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Privia Health




+30d

Manager, Compliance

Privia HealthNashville, TN, USA, Remote

Privia Health is hiring a Remote Manager, Compliance

Company Description

Privia Health elevates the patient-provider relationship by delivering tools, talent, and technology built to transform healthcare. Our proven, physician-focused platform is designed to reduce unnecessary costs, achieve better outcomes, and improve patient health and provider well-being.

Job Description

Reporting to the Sr. Director, Audit & Compliance, the Manager, Compliance will ensure all required elements of an effective Compliance Program are met. This position will be responsible for assisting with execution of our compliance plan and the organization’s compliance education program. The Manager, Compliance will assist in review and development of processes and controls to ensure compliance with state and federal laws and regulations applicable to Privia Health. 

 Primary Job Duties: 

  • Serve as a Subject Matter Expert in health care compliance and maintain a current knowledge of healthcare legal and regulatory requirements and industry standards

  • Research Federal and State regulations and payor contract requirements on assigned compliance topics

  • Partners and collaborates with the Compliance Department, senior leadership, and legal counsel to develop guidance on all new and current business initiatives

  • Assist in the implementation of Privia’s Compliance Program in new markets

  • Assist in responding to regulatory and payor audit requests

  • Assist in the management of the day-to-day compliance program 

  • Assists in the development, modification, communication, and implementation of policies and procedures

  • Assist Sr. Director, Audit & Compliance with managing and maintaining organization’s policy and procedure tool

  • Assists in the development and execution of annual compliance and monitoring plans, including performing the risk assessment and implementing corrective action plans where needed

  • Coordinate with the Coding Compliance and Integrity Team to ensure appropriate action plans are in place and monitored

  • Work with Compliance, Legal, IT Security and Training teams to maintain compliance education and training materials

  • Perform internal compliance audits and investigations as assigned, including risk-based audit program development, testing and drafting results

  • Collaborate with departmental management to develop formal corrective actions to ensure compliance

  • Support the Sr. Director, Audit & Compliance in preparation and delivery of reports to various stakeholders and Executive Management team

  • Perform tasks assigned by the Market Compliance Committees

  • Participate in Compliance Committee meetings and assist in the preparation of related materials.

  • Assists the Sr. Director Audit and Compliance with compliance special projects

  • Experience with ACO’s is beneficial

  • Perform other duties as assigned

Minimum Qualifications:

  • Bachelor’s Degree required

  • 5+ years’ experience in healthcare compliance with a keen understanding of compliance risks

  • Knowledge of laws regulations impacting healthcare; Able to review and understand regulations and guidelines and apply them to business practices

  • Compliance Certification (CHC, CHPC, CHRC, or CHC-F) preferred 

  • Must comply with HIPAA rules and regulations

Communication Methods Used:

  • Email

  • Phone

  • Google Chat

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to stand, sit, talk, hear, and use hands and fingers to operate a computer and telephone. Specific vision abilities required by this job include close vision necessary for document review and computer work. Ability to sit at a computer terminal for an extended period of time. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.


 

Additional Information

All your information will be kept confidential according to EEO guidelines.

Technical Requirements (for remote workers):

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.

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Privia Health is hiring a Remote Sr. Financial Operations Analyst

Company Description

Privia Health™ is a national physician platform transforming the healthcare delivery experience. We provide tailored solutions for physicians and providers, creating value and securing their future. Through high-performance physician groups, accountable care organizations, and population health management programs, Privia works in partnership with health plans, health systems, and employers to better align reimbursements to quality and outcomes.

Job Description

Title/Position: Sr. Financial Operations Analyst
Department or Business Unit: Finance and Accounting
Reporting Structure: Director, Accounting 

Employment Type: FTE
Exemption Status: Exempt
Min. Experience: Mid-Level
Travel Required: None

Overview of the Role:

The Sr. Financial Operations Analyst  works under the direction of the Director, Accounting to timely and accurately identify amounts owed to the Company’s various partners. This role would develop, implement, and maintain analytic systems, taking complicated data sets and building simple frameworks. This role has the opportunity to directly impact and provide significant value to the Company and the Company’s partners.

Primary Job Duties: 

  • Responsible for identifying deposits in the Company’s bank accounts and how that translates to the Company’s Flow of Funds process

  • Ability to work and interpret multiple data sources with the objective of identifying amounts due to the Company or Company’s partners

    • Create custom reports using SQL to analyze transaction history in detail

    • Assure custom reports align with financial data within the practice management system

  • Review and recommend modifications to accounting procedures to improve efficiency

    • Data Aggregation of information required for Privia’s automation team

    • Review automation results to ensure accuracy within our practice management system

  • Ability to summarize and communicate findings to Accounting Manager and other stakeholders across departments

  • Develop and document business processes to maintain and strengthen internal controls

  • Support month-end and year-end close processes

  • Support internal and external audits to ensure compliance

  • Perform other duties as assigned

 

Qualifications

  • Bachelor’s degree in Mathematics, Computer Science, Finance, or related field required
  • SQL experience aggregating and interpreting large data sets

  • Strong excel skills required

  • Python or R experience is a plus (not required)

  • Ability to establish and refine a process with minimal oversight

  • Ability to operate calculator and computer

  • Must comply with HIPAA rules and regulations 

Additional Information

All your information will be kept confidential according to EEO guidelines.

Technical Requirements (for remote workers):

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.

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Privia Health is hiring a Remote Sr. Manager, Digital Content Marketing

Company Description

Privia Health™ is a national physician platform transforming the healthcare delivery experience. We provide tailored solutions for physicians and providers, creating value and securing their future. Through high-performance physician groups, accountable care organizations, and population health management programs, Privia works in partnership with health plans, health systems, and employers to better align reimbursements to quality and outcomes.

Job Description

Reporting to the Director, Marketing, the Senior Manager, Content is a B2B storyteller who loves weaving together a compelling narrative that resonates with the needs, concerns, and challenges of our audiences. Our ideal candidate is an upbeat, self-starter who is comfortable wearing multiple hats and passionate about crafting quality content that converts. 

The Senior Manager, Content is a talented marketer who will drive the content strategy while managing and mentoring the Content Marketing team and leading by example to ensure an effective, high-quality, results-oriented content marketing program. 

