Privia Health

**M&A Integration Project Director** • • Full-time • Department: Business Development **Company Description** Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers. **Job Description** The M&A Integration Project Director will be a key member of the Business Development team, which focuses on M&A, partnerships and other strategic opportunities. This role is an opportunity to build a new function from the ground up as the company’s first M&A integration hire. This role will work closely with the senior leadership team and internal cross-functional stakeholders to directly impact Privia’s growth. The ideal candidate should have a demonstrated track record of managing multiple high-stakes M&A projects simultaneously. The candidate should also have an interest in learning more about healthcare services, particularly value-based care. M&A Deal Integration Management • Project manage cross-functional workstreams for all parts of M&A deal integration • Develop and maintain project plans, timelines, and stakeholder communication strategies, bringing together individual plans for each business and function involved • Develop and monitor integration budgets • Serve as key team member in ensuring the appropriate escalation of issues to internal teams M&A Deal Sourcing and Diligence Management • Lead and manage business development projects from initial assessment to due diligence, to deal close and post-deal integration • Lead diligence calls with M&A target functional teams • Responsible for overall and day-to-day project management of key deals, including anticipating, monitoring, managing, and reporting/escalating key deal issues • Create playbooks and processes as the foundation for future M&A and partnerships • Support outreach campaigns to prospective provider organizations Other duties as assigned **Qualifications** • Bachelor's or Master’s degree in Finance, Business Administration, Economics, or Healthcare Administration preferred • 6+ years of experience in a project management position managing complex projects in a healthcare setting • PMP preferred • Ability to manage multiple high-stakes projects simultaneously • Must have excellent top-management communication and interpersonal skills, ability to lead and work well with teams, and potential to develop internal client relationships. • Experience with project management tools, including Monday.com • Must comply with HIPAA rules and regulations The salary range for this role is $135,000-$150,000 in base pay and exclusive of any bonuses or benefits (medical, dental, vision, life, and pet insurance, 401K, paid time off, and other wellness programs).This role is also eligible for an annual bonus targeted at 15% and restricted stock units. The base pay offered will be determined based on relevant factors such as experience, education, and geographic location. **Additional Information** All your information will be kept confidential according to EEO guidelines. Technical Requirements (for remote workers only, not applicable for onsite/in office work): In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like https://www.speedtest.net/ . This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your connection. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost. Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. We understand that healthcare is local and we are better when our people are a reflection of the communities that we serve. Our goal is to encourage people to pursue all opportunities regardless of their age, color, national origin, physical or mental (dis)ability, race, religion, gender, sex, gender identity and/or expression, marital status, veteran status, or any other characteristic protected by federal, state or local law.   By clicking the link above or any third-party link within this posting, you are leaving this site and going to a third-party website where the third-party website's terms and privacy policy apply I'm interested I'm interested Privacy Notice

Under the direction of the Director or Manager of Revenue Cycle Management, the Claims Billing Specialist (official title: AR Manager) is responsible for ensuring the accurate and timely processing of all assigned claims. This role includes promptly addressing daily correspondence from physician practices, reviewing and appealing insurance claim denials and following up on aged claims. The AR Manager will take the steps necessary to resolve all claim issues or questions that escalate to the RCM team to include Salesforce case management. Primary Job Duties: Management of the accounts receivable (AR) including analysis of the aged AR, looking for root cause issues; suggesting billed rules/edits when appropriate to stop errors from occurring Denial management - investigate denial sources, resolve and appeal denials which may include contacting payer representatives via phone Make independent decisions regarding claim adjustments, resubmission, appeals, and other claim resolution techniques Collaborate with internal teams (Performance, Operations, Sales) as well as, care center staff when appropriate Support large care center go lives when applicable, which may include overnight travel Work closely with our Revenue Optimization team to support efforts to ensure reimbursement is in line with payer contract agreements. Perform denial analysis utilizing the Trizetto platform. Work directly with practice consultants or physicians to ensure optimal revenue cycle functionality Drive toward achievement of department’s daily and monthly Key Performance Indicators (KPIs) Other duties as assigned High School Graduate 3+ years experience in a medical billing office or equivalent claims experience Must understand the drivers of revenue cycle optimal performance and be able to investigate and resolve complex claims Advanced Microsoft Excel/Google Sheets skills (ex: pivot tables, VLOOKUP, sort/filtering, formulas) preferred Experience with athenaHeath and/or athenaOne highly preferred Experience working with New Jersey payers and providers preferred Must comply with HIPAA rules and regulations Independent decision maker with strong research skills Must comply with HIPAA rules and regulations The hourly range for this role is $24/hr - 26.45/ hr in base pay and exclusive of any bonus or benefits (medical, dental, vision, life, and pet insurance, 401K, paid time off, and other wellness programs). This role is also eligible for an annual bonus targeted at 10% based on performance in the role. The base pay offered will be determined based on relevant factors such as experience, education, and geographic location. All your information will be kept confidential according to EEO guidelines. Technical Requirements (for remote workers only, not applicable for onsite/in office work): In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like . This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your connection. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost. Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. We understand that healthcare is local and we are better when our people are a reflection of the communities that we serve. Our goal is to encourage people to pursue all opportunities regardless of their age, color, national origin, physical or mental (dis)ability, race, religion, gender, sex, gender identity and/or expression, marital status, veteran status, or any other characteristic protected by federal, state or local law. Privia Health ™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers. Originally posted on Himalayas

