Jobs at Privia Health

Manage payer enrollment for New Jersey independent providers and care centers: enroll new groups/providers with commercial and federal payers, maintain payer data in CredentialStream, investigate claims/enrollment issues, resolve inbound claims in AthenaOne EMR, handle Salesforce case resolution, and coordinate onboarding with internal teams.

Manage accounts receivable and denial lifecycle for physician practices: analyze aged AR, investigate and appeal denials, make claim adjustments/resubmissions, collaborate with internal teams and practices, support go-lives (may include overnight travel), use Trizetto and Salesforce for case/denial management, and drive daily/monthly RCM KPIs.

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.

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.