Primary Job Duties:

  • Develop and oversee comprehensive content strategy across physician marketing, employer engagement, business development, cross-sell/upsell opportunities and product development

  • Create innovative distribution strategies for new and existing content with the help of the demand generation team. Incorporate digital and brand strategy to identify content opportunities and topic-specific engagement journeys that will boost organic growth 

  • Report on content performance and key insights, highlighting which channels and types of content are most impactful

  • Conduct regular audits to ensure content is fresh, relevant, and reflects our brand voice

  • Define, research, and build channel plans to include the ideal platforms to tell our content story including criteria, processes, and objectives by channel; paired with how to connect them into a cohesive brand conversation

  • Oversee and work collaboratively with content team to ensure work products that reinforce the company’s vision and brand, including but not limited to strategic positioning, blog posts, website copy, podcasts, campaigns, social media, e-books, white papers, solution briefs, videos, collateral and other key marketing materials

  • Collaborate with field sales and marketing teams to develop localized content and sales enablement approaches in each market. Find compelling ways to share Privia’s unique story in each local market to engage physicians in the community and expand the Privia market

  • Ensure impeccable adherence to brand standards, writing standards and compliant language across all materials

  • Oversee quarterly/half-year update process of materials to reflect accurate growth and market changes

  • Develop and set KPI's related to content performance and long-term strategic goals for business growth, exposure and lead gen

  • Act as an escalation point to solve problems and provide direction to internal and external resources

  • Assist marketing team across programs with a key focus on successful execution, teamwork, process improvement for national scale and adding innovative ideas to maximize performance

Qualifications

  • Bachelor’s degree from a four-year college or university in Marketing, Business, English, Communications, Journalism, or related field is a must; advanced degree a plus

  • 5+ years of marketing experience, with a portion in content marketing, healthcare or technology industry

  • People management experience preferred 

  • Excellent written and verbal communication skills. Ability to quickly and concisely articulate messaging to various customer segments

  • Exceptional editing skills and attention to detail

  • Experience developing and driving video, content and social media plans to drive sales, experience in Pardot a plus

  • Strong analytical and quantitative skills. Ability to uncover hard data and metrics to back up intuition and messaging direction 

  • Must comply with HIPAA rules and regulations 

Interpersonal Skills & Attributes:

  • A passion for writing and storytelling

  • Interested in constantly learning about the challenges and changes of an exciting industry 

  • Strong project management skills and strengths in managing multiple projects/deadlines and all levels of stakeholders

  • Strong interpersonal and teamwork abilities

  • Interest in using technology to drive and evaluate content marketing goals (via tools such as Google Analytics, Pardot, WordPress, Google Ads, etc.) 

  • A self starter with the ability to be flexible and desire own and grow this role in a dynamic environment

  • A true problem solver who wants to make an impact by improving our healthcare system

  • Polished professional with a proven track record of taking ownership and driving results

  • Think and act both strategically and tactically

  • Reliable communicator

  • Organized, collaborative, and creative approach

Physical Demands:

  • Ability to constantly remain in a stationary position

  • Ability to constantly operate a computer and other office productivity machinery, such as computer and printer

  • Ability to read and use close vision, including the ability to do so on a computer screen

  • Ability to frequently communicate and exchange information

  • Ability to frequently adjust focus

  • Ability to move about the office or other locations as needed

  • Ability to occasionally ascend/descend a ladder 

  • Ability to occasionally position self to maintain computers including under desks and in service closets

  • Ability to occasionally lift, push, or pull up to 25 pounds of equipment, usually in the form of boxes, equipment or other small packages

 

Additional Information

All your information will be kept confidential according to EEO guidelines.

Technical Requirements (for remote workers):

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.

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Privia Health is hiring a Remote Product Operations Manager

Company Description

Privia Health™ is a national physician platform transforming the healthcare delivery experience. We provide tailored solutions for physicians and providers, creating value and securing their future. Through high-performance physician groups, accountable care organizations, and population health management programs, Privia works in partnership with health plans, health systems, and employers to better align reimbursements to quality and outcomes.

Job Description

Title: Product Operations Manager

Employment Type: FTE

Exemption Status: Exempt

Location: Remote

Overview of the Role:

Reporting to the Director, Product Operations, the Manager, Product Operations will serve a key role in managing the success of Privia’s proprietary technology platform. They will be influential in ensuring key performance indicators of the products they and their direct reports oversee are met.

This role is expected to think and act both strategically and tactically, be a reliable communicator, a self-starter, someone who can work fast and smart, and someone who is interested in tackling the challenging opportunities working in a dynamic company within the complex healthcare industry.

Essential Job Duties:

  • Is the subject matter expert in all proprietary Privia products they oversee and serve as a platform evangelist guiding team members to understand the value and vision of the technology

  • Understand Privia’s business model and be able to make connections between the business needs and product initiatives

  • Understand and communicate all upcoming product features and user experience changes to key internal stakeholders and care centers

  • Understand and concisely communicate product feedback to product management leadership

  • Provides goal guidance and support to Professionals reporting to them

  • Collaborate and problem solve with Manager, Platform Operations on complex issues or problems that come through our support channels 

  • Coordinate, get buy in and manage projects with a range of key stakeholders including, Physicians, Care Center Administrators, Practice Operations, Training, Marketing, Communications, and Customer Experience

  • Makes decisions about the best way to optimize products for our care centers

  • Provide outstanding relationship management to the physician practices

  • Partner with our product owners on key development projects and support escalations

  • Lead strategic product initiatives by identifying areas of improvement and implementing new processes

  • Help to maintain and grow our most important asset - our data - utilizing Salesforce and help us develop critical content to fuel wide scale adoption of all Privia products

  • Proactively contribute new ideas and process opportunities with the Product Management team

Other Job Duties:

  • Ability to prioritize and follow through effectively, work independently, organized, detail-oriented, thorough

  • Excellent organization skills; ability to produce quality work, quickly in a fast-paced environment

  • Excellent communication skills. Your message is clear and people “get” what you’re saying in email, in person, and on the phone

  • Exceptional project management skills

  • Great interpersonal skills working up, down, and across - able to get buy in from a variety of stakeholders

  • Strong communication skills, both oral and written, with experience writing in a range of voices and styles for a variety of projects with diverse audiences

  • Resourceful and able to ‘hit the ground running.’

  • Strong attention to detail and accuracy, able to proofread and validate content and data for accuracy and brand consistency.

Qualifications

  • Bachelor's Degree
  • 3-5 years of experience

  • Experience in operations role preferred

  • Experience managing and/or leading team members

  • Experience with change management strategies & tactics

  • Experience with project management tools

Additional Information

All your information will be kept confidential according to EEO guidelines.

Technical Requirements (for remote workers):

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.bing.com/search?q=speedtest. 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.

Technical Requirements (for remote workers):

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.

