Oversee the construction and execution of the Salesforce platform by managing a high-performing engineering delivery team. Partner with product and strategy leaders to align technical output with the enterprise roadmap and AI-driven future.
Privia Health
37 Remote Job Openings at Privia Health
Provider & Payer Enrollment Specialist (New Jersey)
Privia Health
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Full Time
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2 days ago
Privia Health
The specialist manages the payer enrollment process for independent providers and care centers in the New Jersey market. This includes enrolling providers with commercial and federal payers and resolving claims-related inquiries using AthenaOne EMR.
The AR Manager is responsible for the accurate and timely processing of claims, including analyzing aged AR and resolving denial root causes. This role involves collaborating with internal teams and physicians to optimize revenue cycle functionality and meet department KPIs.
Oversee the entire claims submission and follow-up process while managing staff to meet performance, quality, and production metrics. Responsible for resolving complex aged accounts receivable issues and collaborating with care center leadership to optimize revenue cycle operations.
Oversee the entire claims submission and follow-up process while managing staff to meet performance, quality, and production metrics. Responsible for resolving aged accounts receivable, managing Salesforce cases, and collaborating with care center leadership to resolve complex revenue cycle matters.
Design and maintain high-performing Rails and JavaScript applications that power core patient and provider digital products. Develop data models, load pipelines, and SQL scripts while integrating AI tools to optimize development workflows.
Associate People Operations Director (HR Business Partner)
Privia Health
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Full Time
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6 days ago
Privia Health
The Associate People Operations Director serves as a strategic advisor to managers, focusing on employee relations, performance management, and organizational effectiveness. They lead talent reviews, succession planning, and cross-functional HR projects to drive scalability and maintain company culture.
Design and implement scalable data quality frameworks using AI-assisted practices to ensure the accuracy and consistency of enterprise data. Develop automated checks within ETL/ELT pipelines and validate BI datasets and KPIs to support the Data Foundry team.
Design, build, and maintain data pipelines and infrastructure to power clinical, financial, and operational reporting. This includes managing the end-to-end flow of healthcare data through staging, transformation, and mart layers.
Oversee the operational efficiency of Care Center websites on the Drupal platform and manage the digital support queue. Act as the primary operational liaison for the rollout of online scheduling and other digital projects like SEO and ORM.
Oversee the entire claims submission and follow-up process while managing staff to meet performance, quality, and production metrics. Responsible for resolving aged accounts receivable, managing Salesforce cases, and collaborating with care center leadership to optimize revenue cycle operations.
Oversee the construction and execution of the Salesforce platform by managing a high-performing engineering delivery team. Partner with strategy and architecture leads to align technical output with the enterprise roadmap and AI-driven goals.
Responsible for processing reimbursement and payment audits to ensure compliance with payer contracts and government fee schedules. The role involves tracking payment performance, managing denial trends, and collaborating with RCM staff to maximize cash flow.
The Senior Data Engineer will be responsible for building, modernizing, and scaling the enterprise data platform, including designing and maintaining data pipelines. They will also collaborate with stakeholders to deliver data solutions aligned with business goals.
Design, develop, and maintain scalable end-to-end data pipelines while modernizing the enterprise data platform using Snowflake and Python. Collaborate with stakeholders to deliver data solutions and provide technical leadership through mentoring and DevOps practices.
Provider & Payer Enrollment Specialist (New Jersey)
Privia Health
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Full Time
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10 days ago
Privia Health
The specialist manages the payer enrollment process for independent providers and care centers in the New Jersey market. Key duties include enrolling providers with commercial and federal payers, managing data in CredentialStream, and resolving claims-related inquiries via AthenaOne.
The UX/QA Engineer ensures that patient and provider digital products are functionally sound and provide a seamless user experience. This involves validating UI designs, executing end-to-end test plans, and utilizing AI tools for automated regression scripting.
Responsible for processing reimbursement and payment audits to ensure compliance with payer contracts and government fee schedules. The role involves tracking payment performance, managing denial trends, and collaborating with RCM staff to maximize cash flow.
Oversee the construction and execution of the Salesforce platform while managing a high-performing engineering delivery team. Partner with strategy and architecture teams to align technical output with the enterprise roadmap and AI-driven future.
