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.

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.

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.

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.

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.