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Privia Health is hiring a Remote Platform Operations Manager

Company Description

Privia Health™ is a national physician platform transforming the healthcare delivery experience. We provide tailored solutions for physicians and providers, creating value and securing their future. Through high-performance physician groups, accountable care organizations, and population health management programs, Privia works in partnership with health plans, health systems, and employers to better align reimbursements to quality and outcomes.

Job Description

Title: Platform Operations Manager

Employment Type: FTE

Exemption Status: Exempt

Location: Remote

Overview of the Role: 

The Platform Operations Manager will serve a key role in ensuring our products are performing optimally for our care centers and patients. They will directly oversee and manage product implementation and configuration, escalations of customer reported problems, and documentation of key processes. They must have excellent written and oral communication and be able to effectively deal with challenging customer situations. 

Primary Job Duties:

  • Provide oversight and leadership for the team to ensure effective support of products and/or process challenges.

  • Ensure consistent and effective product implementation and configuration.

  • Ability to extract and review data that reflects team performance against KPIs.

  • Hold the team accountable to SLAs and quality standards, including regular support reviews to identify trends and areas for improvement.

  • Serve as a point of escalation and subject matter expert.

  • Set a strong example for the team by stepping into an operational support role in times of need.

  • Support management and creation of training and educational materials for each support tier.

  • Manage a global 24-7 support team.

Qualifications

  • Bachelor’s Degree or equivalent experience and technical training or certifications
  • 2-4 years of experience in leadership over a support or customer experience team

  • Experience with customer relations / ticketing tools

  • Must comply with HIPAA rules and regulations 

Interpersonal Skills & Attributes:

  • Strong attention to detail and accuracy, able to proofread and validate content and data for accuracy and brand consistency.

  • Excellent written and verbal communication skills. Your message is clear and people “get” what you’re saying in email, in person, and on the phone.

  • Excellent time management skills. 

  • Ability to provide feedback in a positive, constructive manner. 

  • Team player, focused on creating strong team morale. 

  • Strong leadership skills

  • Resourceful and able to ‘hit the ground running.’

  • Ability to prioritize and follow through effectively.

  • Excellent organizational skills; ability to produce quality work, quickly in a fast-paced environment

Additional Information

All your information will be kept confidential according to EEO guidelines.

Technical Requirements (for remote workers):

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.

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Privia Health is hiring a Remote Sr. Analyst - SQL and Healthcare Experience Required

Company Description

Privia Health™ is a national physician platform transforming the healthcare delivery experience. We provide tailored solutions for physicians and providers, creating value and securing their future. Through high-performance physician groups, accountable care organizations, and population health management programs, Privia works in partnership with health plans, health systems, and employers to better align reimbursements to quality and outcomes.

Job Description

The Senior Analyst will work cross functionally within the team, helping develop a purpose-driven analytics platform to maximize the health of our patients and the performance of our physicians using proprietary applications. Primary emphasis for this role will be analysis of Privia’s performance in the Shared Savings Programs (MSSP) and Medicare Primary Care Program in Maryland (MDPCP).

Primary Job Duties:

  • Champion understanding of Medicare policy and regulations in Value Based Care (VBC) Programs with emphasis in the MSSP and MDPCP

    • Understand Medicare regulatory landscape related to Shared Savings programs, Accountable Care Organizations (ACO), and CMS’s new value-based initiatives

    • Develop subject matter expertise in existing programs, new guidelines, and regulations

    • Analyze regulatory impact on Privia’s existing business, ACO and provider performance, patient attribution, risk stratification, patient cost of care, utilization of healthcare services with emphasis in Primary Care Services

  • Work across functional teams to develop proprietary solutions to provide the business with the best analytics to drive success in existing contracts and evaluate new opportunities

  • Analytics

    • Leverage claims, EMR, clinical, third party data 

    • Perform periodic and ad-hoc assessments to evaluate, track, and forecast ACO performance

    • Calculate Key Performance Metrics (KPIs) in patient attribution, cost, utilization, risk stratification, and quality performance

  • Perform analysis to understand, track, and forecast provider performance

  • Build scalable scheduled and ad-hoc reports for internal and external stakeholders

  • Collaborate closely with IT leadership, engineers, and 3rd parties to build and enhance business analytics supporting Privia’s VBC business

Interpersonal Skills & Attributes:

  • Strong communication skills - ability to communicate complex information or concepts clearly

  • Creates clarity and adjusts style to expertise of audience

  • Comfortable in a rapidly expanding evolving environment

  • Highly collaborative and effective across an organization and region amongst multiple stakeholders

  • Ability to prioritize based on the needs of the organization

  • Performance Driven – knows the team’s goals and how to prioritize personal and daily activities to meet those metrics

  • Must comply with HIPAA rules and regulations

Physical Demands:

  • Ability to constantly remain in a stationary position

  • Ability to constantly operate a computer and other office productivity machinery, such as computer and printer

  • Ability to read and use close vision, including the ability to do so on a computer screen

  • Ability to frequently communicate and exchange information

  • Ability to frequently adjust focus

Qualifications

Minimum Qualifications:

  • 2-5 years of professional experience

  • Bachelor’s Degree; Preferably with healthcare (e.g. public health) or quantitative major (e.g. engineering, analytics, economics, actuarial sciences, statistics)

  • Healthcare data savvy, understands physician and inpatient claims data, EMR, hospital admission and discharge data, healthcare codes (CPT/HCPCS/provider specialty, diagnosis, place of service, revenue), healthcare claims adjudication (claim payments, adjustment/reversals, denials), healthcare claims processing (data fields, content, formats, 830p, and 830i)

  • Strong experience with SQL and SAS

  • Experience integrating, mapping, manipulating, transforming data 

  • Experience working at a health plan, hospital system, ACO, provider organization, consulting firm, technology start-up, or previous analytics experience and capabilities

Additional Information

All your information will be kept confidential according to EEO guidelines.

Technical Requirements (for remote workers):

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.

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Privia Health is hiring a Remote Insurance Credit Resolution Specialist

Company Description

Privia Health™ is a national physician platform transforming the healthcare delivery experience. We provide tailored solutions for physicians and providers, creating value and securing their future. Through high-performance physician groups, accountable care organizations, and population health management programs, Privia works in partnership with health plans, health systems, and employers to better align reimbursements to quality and outcomes.

Job Description

Under the direction of the Sr. Manager, Revenue Cycle Management,  the Insurance Credit Resolution Specialist is responsible for complete, accurate and timely processing of all designated claims, reviewing and responding to daily correspondence from physician practices in a timely manner, answering incoming inquiries, and daily correspondence.  Provide information as requested or properly authorized. 