Develop and deliver comprehensive coding education and advanced consultation to providers to improve accuracy and compliance. Analyze performance indicators to identify training gaps and create specialty-specific documentation programs.
Coding Compliance Audit & Education Specialist
Privia Health
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Full Time
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17 days ago
Privia Health
The specialist audits medical records for compliance with federal coding regulations and guidelines. They are also responsible for providing post-audit education and training to providers to improve documentation and coding accuracy.
Risk Adjustment Documentation & Coding Educator (CRC Required)
Privia Health
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Full Time
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17 days ago
Privia Health
The role involves conducting training and education for providers on risk adjustment documentation and coding to support value-based care initiatives. It also requires performing comprehensive medical record audits to ensure regulatory compliance and data integrity.
Design and implement scalable Salesforce solutions focusing on custom UI development with LWC/LWR and AI-driven features via Agentforce. Manage the full development lifecycle including DevOps pipelines, event-driven architecture, and third-party integrations.
Provider & Payer Enrollment Specialist (New Jersey)
Privia Health
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Full Time
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20 days ago
Privia Health
Manage the payer enrollment process for independent providers and care centers in the New Jersey market. Act as a liaison between the Enrollment Department and stakeholders while resolving claims and enrollment issues using AthenaOne and Salesforce.
Provider & payer Enrollment Specialist (New Jersey)
Privia Health
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Full Time
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23 days ago
Privia Health
Manage the payer enrollment process for independent providers and care centers in the New Jersey market. Act as a liaison between internal teams and external stakeholders to resolve claims and enrollment issues.
The Enrollment Specialist manages the payer enrollment process for independent providers and care centers in the New Jersey market. This includes handling payer data in CredentialStream, resolving claims inquiries in AthenaOne EMR, and coordinating with internal onboarding teams.
Develop and deliver comprehensive coding education and advanced consultation to providers to improve accuracy and compliance. Analyze performance indicators to identify training gaps and create specialty-specific documentation programs.
Drive the expansion and adoption of virtual health services for internal practices and external B2B clients. This includes generating qualified leads, conducting market analysis, and executing patient awareness campaigns.
Provide legal support for healthcare M&A transactions, including drafting agreements, managing due diligence, and coordinating legal strategy. Advise internal stakeholders on business ventures and ensure compliance with healthcare laws and regulations.
Provide legal support for healthcare M&A transactions, including due diligence, risk management, and the drafting of definitive agreements. Advise internal stakeholders on strategic business ventures and manage post-closing integration processes.
Oversee the construction and execution of the Salesforce platform while managing a high-performing engineering delivery team. Partner with strategy and architecture teams to align technical output with the enterprise roadmap and AI-driven future.
Oversee the construction and execution of the Salesforce platform while managing a high-performing engineering delivery team. Partner with product owners and architects to align technical output with the enterprise roadmap and AI-driven future.
The Senior Coding Compliance Educator is responsible for developing and delivering comprehensive coding education and providing advanced consultation to providers and staff. This role involves analyzing coding performance indicators, designing specialty-specific training programs, and ensuring organizational compliance with industry standards.
Coding Compliance Audit & Education Specialist
Privia Health
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Full Time
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4 months ago
Privia Health
The specialist will conduct audits comparing medical record documentation to reported codes, researching and interpreting federal and state laws pertaining to CMS and Medicare. They will also prepare audit reports and provide post-audit education and technical support to providers regarding proper documentation and coding principles.
Coding Compliance Audit & Education Specialist
Privia Health
·
Full Time
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4 months ago
Privia Health
The specialist will audit medical records for compliance with federal coding regulations, comparing documentation to reported CPT/HCPCS and ICD-10-CM codes. Responsibilities also include conducting post-audit provider education, scheduling trainings, and providing technical support on proper documentation and coding principles.
The Associate Director of Virtual Health will lead the development and oversight of virtual care services, ensuring operational excellence and enhancing patient and provider experiences. This role involves strategic planning, project management, and collaboration with clinical teams to drive virtual care adoption.
The Associate Director of Virtual Health will lead the development and oversight of virtual care services, ensuring operational excellence and driving clinical quality. This role involves strategic planning, project management, and collaboration with clinical teams to enhance patient and provider experiences.