**RCM Training & Workflow Manager** • • Full-time • Department: Revenue Cycle **Company Description** Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers. **Job Description** The RCM Training and Workflow Manager oversees and executes training for new Privia Care Centers across all markets on athenaOne Collector billing workflows, maps future-state workflows under the Privia platform, and develops and maintains curriculum across in-person, eLearning, and webinar formats for both pre- and post-go-live phases. Responsible for triaging stakeholder issues and requests, this individual ensures that athenaOne Collector training consistently aligns with evolving best practices. To optimize workflows across Privia Medical Group Care Centers, the RCM Workflow Manager stays up to date on new features within athena’s Collector, Clinicals, and Communicator products. Balancing proactive planning with retrospective "catch up" training strategies, this innovative leader actively incorporates feedback to elevate Privia’s RCM and training program to a best-in-class standard. Primary Job Duties: • Develop and maintain overall athenaOne collector curriculum for Care Centers • Develop and maintain content for Privia University (LMS) • Lead pre-live and post live training for new Care Centers in all markets • Support RCM Implementation and training for New Markets • Lead training for high-profile implementations, as assigned • Provide at-the-elbow support for high-profile Care Centers, as assigned • Support New Market and/or high-profile Go-Lives • Offer supplemental training opportunities applicable to all markets • Partner with market trainers to execute curriculum and processes • Share and effectively communicate new athenaOne features regularly • Innovate and create new learning experiences for Care Centers • Other duties as assigned • Travel Requirements: 10 - 20% **Qualifications** • Bachelor’s degree preferred • Previous experience with Revenue Cycle Management and Physician Office Billing required • 2+ years experience with client facing training preferred • 2+ years experience with practice management systems, one or multiple areas of expertise preferred • Previous experience with athena’s Clinicals and Collector software strongly preferred • Demonstrated experience in development and editing instructional material • Knowledgeable about extended medical terminology • Must demonstrate excellent communication, organizational, and time management skills • Must demonstrate strong interpersonal skills to interact positively and productively with a variety of personnel within teams and across organizational lines • Ability to work in a very fast-paced and changing work environment • Must comply with HIPAA rules and regulations The salary range for this role is $65,000.00-$70,000.00 in base pay and exclusive of any bonuses or benefits (medical, dental, vision, life, and pet insurance, 401K, paid time off, and other wellness programs). This role is also eligible for an annual bonus targeted at 15%. The base pay offered will be determined based on relevant factors such as experience, education, and geographic location. **Additional Information** All your information will be kept confidential according to EEO guidelines. Technical Requirements (for remote workers only, not applicable for onsite/in office work): In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like https://www.speedtest.net/ . This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your connection. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost. Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. We understand that healthcare is local and we are better when our people are a reflection of the communities that we serve. Our goal is to encourage people to pursue all opportunities regardless of their age, color, national origin, physical or mental (dis)ability, race, religion, gender, sex, gender identity and/or expression, marital status, veteran status, or any other characteristic protected by federal, state or local law.   By clicking the link above or any third-party link within this posting, you are leaving this site and going to a third-party website where the third-party website's terms and privacy policy apply I'm interested I'm interested Privacy Notice

