Jobs at Privia Health

Lead design, development, and deployment of generative AI/ML solutions (LLMs, RAG, agentic frameworks) for VBC and RCM. Build scalable pipelines with Python/PySpark/T-SQL, integrate Snowflake and GCP, apply MLOps (MLflow, Docker, CI/CD), ensure LLM security and Responsible AI, and collaborate across teams to deliver measurable automation and production-grade models.

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.

Process assigned insurance credits and refunds, research/resolve overpaid or denied claims in athenaNet, respond to practice correspondence, use Salesforce to manage worklists, prepare and mail insurance refund checks (35+ daily), track returned checks, create payer-specific refund letters, and comply with HIPAA.

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 Operations Consultant II manages physician practices, driving performance improvements, overseeing financial metrics, and mentoring practice administrators. Responsibilities include strategic planning, enhancing workflow, and ensuring compliance with regulations.

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

Oversee revenue cycle processes, manage personnel, analyze aged accounts receivable, resolve claims issues, and improve operational efficiency.

The Sales Development Representative generates leads for Growth Directors, conducts outreach to prospects, and supports sales functions, aiming to increase unique qualified encounters with potential clients.

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.