Primary Job Duties:

  • Be versed and able to implement payer specific workflows for void requests, take back requests and insurance refund initiations

  • Be capable of researching and resolving overpaid and denied claims in athenaNet

  • Be able to meet productivity expectations

  • Other duties as needed

Minimum Qualifications:

  • Education: High School Graduate, Medical Office training certificate or relevant experience

  • Experience: 5+ years experience in physician revenue cycle / claims management

  • Background with posting charges, claim follow up, collections, and payment posting

  • Must have experience working with athenahealth’s suite of tools

  • Must comply with HIPAA rules and regulations

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus.

 

Additional Information

All your information will be kept confidential according to EEO guidelines.

Technical Requirements (for remote workers):

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.

See more jobs at Privia Health

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Privia Health is hiring a Remote Sr. Analyst - SQL and Healthcare Experiene Required

Company Description

Privia Health™ is a national physician platform transforming the healthcare delivery experience. We provide tailored solutions for physicians and providers, creating value and securing their future. Through high-performance physician groups, accountable care organizations, and population health management programs, Privia works in partnership with health plans, health systems, and employers to better align reimbursements to quality and outcomes.

Job Description

The Senior Analyst will work cross functionally within the team, helping develop a purpose-driven analytics platform to maximize the health of our patients and the performance of our physicians using proprietary applications. Primary emphasis for this role will be analysis of Privia’s performance in the Shared Savings Programs (MSSP) and Medicare Primary Care Program in Maryland (MDPCP).

Primary Job Duties:

  • Champion understanding of Medicare policy and regulations in Value Based Care (VBC) Programs with emphasis in the MSSP and MDPCP

    • Understand Medicare regulatory landscape related to Shared Savings programs, Accountable Care Organizations (ACO), and CMS’s new value-based initiatives

    • Develop subject matter expertise in existing programs, new guidelines, and regulations

    • Analyze regulatory impact on Privia’s existing business, ACO and provider performance, patient attribution, risk stratification, patient cost of care, utilization of healthcare services with emphasis in Primary Care Services

  • Work across functional teams to develop proprietary solutions to provide the business with the best analytics to drive success in existing contracts and evaluate new opportunities

  • Analytics

    • Leverage claims, EMR, clinical, third party data 

    • Perform periodic and ad-hoc assessments to evaluate, track, and forecast ACO performance

    • Calculate Key Performance Metrics (KPIs) in patient attribution, cost, utilization, risk stratification, and quality performance

  • Perform analysis to understand, track, and forecast provider performance

  • Build scalable scheduled and ad-hoc reports for internal and external stakeholders

  • Collaborate closely with IT leadership, engineers, and 3rd parties to build and enhance business analytics supporting Privia’s VBC business

Interpersonal Skills & Attributes:

  • Strong communication skills - ability to communicate complex information or concepts clearly

  • Creates clarity and adjusts style to expertise of audience

  • Comfortable in a rapidly expanding evolving environment

  • Highly collaborative and effective across an organization and region amongst multiple stakeholders

  • Ability to prioritize based on the needs of the organization

  • Performance Driven – knows the team’s goals and how to prioritize personal and daily activities to meet those metrics

  • Must comply with HIPAA rules and regulations

Physical Demands:

  • Ability to constantly remain in a stationary position

  • Ability to constantly operate a computer and other office productivity machinery, such as computer and printer

  • Ability to read and use close vision, including the ability to do so on a computer screen

  • Ability to frequently communicate and exchange information

  • Ability to frequently adjust focus

Qualifications

Minimum Qualifications:

  • 2-5 years of professional experience

  • Bachelor’s Degree; Preferably with healthcare (e.g. public health) or quantitative major (e.g. engineering, analytics, economics, actuarial sciences, statistics)

  • Healthcare data savvy, understands physician and inpatient claims data, EMR, hospital admission and discharge data, healthcare codes (CPT/HCPCS/provider specialty, diagnosis, place of service, revenue), healthcare claims adjudication (claim payments, adjustment/reversals, denials), healthcare claims processing (data fields, content, formats, 830p, and 830i)

  • Strong experience with SQL and SAS

  • Experience integrating, mapping, manipulating, transforming data 

  • Experience working at a health plan, hospital system, ACO, provider organization, consulting firm, technology start-up, or previous analytics experience and capabilities

Additional Information

All your information will be kept confidential according to EEO guidelines.

Technical Requirements (for remote workers):

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.

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Privia Health is hiring a Remote SVP & Chief Accounting Officer

Company Description

Privia Health™ is a national physician platform transforming the healthcare delivery experience. We provide tailored solutions for physicians and providers, creating value and securing their future. Through high-performance physician groups, accountable care organizations, and population health management programs, Privia works in partnership with health plans, health systems, and employers to better align reimbursements to quality and outcomes.

Job Description

Travel Required: 25%

The SVP & Chief Accounting Officer (CAO) is responsible for the supervision and direction of all general accounting functions including payroll, accounts payable, financial analysis and full general ledger accounting. The SVP & CAO is responsible for the development and implementation of accounting policies and procedures, internal accounting controls and internal audit functions for a publicly traded company. Additionally, the SVP & CAO is responsible for leading the accounting team in managing the Corporation’s accounting policies, systems and processes, tax and regulatory requirements, payroll systems, accounts payable processes and controls.  

Primary Job Duties:

  • Responsible for the delivery of cost effective and efficient accounting and financial systems, policies and processes that meet the current and future business requirements.

  • Ensure the financial statements are prepared in accordance with GAAP and all SEC requirements for a large accelerated filer including Sarbanes Oxley (SOX) 

  • Oversee the External Audit, review and analyze results and institute required recommendations.

  • Attend the Audit Committee meetings and work with the Audit Committee Chair

  • Ensure proper training of all personnel working on financial, accounting, audit, or fiscal matters;

  • Oversee the administration of the stock compensation equity program

  • Oversee and monitor effective tax strategies and compliance for the Corporation;

  • Oversee and monitor information technology, leaseholds and procurement;

  • Oversee the mandate and work with the internal audit group of the Corporation;

  • Coordinate the annual audit (and any special or non-recurring audit) with the Corporation's external auditors;

  • Assist with the accounting of all mergers and acquisitions including valuations and working with the Value Based Care team on accounting for new payor contracts

  • Communicate transparently and collaborate to the fullest extent possible with the Corporation’s external auditors; 

  • Oversee the Cash Management function, including banking relationships.

  • Ensure the Organization is in compliance with all internal policies and relevant regulations and ensure filings are completed in a timely manner.

  • Responsible for the management of the Organizations Insurance and Risk Management program.

  • Oversee the annual insurance renewal process and ensure appropriate coverage is maintained at all times.

  • Responsible for the MEWA Health and Welfare program for the K1 Medical Group Partners and their support staff..

