Privia Health · 13 hours ago
Director, Network Management
United States
Part-time
Remote
Director/Executive
$125K/yr - $140K/yrPrivia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems. The National Director, Network Management leads the execution of Privia's comprehensive network roadmap, focusing on reducing the total cost of care by leveraging clinical and financial data to guide local primary care physicians and market teams.
Health CareHospitalInformation TechnologyManagement Information SystemsMedicalOutpatient CareWellness
Responsibilities
Work with market leaders to develop, document, and execute Privia’s network management roadmap to measurably and favorably impact total cost of care
Collaborate with Market, Provider, and Payer Leadership to identify key opportunities for priority contracts, create goals, and facilitate sharing across markets and between entities
Review and interpret market intelligence derived from clinical and financial data for preferred networks among both PMG and PQN providers to inform network decisions
Partner with IT teams to implement operational workflows that enhance the efficiency and effectiveness of network management across all markets
Develop and expand tactics like eConsult models, decision support, patient outreach tools, and similar to facilitate necessary referrals and ensure care is most likely to occur with high quality, low cost, and accessible providers
Manage external vendors and delegated partners that are leveraged to effectuate network management tactics, ensuring performance accountability, successful integration, and alignment with Privia’s strategic goals
Act as the internal subject matter expert for Market Teams and Providers, on network topics, such as keepage, appropriate referral volume, preferred provider relationships, and payers’ High-Value Networks
Partner with market teams to develop strategic care delivery relationships with healthcare entities, including specialists, and later, hospitals, skilled nursing, and other sites of care
Ensure diligent execution of the network management roadmap, tracking progress against key milestones and proactively addressing any potential roadblocks
Qualification
Required
Masters Degree, MPH, MHA, or MBA preferred
Analytical, quantitative and financial skills
Experience in business development
Knowledge of interoperability of electronic health records in coordination with network partners
Background with providers in clinically integrated networks
Ability to work in a fast-paced and changing work environment
Understands the continuity of patient care across multiple entities
Can develop Partner Compacts and Clinical Protocols
Creates accountability with partners to perform
Understands the role of specialists and outside facilities in population health management
Knowledge of medical claims terminology
Experience with utilization and medical cost reporting
Knows how to leverage data to identify high quality / low cost partners
Accountable with network partners on regular reporting metrics & goals
Can format data into understandable reports for communication to doctors and administrators
Must comply with HIPAA rules and regulations
Benefits
Medical, dental, vision, life, and pet insurance
401K
Paid time off
Wellness programs
Company
Privia Health
Privia Health is a physician enablement company that provides technology and services to optimize the healthcare delivery experience.
Founded in 2007
501-1000 employees
H1B Sponsorship
Privia Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (1)
2022 (2)
Funding
Current Stage
Public CompanyTotal Funding
$591.5MKey Investors
Goldman SachsHealth Enterprise PartnersOxeon Partners
2021-11-18Post Ipo Secondary· $174M
2021-04-29IPO
2014-09-16Private Equity· $400M
Leadership Team
David Mountcastle
Chief Financial Officer
Corey Perdue
Partner
Recent News
Privia Health Group, Inc.
2025-11-07
2025-11-07
2025-11-07
Company data provided by crunchbase