Jobs at Privia Health

Manages multiple technical projects within the PMO, coordinating technical and business stakeholders from planning through closeout. Develops project plans, status reporting, success metrics, governance processes, and risk escalation practices. Partners with Product and technical teams to align project execution with technology roadmaps. Supports AI project governance, ROI modeling, process optimization, quality assurance, SDLC execution, and Scrum/Kanban delivery across clinical, operational, and technical teams.

Conducts quality reviews and audits of revenue cycle claims, workflows, and offshore/onshore operations. Analyzes performance data, identifies process deficiencies and root causes, maintains quality metrics, reports findings to leadership, recommends training and process improvements, updates SOPs, and serves as an RCM workflow subject matter expert while supporting special projects and training initiatives.

Processes and resolves insurance credits, overpayments, refunds, and account discrepancies within physician revenue cycle operations. Reviews EOBs and payer payments, reconciles balances, prepares refund requests, documents transactions, and coordinates with payers, patients, physician practices, and internal teams. Maintains audit-ready records, follows HIPAA and payer guidelines, responds to inquiries, and uses Salesforce to manage worklists and requests.

Supports corporate and care center procurement by facilitating vendor contracts, managing vendor relationships, monitoring discounted pricing and savings opportunities, reporting participation metrics, responding to procurement inquiries, maintaining savings resources, and communicating new opportunities. The role also conducts vendor and ESG research, coordinates contract approvals, and collaborates with operations teams, care centers, and suppliers to improve procurement value.

Supports and maintains Privia’s athenaOne EHR and practice management applications. Responsibilities include second-level issue resolution, troubleshooting, configuration, testing, QA, documentation, stakeholder communication, remote EHR support, staff onboarding, functionality training, data collection, and HIPAA compliance. The role also serves as an escalation resource for Tier 1 support and helps maintain the platform for clinicians and care teams.

Supports IAM operations and leads complex cross-functional identity and access initiatives from planning through implementation. Responsibilities include user provisioning, access changes, terminations, identity governance, issue escalation, QA, process improvement, documentation, stakeholder coordination, risk tracking, and executive status reporting. The role partners with security, technology, business, and operational teams while maintaining compliance with organizational policies, security requirements, and HIPAA regulations.

Supports and configures athenaOne and athenaNet for clinicians, serving as a clinical informatics subject matter expert. Resolves complex EHR issues, provides high-tier support, manages CRM queues, leads medium and large projects, maintains platform standards, tests configurations, and trains users. The role also manages stakeholder relationships, supports documentation, and provides guidance to platform associates and contractors.

Oversees revenue cycle management training and workflow optimization for physician care centers. Develops athenaOne Collector curriculum and Privia University LMS content, leads pre- and post-go-live training, supports implementations and high-profile go-lives, provides at-the-elbow assistance, and communicates product updates. Partners with market trainers, improves learning experiences, and ensures workflows align with evolving revenue cycle best practices. Travel is required 10–20%.

Leads the planning and execution of complex conferences, summits, webinars, and virtual events. Manages budgets, timelines, vendors, contracts, risks, analytics, and stakeholder relationships while aligning events with organizational goals. Supports large-scale offsite delivery, mentors junior staff, and drives continuous improvement in event strategy and execution. Requires occasional travel and flexibility for evening or weekend work.

Facilitates in-person and webinar training for providers and Care Center staff on EHR concepts, workflows, efficiency, delegation, and population health initiatives. Provides go-live and at-the-elbow support, customizes training based on workflow assessments, monitors e-learning completion, tracks training metrics, and collaborates with implementation, product, performance, and clinical teams. Requires extensive travel across assigned markets and serves as an athenahealth subject matter expert.

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.

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.

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 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.

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.

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.