  • Responsible for multiple 401(k) investment plans for W2 employees, K1 Medical Group Partners and their support staff.

  • Ensure appropriate legal review of contracts and solicit external legal advice as required. Review financials of preferred vendors.

Qualifications

  • Education: Bachelor’s degree in business, finance, or accounting.  

  • Master’s degree in business, finance, or accounting or equivalent work experience preferred.

  • Certified Public Accountant

  • Preferred Experience: 10-15 Years working knowledge in healthcare accounting and finance with 5-8 years of experience in Accounting Senior leadership roles in a publicly traded company that is a large accelerated filer. 

Physical Requirements

  • Ability to constantly remain in a stationary position

  • Ability to constantly operate a computer and other office productivity machinery, such as computer and printer 

  • Ability to read and use close vision, including the ability to do so on a computer screen

  • Ability to use distance vision

  • Ability to frequently communicate and exchange information

  • Ability to frequently adjust focus

  • Ability to move about the office or to other locations as needed

 

Additional Information

All your information will be kept confidential according to EEO guidelines.

Technical Requirements (for remote workers):

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.

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Privia Health is hiring a Remote Sr. Manager, Business Development & Corporate Finance

Company Description

Privia Health™ is a national physician platform transforming the healthcare delivery experience. We provide tailored solutions for physicians and providers, creating value and securing their future. Through high-performance physician groups, accountable care organizations, and population health management programs, Privia works in partnership with health plans, health systems, and employers to better align reimbursements to quality and outcomes.

Job Description

Title/Position: Senior Manager, Business Development and Corporate Finance

FinanceDepartment or Business Unit: Business Development

Reporting Structure: VP, Corporate Finance 

Employment Type: FTE

Exemption Status: Exempt

Min. Experience: Mid-Level

Travel Required: Minimal

About the Role:

We are looking for an experienced Senior Manager, Business Development and Corporate Finance to be responsible for a wide range of strategic finance activities.  You’ll play a critical role on Privia’s business development team in an exciting growth phase of the company.  You’ll develop a deep understanding of our business and operating models, and support our senior management team through financial analyses and forecasts.  You’ll work closely with and collaborate with teams across the broader organization, including operations, FP&A, sales and others.

Business Development (75%)

  • Lead efforts to build business development target lists; coordinate and provide direct outreach support as needed

  • Market Analysis – assist in creating comprehensive market-level analysis of key trends, including physician, health system, payer, employer, and competitive environment

  • Evaluate potential opportunities for growth and development, including: partnerships, acquisitions and investments

  • Lead engagements on financial and operational due diligence, including acquiring financial data from practice management systems to develop models and analyses

  • Develop financial forecast models during due diligence, including critical value proposition for partners, based on robust analyses of market growth potential, revenue / cost drivers and synergies

  • Assist in managing cross-functional efforts from end-to-end for business development deals, including post-deal integration

  • Project manage a variety of initiatives and cross-functional stakeholder communication through regular meetings, status updates, and other communications, to ensure business development initiatives are on-track and successful

Corporate Finance (25%)

  • Partner with company leaders to evaluate M&A and investment opportunities

  • Provide financial and strategic insight to our business leaders

  • Work closely with FP&A and business leaders to drive budgeting processes and strategic decision making

  • Ad-hoc business projects and financial modeling analyses

Qualifications

  • 1-3+ years experience working in investment banking, equity research, corporate finance or equivalent
  • Strong attention to detail with advanced financial modeling skills 

  • Bachelor’s degree with a major in economics, finance, or another quantitative subject preferred

  • Proactive willingness to go the extra mile

  • Strong team player who is proactive, responsive and can thrive in a fast-paced, collaborative environment

  • Ability to work both independently and cooperatively, handling multiple projects and adhering to deadlines with strong time management skills

  • Exceptional communication skills at all levels and ability to convey technical topics to non-technical audiences

  • Must possess a 'can-do' attitude with the ability to work well with all levels of internal management and staff

Additional Information

All your information will be kept confidential according to EEO guidelines.

Technical Requirements (for remote workers):

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.

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+30d

Senior Data Analyst

Privia HealthArlington, VA, USA, Remote

Privia Health is hiring a Remote Senior Data Analyst

Company Description

Privia Health™ is a national physician platform transforming the healthcare delivery experience. We provide tailored solutions for physicians and providers, creating value and securing their future. Through high-performance physician groups, accountable care organizations, and population health management programs, Privia works in partnership with health plans, health systems, and employers to better align reimbursements to quality and outcomes.

Job Description

Title/Position: Senior Data Analyst
Department or Business Unit: Finance and Accounting
Reporting Structure: Director, Accounting 

Employment Type: FTE
Exemption Status: Exempt
Min. Experience: Mid-Level
Travel Required: None

Overview of the Role:

The Senior Data Analyst  works under the direction of the Director, Accounting to timely and accurately identify amounts owed to the Company’s various partners. This role would develop, implement, and maintain analytic systems, taking complicated data sets and building simple frameworks. This role has the opportunity to directly impact and provide significant value to the Company and the Company’s partners.

Primary Job Duties: 

  • Responsible for identifying deposits in the Company’s bank accounts and how that translates to the Company’s Flow of Funds process

  • Ability to work and interpret multiple data sources with the objective of identifying amounts due to the Company or Company’s partners

    • Create custom reports using SQL to analyze transaction history in detail

    • Assure custom reports align with financial data within the practice management system

  • Review and recommend modifications to accounting procedures to improve efficiency

    • Data Aggregation of information required for Privia’s automation team

    • Review automation results to ensure accuracy within our practice management system

  • Ability to summarize and communicate findings to Accounting Manager and other stakeholders across departments

  • Develop and document business processes to maintain and strengthen internal controls

  • Support month-end and year-end close processes

  • Support internal and external audits to ensure compliance

  • Perform other duties as assigned

 

Qualifications

  • Bachelor’s degree in Mathematics, Computer Science, Finance, or related field required
  • SQL experience aggregating and interpreting large data sets

  • Strong excel skills required

  • Python or R experience is a plus (not required)

  • Ability to establish and refine a process with minimal oversight

  • Ability to operate calculator and computer

  • Must comply with HIPAA rules and regulations 

Additional Information

All your information will be kept confidential according to EEO guidelines.

Technical Requirements (for remote workers):

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.

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Privia Health is hiring a Remote Senior Recruiter

Company Description

Privia Health™ is a national physician platform transforming the healthcare delivery experience. We provide tailored solutions for physicians and providers, creating value and securing their future. Through high-performance physician groups, accountable care organizations, and population health management programs, Privia works in partnership with health plans, health systems, and employers to better align reimbursements to quality and outcomes.

