Teams 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.