communication skills both virtually and in person - Ability to analyze large volume of clinical data and organize this data for downstream teams such as configuration and testing teams - Attention to detail to ensure data fidelity and data integrity is well understood including the business rules for data transformation - Ability to work on multiple projects, prioritize, and resolve complex problems. - Effectively work independently without daily supervision - Impact and influence others - Drive results and deliver on goals and commitments - Facilitate cross functional communication and collaboration - Consult and influence internal stakeholders and client contacts ​ Preferred Qualifications - Experience supporting Pharmacy Benefit Management (PBM) clients or within a health plan - Experience in all market segments (Medicare, Medicaid, Exchange and Commercial) - Expertise in Utilization Management, Formulary Management and Clinical Products - Experience implementing template and/or customized clinical programs - Knowledge of PBM adjudication engine and other systems leveraged in support of clients - Proven leadership skills - Commitment to client service and relationship building Education BS in Pharmacy or PharmD Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $110,925.00 - $228,800.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will close on: 05/01/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

United States
$110K - $228K / year
Full TimeRemoteTeam 10,001+H1B Sponsor

Work Schedule Environmental Conditions Job Description Join Us as a Manager Clinical Admin – Make an Impact at the Forefront of Innovation We have successfully supported the top 50 pharmaceutical companies and more than 750 biotechs, spanning 2,700 clinical trials across 100+ countries in the last 5 years. As part of our expert team, you’ll have the opportunity to ensure operational excellence that makes a real difference in organizational performance. As a Manager Clinical Admin, you will oversee the daily line management responsibilities of your assigned team. You will serve as a positive leadership and professional role model for all clinical administration staff, providing direct coaching and development support to your operational teams. You will be ultimately responsible for effective resourcing, alignment, training, and ongoing professional and technical development for all clinical administration staff. You will collaborate with clinical operations senior management and executive staff on strategic planning and business development as required. Your primary focus will be on the line and performance management of team members. You will act as a point-of-escalation regarding performance concerns and training needs to ensure adherence to PPD SOPs and WPDs. Additionally, you will work in collaboration with the leadership team for resourcing needs. What You’ll Do: • Leads the day-to-day management of multiple clinical administration team members providing direct coaching and development support to assigned staff. Oversees resourcing, alignment, training, and on-going professional development for assigned division or office. Ensures all Clinical Administration initiatives are implemented to ensure efficiency in proposed processes, consistency in execution and quality output • Analyzes performance metrics and provide feedback to team as appropriate to enhance individual and team performance • Develops and implements Working Practice Documents (WPDs) and Standard Operating Procedures (SOPs), as necessary. Develops and implements training processes for clinical administration and clinical staff. Implements project specific training activities for research staff, including mentoring of new team members including other Clinical Managers • Performs any other duties and projects as assigned by PPD management Education and Experience Requirements: • Bachelor's degree or equivalent and relevant formal academic / vocational qualification • Significant clinical research experience (comparable to 5+ years) including remote and clinical monitoring and experience in all phases of study life cycle, including start up, interim and close out. • 1+ year of leadership responsibility In some cases an equivalency, consisting of a combination of appropriate education, training and/or directly related experience, will be considered sufficient for an individual to meet the requirements of the role. Knowledge, Skills and Abilities: • Advanced knowledge of ICH GCP, applicable regulations and PPD/Client procedural documents • Advanced knowledge in all phases of clinical trials, specifically study start-up, study maintenance and study close-out • Advanced skills in managing, motivating and mentoring staff • Ability to analyze and manage clinical administration portion of Business Development bids and contracts for multiple studies within specific division(s)/office(s) • Strong knowledge of budgets, projects and metrics • Ability to handle multiple tasks simultaneously, to meet rigorous timelines and to work effectively in stressful situations • Excellent organization skills and strong attention to detail • Excellent communication and interpersonal skills • Ability to travel if required Working Conditions and Environment: • Work is performed in an office and/or a clinical environment with exposure to electrical office equipment. • Exposure to biological fluids with potential exposure to infectious organisms. • Travel varies (more for some individuals), which includes frequent drives to site locations and domestic travel and rare international travel where applicable • Personal protective equipment required such as protective eyewear, garments and gloves in some instances. • Exposure to fluctuating and/or extreme temperatures on rare occasions Why Join Us? When you join Thermo Fisher Scientific, you become part of a global team that values passion, innovation, and a commitment to scientific excellence. You’ll work in an environment where collaboration and development are part of the everyday experience—and where your contributions truly make a difference. Apply today to help us deliver tomorrow’s breakthroughs.

India