**Healthcare Sales Executive** • • Full-time • Department: Sales **Company Description** Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers. **Job Description** Privia is looking for a Healthcare Sales Executive (Growth Director) to join our rapidly growing sales team. The Growth Director is responsible for achieving targets for the overall recruitment of providers into Privia Medical Group (PMG). The Director is a sales professional with demonstrated experience closing complex business deals, consistently meeting and exceeding goals. 80% territory travel throughout Greater Columbus and Southern Ohio area required. Individual must be located in the territory.    Primary Job Duties:  • Segment a market/region and develop a target list of independent primary care doctors and specialists • 70% new business prospecting through in-person initial sales meetings and presentations with physicians  • Follow up with interested physicians and manage opportunities to close • Track activities, leads, and pending deals in Salesforce and participate in weekly sales calls • Contribute new ideas and share best practices with national sales team • Provide ongoing relationship and sales support to recruited practices • Work with the varied constituencies in Sales and Marketing to drive lead generation with top accounts and new opportunities • Establish relationships with local partners and distributors • If necessary, stand up a new market for Privia • Perform other duties as assigned **Qualifications** Bachelor's degree and advanced degree a plus • 5+ years complex sales or healthcare consulting experience in a highly competitive market • Demonstrated ability as an individual contributor in a highly competitive sales environment   • Experience exceeding sales targets with proven ability to generate in excess of $1 Million in sales • Must provide reliable transportation • Must comply with all HIPAA rules and regulations Interpersonal Skills & Attributes: • Sales orientation • Proven ability to qualify and follow-up on leads from various sources • Demonstrated ability to think of creative tactics to drive closure and shorten sales cycles • Highly self-motivated and independently driven • Deadline and results oriented • Tech-orientated • Motivated, metrics-driven self starter with an excellent work ethic  • Excellent time management, communication, analytical, and organizational skills   Total compensation for this role is estimated to be $180k-$220k plus restricted stock units. The salary range for this role is $90,000.00-110,000.00 in base pay and exclusive of any bonuses or benefits (medical, dental, vision, life, and pet insurance, 401K, paid time off, and other wellness programs). This role is also eligible for a variable compensation plan with an additional target of $90,000.00-100,000.00. The base pay offered will be determined based on relevant factors such as experience, education, and geographic location. **Additional Information** All your information will be kept confidential according to EEO guidelines. Technical Requirements (for remote workers only, not applicable for onsite/in office work): In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like https://www.speedtest.net/ . This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your connection. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost. Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. We understand that healthcare is local and we are better when our people are a reflection of the communities that we serve. Our goal is to encourage people to pursue all opportunities regardless of their age, color, national origin, physical or mental (dis)ability, race, religion, gender, sex, gender identity and/or expression, marital status, veteran status, or any other characteristic protected by federal, state or local law.   By clicking the link above or any third-party link within this posting, you are leaving this site and going to a third-party website where the third-party website's terms and privacy policy apply I'm interested I'm interested Privacy Notice

**Provider Credentialing Onboarding Specialist** • • Full-time • Department: Credentialing **Company Description** Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers. **Job Description** The Credentialing Onboarding Specialist plays a critical role in delivering a smooth, high-touch onboarding experience for new healthcare providers. Working under general supervision, this position supports the end-to-end credentialing and payer enrollment processes by gathering essential documentation, entering accurate provider data into internal platforms, and reviewing completed applications to ensure they are complete and ready for processing. The Onboarding Specialist acts as a responsive coordinator, ensuring required tasks are completed accurately and on time to support target provider start dates. Primary Job Duties: • Serve as an accessible, supportive point of contact for onboarding providers, guiding them through required paperwork and baseline expectations. • Deliver responsive, polite, and detail-oriented customer service to ensure providers feel supported and informed throughout the initial onboarding steps • Maintain ongoing tracking records and communicate routine status updates to providers, the Credentialing/Enrollment teams, and local practice managers. • Escalate complex issues, missing documentation, or potential timeline delays to team leads or managers in a timely manner. • Request, collect, and verify foundational documents from providers (e.g., licenses, DEA certificates, diplomas, malpractice insurance, peer references). • Review incoming credentialing and payer enrollment applications, CAQH profiles, and supporting packages to ensure completeness, accuracy, and readiness for credentialing and enrollment processing. • Create and update provider profiles in internal databases, ensuring high accuracy and compliance with standardized formatting. • Work closely with cross-functional administrative teams (Operations, Implementation, Credentialing, Enrollment) to transfer verified provider information efficiently. • Other duties as assigned **Qualifications** • 1+ years of experience in healthcare administration, medical staff services, or provider enrollment/credentialing • 1+ years of provider-facing customer service experience • Fundamental understanding of CAQH, provider licensure, and general enrollment documentation requirements. • Proficiency with Google Workspace preferred • Verity Credential Stream experience preferred  The salary range for this role is $63,000.00-$67,000.00 in base pay and exclusive of any bonuses or benefits  (medical, dental, vision, life, and pet insurance, 401K, paid time off, and other wellness programs). This role is also eligible for an annual bonus targeted at 10%. The base pay offered will be determined based on relevant factors such as experience, education, and geographic location. **Additional Information** All your information will be kept confidential according to EEO guidelines.   Technical Requirements (for remote workers only, not applicable for onsite/in office work): In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like https://www.speedtest.net/ . This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your connection. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost. Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. We understand that healthcare is local and we are better when our people are a reflection of the communities that we serve. Our goal is to encourage people to pursue all opportunities regardless of their age, color, national origin, physical or mental (dis)ability, race, religion, gender, sex, gender identity and/or expression, marital status, veteran status, or any other characteristic protected by federal, state or local law.   By clicking the link above or any third-party link within this posting, you are leaving this site and going to a third-party website where the third-party website's terms and privacy policy apply I'm interested I'm interested Privacy Notice