Job Description

As a key member of the Talent team, the Senior Talent Acquisition Specialist is responsible for managing a high volume of recruiting for seasoned and sophisticated entry, mid and executive level job requisitions. Utilizing various sourcing techniques, the Sr. TA Specialist will attract, hire and retain candidates of diverse backgrounds, honing in on key factors for success. This individual will be able to operate independently to kick off searches, build strategic search maps, and conduct technical and behavioral interviewing. This individual will have a consultative approach to their partnerships with hiring managers.

Primary Job Duties:

  • Partner with Talent Managers, People Operations, and Hiring Managers to determine recruiting specifications and facilitate recruiting strategies for all openings in the organization

  • Successfully manage the full lifecycle of a search from sourcing, setting up interviews, to negotiation/close

  • Proactively conduct research and investigate new ideas to find candidates through a variety of methods including: internet searches, social and professional networking groups, referrals and the ability to source existing or former candidates

  • Develop an ongoing and diverse pipeline of prospective candidates for all assigned positions

  • Partner with Hiring Manager and HR Business Partner to create and revise job descriptions as needed

  • Develop and maintain strong knowledge of job markets in each geographic area of recruitment

  • Develop awareness of what market compensation rates are for each role in each market, using market analysis tools such as Payfactors

  • Independently, using consultative skills, advise hiring managers on the profiles of candidates, the approach required to engage the candidate, and the partnership needed to land the candidate for the position

  • Document all appropriate data as it relates to kicking off a search and candidate status

  • Own and independently project manage additional side projects

  • Maintain an understanding of current legislation and employment laws

  • Perform other duties as assigned

Qualifications

  • 5-7 years of experience in a high volume recruiting environment

  • Product Engineering, Technology and/or IT recruiting experience required 

  • Experience using an ATS (Applicant Tracking system) to manage candidates

  • Consultative skills to manage hiring teams and process

  • Strong research/sourcing skills

  • Familiarity with recruiting trends and transformations

  • Excellent communication, interpersonal, and networking skills

  • Demonstrated success in a high-volume, ambiguous and fast-paced environment

  • Must comply with HIPAA rules and regulations

Physical Demands:

  • Ability to constantly remain in a stationary position

  • Ability to constantly operate a computer and other office productivity machinery, such as computer and printer

  • Ability to read and use close vision, including the ability to do so on a computer screen

  • Ability to frequently communicate and exchange information

  • Ability to frequently adjust focus

Additional Information

All your information will be kept confidential according to EEO guidelines.

 

Technical Requirements (for remote workers):

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.

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Privia Health is hiring a Remote Communications Coordinator

Company Description

Privia Health™ is a national physician platform transforming the healthcare delivery experience. We provide tailored solutions for physicians and providers, creating value and securing their future. Through high-performance physician groups, accountable care organizations, and population health management programs, Privia works in partnership with health plans, health systems, and employers to better align reimbursements to quality and outcomes.

Job Description

Privia Health is currently looking for a detail oriented, organized Communications Coordinator to gain experience on the Corporate Communications Team. The Communications Coordinator will assist in the planning, development and execution of communications related initiatives.

The Communications Coordinator must possess an organized, flexible, thoughtful and creative approach to communicating Privia’s mission to our physician practices and employees. They will be expected to think and act both strategically and tactically, be a reliable communicator, and will collaborate with all teams at various levels of the company. We are looking for a self-starter who can work fast and smart, and is interested in tackling the challenging opportunities.

Primary Job Duties:

  • Assist in the design, creation and and execution of communication campaigns across all teams to internal and external constituents to deliver Privia’s messages and key strategies across all teams. 

  • Develop inspiring, engaging, and educational content, and help monitor and maintain our interactive discussion boards for our customer-facing Intranet, Privia Connect

  • Manage/Participate in the editorial process for our physician-facing newsletters to ensure timely, tailored and accurate content.

  • Assist with the management of Privia’s social media channels by owning the editorial calendar, executing campaigns and posting engaging content. 

  • Research relevant healthcare news and partner with other Privia Health teams on related projects and launches.

  • Maintain our marketing communications platform, Pardot, by ensuring data accuracy, creating templates, and monitoring metrics.

  • Analyze communications data to determine areas of opportunity and successes within our communications campaigns and online presence.

  • Assist in project management simultaneous communications campaigns across all markets

  • Own pre-and post-event communications for national Care Center events and operational meetings.

Qualifications

  • Bachelor’s degree in Business, Communications, Journalism, English, Marketing

  • Strong writing and editing skills required

  • Experience with Pardot and Sprout Social is a plus

  • Healthcare industry knowledge and/or interest preferred

  • Must comply with HIPAA rules and regulations

Physical Demands:

  • Ability to constantly remain in a stationary position

  • Ability to constantly operate a computer and other office productivity machinery, such as computer and printer

  • Ability to read and use close vision, including the ability to do so on a computer screen

  • Ability to frequently communicate and exchange information

  • Ability to frequently adjust focus

Additional Information

All your information will be kept confidential according to EEO guidelines.

Technical Requirements (for remote workers):

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.

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+30d

Product Owner, Data Warehouse

Privia HealthArlington, VA, USA, Remote

Privia Health is hiring a Remote Product Owner, Data Warehouse

Company Description

Privia Health™ is a national physician platform transforming the healthcare delivery experience. We provide tailored solutions for physicians and providers, creating value and securing their future. Through high-performance physician groups, accountable care organizations, and population health management programs, Privia works in partnership with health plans, health systems, and employers to better align reimbursements to quality and outcomes.

Job Description

Title: Product Owner, Data Warehouse

Employment Type: FTE

Exemption Status: Exempt

Location: Remote

Overview of the Role:

The Product Owner, Data Warehouse is responsible for owning specific projects involving our central data repository, cloud repository and supporting operating processes and workflow.  The Product Owner works with key business stakeholders to define and convey business needs to the data engineering team.  The Product Owner serves as a subject matter expert (SME) for owned products in production and plays a critical role in our ongoing movement to support and improve our platform of centrally available and trusted data used across software, analytics, and other business functions.

Primary Job Duties:

  • Gather, clarify, and document requirements

  • Verify product meets the business needs

  • Ensure enhancements are delivered in a high quality and timely manner

  • Understand and prioritize incoming product requests from a variety of functional areas

  • Track all projects on detailed timelines to meet deadlines and work with the Product Engineering team throughout the product lifecycle including scope definitions, roadmaps, use cases, requirements, user stories, project dependencies and QA.

