Jobs at Privia Health

Manage accounts receivable for physician practices using Athena EMR and Trizetto. Analyze aged AR, investigate and appeal denials, make claim adjustments and resubmissions, collaborate with internal teams and providers, support care center go-lives (including occasional overnight travel), and meet daily and monthly KPIs using Salesforce case management and Excel.

Manage payer enrollment for New Jersey independent providers and care centers: enroll groups/providers with commercial and federal payers, maintain payer data in CredentialStream, investigate claims/enrollment issues, use AthenaOne for claims inquiries, coordinate onboarding with internal teams, resolve Salesforce cases, and liaise with stakeholders.

Design, develop, and deploy Generative AI/LLM solutions (RAG, agentic frameworks) for VBC and RCM. Build scalable data pipelines, apply MLOps (MLflow, quantization, CI/CD, Docker), integrate Snowflake and GCP, ensure LLM security and responsible AI, and collaborate across teams to deliver production-grade AI systems.

Administer and configure a complex Salesforce org: manage daily configuration requests, build declarative solutions (Flows, custom objects/fields, layouts), handle DevOps deployments with Copado/GitLab, manage security and data (OWD, permission sets, ETL tools), document requirements in Jira, and continuously optimize platform performance and usability.

Provide subject-matter expertise in CPT/ICD-10/HCPCS coding by designing and delivering specialty-specific training, analyzing coding performance, scheduling and leading remote and group sessions, developing educational materials, resolving coding compliance inquiries within SLAs, and driving documentation and coding improvement initiatives.

Manage accounts receivable and aged AR analysis, investigate and appeal denials, make claim adjustments and resubmissions, collaborate with internal teams and practices, support care center go-lives (may include travel), use Trizetto for denial analysis and Salesforce for case management, and drive department KPIs.

Manage end-to-end payer enrollment for providers (commercial, Medicare, Medicaid); maintain status in CredentialStream; verify provider data; follow up with health plans until providers are PAR; collaborate with credentialing and RCM teams; attend stakeholder calls and escalate issues.

Lead and manage a Salesforce engineering delivery team to design, build, test, and deploy scalable, secure Salesforce solutions. Drive Agile/DevOps practices, release governance, platform architecture evolution, AI readiness, integrations (MuleSoft/REST/Data Cloud), HIPAA/PHI compliance, and cross-functional alignment to the enterprise roadmap while maximizing sprint efficiency and platform stability.

The Unapplied Funds Manager oversees unapplied funds management, data analysis, and team supervision while enhancing operational efficiency and ensuring accurate financial reporting.

The Coding Compliance Audit & Education Specialist audits medical records for compliance with coding regulations, conducts education for providers, and ensures adherence to federal and state coding guidelines.

The Coding Compliance Audit & Education Specialist audits medical records for compliance, educates providers on coding guidelines, and prepares audit reports. They conduct trainings, communicate findings, and provide consultation to ensure compliance with federal regulations.