Jobs at Privia Health

Lead enterprise data architecture for Privia Health’s Snowflake platform, defining scalable modeling, integration, governance, security, and optimization standards. Design Medallion Architecture layers and healthcare data schemas spanning EMRs, claims, eligibility, and value-based care data. Establish dbt, Python, testing, orchestration, and CI/CD best practices; enforce HIPAA, PHI/PII masking, access controls, lineage, and cataloging. Provide technical leadership, design reviews, mentorship, and cross-functional guidance to engineering, analytics, clinical, and product stakeholders.

Oversee physician revenue cycle operations, including claims submission, follow-up, accounts receivable resolution, denials, appeals, and payer projects. Lead managers and staff, monitor performance and quality KPIs, identify workflow improvements, develop training, resolve escalated claims, update policies, and collaborate with physicians, care center leaders, and internal teams. Manage staffing, coaching, performance feedback, and disciplinary processes while supporting strategic revenue cycle initiatives.

Leads the planning and execution of conferences, summits, webinars, and virtual experiences. Manages stakeholder relationships, budgets, contracts, vendors, timelines, risks, and event analytics. Supports large-scale offsite events, mentors junior staff, and applies industry best practices to improve event outcomes. The role requires approximately 15% travel and occasional evening or weekend work.

Manages a portfolio of independent physician practices, driving financial, operational, clinical, revenue-cycle, and patient-experience improvements. Develops growth and action plans, analyzes performance metrics, improves workflows, coaches practice administrators and performance associates, and supports transitions to value-based care. Builds provider relationships, communicates initiatives, ensures regulatory compliance, and delivers recommendations to improve practice efficiency and revenue. Requires 70% travel throughout New Jersey.

Manage accounts receivable and complex physician claims, including denials, appeals, adjustments, resubmissions, reconciliations, and aged AR analysis. Resolve and oversee Salesforce cases, identify root causes, update policies, support practice consultants and physicians, escalate issues, and drive team KPIs. Ensure compliant revenue cycle operations and serve as a subject matter expert.

Manage accounts receivable and aged claims, investigate and appeal insurance denials, resolve claim issues, process adjustments and resubmissions, and analyze root causes. Collaborate with practices, physicians, payers, and internal teams to optimize reimbursement and revenue-cycle performance. Use Salesforce case management and Trizetto for denial analysis, meet departmental KPIs, and support care-center launches that may require overnight travel.

Audits medical records against CPT, HCPCS, and ICD-10-CM codes for regulatory compliance; researches CMS and Medicare guidance; prepares audit reports; educates providers and groups; delivers coding consultation, documentation training, technical support, and issue resolution; tracks education completion and escalates findings when needed.

Manages a portfolio of independent physician practices across the Austin and Houston markets, driving financial, operational, clinical, revenue-cycle, and customer-experience performance. Develops growth and improvement plans, optimizes workflows, coaches practice administrators and performance associates, supports value-based care transitions, communicates initiatives, and ensures regulatory compliance. The role requires financial analysis, provider relationship management, project coordination, presentations, and 70% travel throughout the assigned territory.

Leads value-based care and clinical quality strategy for the Mid-Atlantic market. Oversees population health and clinical quality teams, aligns contract requirements with performance opportunities, advances quality and cost initiatives, designs HEDIS workflows, resolves operational barriers, influences physician leadership, manages payer relationships, and supports physician-specific EHR workflows. Requires healthcare experience, value-based care knowledge, quality-program expertise, people management, and HIPAA compliance.

Manage accounts receivable and medical claims, including aged AR analysis, denial investigation, payer appeals, claim adjustments, resubmissions, and issue resolution. Collaborate with practices, physicians, internal teams, and payers to optimize reimbursement and revenue cycle performance. Use Salesforce case management and Trizetto for denial analysis, support care center implementations, ensure compliance with HIPAA, and meet daily and monthly KPIs.

Manage a portfolio of multi-specialty physician practices to drive financial, clinical, and operational performance. Develop growth and action plans, track metrics (finance, revenue cycle, productivity, clinical performance, CX), re-engineer workflows, mentor practice administrators, support transition to value-based care, roll out initiatives, and provide oversight to performance associates. Regular travel throughout the assigned territory (≈70%).

Deliver in-person and webinar EHR training and go-live support for providers and Care Center staff. Customize curriculum, monitor e-learning completion, track metrics to identify training needs, and serve as an athenahealth SME while collaborating with implementation and performance teams.

Manage and drive provider onboarding and go-live for physician practices, serving as primary project manager and trainer for EHR and practice management systems. Coordinate across Finance, IT, Revenue Cycle, and Credentialing, train clinical and office staff, manage multiple project plans, lead change management, mentor peers, and travel frequently to support regional markets.

Generate qualified leads and set appointments via targeted outbound calls, research and segment markets, support directors in follow-up and opportunity management, track activity in Salesforce, and collaborate with sales and marketing to drive lead generation across multiple business verticals.

Manage and lead provider onboarding and implementations into Privia Medical Group. Serve as project manager and trainer for EHR and practice management/billing platform go-lives, coordinate cross-functional teams, maintain project plans, train staff, manage multiple projects, and support market and national process improvements while traveling to client sites.

Deliver risk-adjustment and coding education (HCC, ICD-10-CM, CPT, HCPCS), conduct prospective and retrospective chart audits, analyze coding performance, generate audit reports, lead provider trainings, ensure CMS/AMA compliance, and support documentation improvement initiatives.