  • Manage stakeholder expectations

  • Support agile ceremonies including sprint planning, retrospectives, release planning, and sprint reviews

  • Maintain prioritized and groomed product backlog

  • Maintain existing projects, including ensuring products are meeting the agreed upon Service Level Agreement (SLA)

  • Own projects with minimal oversight

  • Support and communicate with Product Operations Team, especially with respect to escalated production support concerns and communication around product releases

  • Maintain project plans, quarterly goal updates and other documentation

  • Product evangelist and subject matter expert of products within their portfolio

  • Support and create user documentation and training materials

  • Serve as a subject matter expert and product evangelist for data components of Privia’s platform - primarily data management and warehousing

Qualifications

Minimum Qualifications

  • Strong technical skills - not a developer, but  is able to investigate technical issues including strong competency in SQL and other database concepts

  • 2+ years of prior requirements analysis experience, working directly with stakeholders and developers, or 2+ years combined requirements analysis and data engineering, analytics, technical writing, or similar experience

  • Bachelor’s Degree required

  • Experience working with “Agile” methodologies, tools and practices

  • Willing and able to solve problems without depending on others

  • Able to describe typical sources of healthcare data 

  • Must comply with HIPAA rules and regulations

  • Demonstrated ability to manage projects independently

  • Demonstrated ability to use technical support and operational data, such as support cases, reports, and ad hoc investigations, to identify, triage, and document the impact, priority, and resolution of a problem.

Interpersonal skills & Attributes

  • Ability to work in a geographically distributed team

  • Willingness to accept input from anyone on the team

  • Eagerness to learn new skills and frameworks, as necessary

  • Ability to manage multiple priorities in a fast-paced, dynamic environment

  • Strong attention to detail

  • Ability to follow and enforce processes

  • Strong problem-solving skills

  • Excellent written and verbal communication skills

  • Ability to work and thrive in a collaborative team environment

  • Adaptable and flexible

  • Self-motivated

Communication Methods:

  • Slack

  • Video calls

  • Emails

  • Salesforce Case Management

Additional Information

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; and taste or smell. The employee must occasionally lift or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus.

All your information will be kept confidential according to EEO guidelines.

Technical Requirements (for remote workers):

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.

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+30d

Sr. Internal Auditor

Privia HealthTennessee City, TN 37055, USA, Remote

Privia Health is hiring a Remote Sr. Internal Auditor

Company Description

Privia Health™ is a national physician platform transforming the healthcare delivery experience. We provide tailored solutions for physicians and providers, creating value and securing their future. Through high-performance physician groups, accountable care organizations, and population health management programs, Privia works in partnership with health plans, health systems, and employers to better align reimbursements to quality and outcomes.

Job Description

Under the supervision of the Director of Compliance & Audit, the Senior Internal Auditor will assist with business process risk and control identification, control evaluation, governance processes, and maintaining the required elements of an effective Compliance Program (including audit and monitoring) and Sarbanes-Oxley 404 . The Senior Internal Auditor will clearly and concisely document audit and special project procedures performed and draft project reports and deliverables as assigned. In collaboration with the Director of Compliance & Audit, the Senior Internal Auditor will provide guidance on the effectiveness of Operational, Financial, and Compliance processes and controls.

Primary Job Duties:

  • Work directly with business process owners to create documentation that outlines operational, financial, and compliance processes and internal controls.  

  • Understands internal controls with the ability to review processes and to determine opportunities for improvement in control design and effectiveness.

  • Collaborate directly with departmental management to document and evaluate the effectiveness of end to end processes, including detailed testing of financial, operational and compliance internal control activities.

  • Collaborate with the Director of Compliance & Audit to develop risk-based audit programs.

  • Document workpapers for procedures completed with clear and concise findings, root causes, and conclusions.

  • Collaborate with Management to design meaningful corrective action plans and due dates that address the root cause(s) of findings.

  • Support the Chief Compliance Officer and Director of Compliance & Audit in preparation and delivery of reports to the departmental management, Executive Management, Market-Level Board of Governors, and Board of Directors as assigned. 

  • Perform other duties as assigned.

Preferences:

  • Healthcare industry audit experience

  • Achievement of or progress toward CPA and/or CIA certification is preferred.

  • Big 4, large regional CPA firm, or publicly-traded company internal audit experience preferred.

Qualifications

  • Bachelor’s Degree preferred or equivalent years of experience 

  • Strong written and oral communication skills.

  • Organized and detail-oriented.

  • 1-3 years of experience in external or internal audit with a proficient understanding of risks and controls.

  • Understanding of Sarbanes-Oxley 404 requirements for internal controls over financial reporting.

  • Familiarity with COSO and The IIA’s Three Lines of Defense

  • Must comply with HIPAA rules and regulations.

Communication Methods Used:

  • Email

  • Phone

  • Google Meets

  • Google Chat

Additional Information

All your information will be kept confidential according to EEO guidelines.

Physical Requirements:

  • Ability to constantly remain in a stationary position

  • Ability to constantly operate a computer and other office productivity machinery, such as computer and printer

  • Ability to read and use close vision, including the ability to do so on a computer screen

  • Ability to frequently communicate and exchange information

  • Ability to frequently adjust focus

Technical Requirements (for remote workers):

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.

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Privia Health is hiring a Remote Accounts Receivable Manager

Company Description

Privia Health™ is a national physician platform transforming the healthcare delivery experience. We provide tailored solutions for physicians and providers, creating value and securing their future. Through high-performance physician groups, accountable care organizations, and population health management programs, Privia works in partnership with health plans, health systems, and employers to better align reimbursements to quality and outcomes.

Job Description

Under the direction of the Director or Manager of Revenue Cycle Management, the Accounts Receivable (AR) Manager is responsible for complete, accurate and timely processing of all designated claims, reviewing and responding to daily correspondence from physician practices in a timely manner, answering incoming SalesForce cases and providing information as requested or properly authorized. The AR Manager will take steps necessary to resolve all claim issues or questions that escalate to the RCM team. Resolution of Salesforce cases and management of issues and the team resolving the cases is a key element in this role. 

Primary Job Duties:

  • Management of the accounts receivable (AR) including analysis of the aged AR, looking for root cause issues; writing rules where appropriate to stop errors from occurring

  • Denial management - investigating denial sources, resolving and appealing denials which may include contacting payer representatives

  • Makes independent decisions regarding claim adjustments, resubmission, appeals, and other claim resolution techniques

  • Collaborate internal teams (Performance, Operations, Sales) as well as care center staff when appropriate

  • At times, support large care center go lives which may include overnight travel

  • Works closely with our Revenue Optimization team, to support efforts to ensure reimbursement is in line with payer contract agreements. Performs 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), requiring a team focused approach to attainment of these goals

  • Other duties as assigned

Qualifications

 

  • Education: High School Graduate

  • Experience: 3+ years experience in a physician medical billing office

  • Must understand the drivers of revenue cycle optimal performance and be able to investigate and resolve complex claims.

  • Advanced Microsoft Excel skills

  • Preference for experience working with athenaHealth’s suite of tools

  • Must provide accessibility to private, quiet work space with high-speed internet to effectively work remotely

  • Must comply with HIPAA rules and regulations 

Interpersonal Skills & Attributes:

  • Comfortable speaking in front of groups

  • Excellent written and verbal communication

  • Willingness to train and mentor other team members

  • Great time management skills

  • Ability to work independently and multi-task in a fast paced environment

  • Technically capable and savvy

Physical Demands:

  • Ability to constantly remain in a stationary position

  • Ability to constantly operate a computer and other office productivity machinery, such as computer and printer

  • Ability to read and use close vision, including the ability to do so on a computer screen

  • Ability to frequently communicate and exchange information

  • Ability to frequently adjust focus

 

Additional Information

All your information will be kept confidential according to EEO guidelines.

Technical Requirements (for remote workers):

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.

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Privia Health is hiring a Remote Salesforce Business Associate

Company Description

Privia Health™ is a national physician platform transforming the healthcare delivery experience. We provide tailored solutions for physicians and providers, creating value and securing their future. Through high-performance physician groups, accountable care organizations, and population health management programs, Privia works in partnership with health plans, health systems, and employers to better align reimbursements to quality and outcomes.

Job Description

Title/Position: Salesforce Business Associate

Department or Business Unit: Growth Operations
Reporting Structure: Associate Director, Growth Operations

Employment Type: FTE

Exemption Status: Exempt

Min. Experience: Mid Level

Travel Required: No

Overview of the Role:

The Salesforce Business Associate sits on the Growth team and partners closely with our Product Engineering team to develop Salesforce-based solutions in an effort to streamline workflow and operations.  In addition, they are responsible for maintaining the import and upkeep of data into Salesforce. 

The Salesforce Business Analyst is a key part of the Growth Team at Privia Health. This is a great opportunity for a Salesforce User to get hands-on experience with a complex Salesforce org, develop new skills, and learn from a rapidly growing company!

Primary Job Duties: 

  • Project Manage the Growth Team’s Salesforce initiatives and needs with clear handoffs to the development team

  • Represent the Growth Team in requested Salesforce Planning Meetings

  • Create and maintain reports and dashboards for Growth Team stakeholders, including requirements gathering

  • Own the quality of lead data in Salesforce including field updates and the acquisition of new data from external data sets

  • Complete end user training/new hire orientation sessions for the Growth Team, promote adoption across business units

  • Collaborate with teams to prepare and maintain Salesforce-related documentation

  • Perform other duties as assigned

Qualifications

Minimum: 

  • Two years relevant experience
  • Experience supporting or working in Salesforce Sales Cloud

  • Advanced Excel experience 

  • Project Management experience

  • Must comply with HIPAA rules and regulations 

Desired:

Interpersonal Skills & Attributes:

  • Comfortable working independently and with a distributed team in a fast-paced and high volume environment with emphasis on accuracy and timeliness

  • Learning Mindset

  • Skilled in establishing and maintaining effective working relationships

  • Ability to communicate information clearly and effectively

  • Excellent analytical, interpersonal, and communication skills

  • Ability to interact with employees and vendors in a professional manner​​​​​​​

Additional Information

Physical Demands:

  • Ability to constantly remain in a stationary position

  • Ability to constantly operate a computer and other office productivity machinery, such as computer and printer

  • Ability to read and use close vision, including the ability to do so on a computer screen

  • Ability to frequently communicate and exchange information

  • Ability to frequently adjust focus

Technical Requirements (for remote workers):

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.

Technical Requirements (for remote workers):

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.

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Privia Health is hiring a Remote Sr. Talent Acqusition Specialist

Company Description

Privia Health™ is a national physician platform transforming the healthcare delivery experience. We provide tailored solutions for physicians and providers, creating value and securing their future. Through high-performance physician groups, accountable care organizations, and population health management programs, Privia works in partnership with health plans, health systems, and employers to better align reimbursements to quality and outcomes.

Job Description

As a key member of the Talent team, the Senior Talent Acquisition Specialist is responsible for managing a high volume of recruiting for seasoned and sophisticated entry, mid and executive level job requisitions. Utilizing various sourcing techniques, the Sr. TA Specialist will attract, hire and retain candidates of diverse backgrounds, honing in on key factors for success. This individual will be able to operate independently to kick off searches, build strategic search maps, and conduct technical and behavioral interviewing. This individual will have a consultative approach to their partnerships with hiring managers.

Primary Job Duties:

  • Partner with Talent Managers, People Operations, and Hiring Managers to determine recruiting specifications and facilitate recruiting strategies for all openings in the organization

  • Successfully manage the full lifecycle of a search from sourcing, setting up interviews, to negotiation/close

  • Proactively conduct research and investigate new ideas to find candidates through a variety of methods including: internet searches, social and professional networking groups, referrals and the ability to source existing or former candidates

  • Develop an ongoing and diverse pipeline of prospective candidates for all assigned positions

  • Partner with Hiring Manager and HR Business Partner to create and revise job descriptions as needed

  • Develop and maintain strong knowledge of job markets in each geographic area of recruitment

  • Develop awareness of what market compensation rates are for each role in each market, using market analysis tools such as Payfactors

  • Independently, using consultative skills, advise hiring managers on the profiles of candidates, the approach required to engage the candidate, and the partnership needed to land the candidate for the position

  • Document all appropriate data as it relates to kicking off a search and candidate status

  • Own and independently project manage additional side projects

  • Maintain an understanding of current legislation and employment laws

  • Perform other duties as assigned

Qualifications

  • 5-7 years of experience in a high volume recruiting environment

  • Product Engineering, Technology and/or IT recruiting experience required 

  • Experience using an ATS (Applicant Tracking system) to manage candidates

  • Consultative skills to manage hiring teams and process

  • Strong research/sourcing skills

  • Familiarity with recruiting trends and transformations

  • Excellent communication, interpersonal, and networking skills

  • Demonstrated success in a high-volume, ambiguous and fast-paced environment

  • Must comply with HIPAA rules and regulations

Physical Demands:

  • Ability to constantly remain in a stationary position

  • Ability to constantly operate a computer and other office productivity machinery, such as computer and printer

  • Ability to read and use close vision, including the ability to do so on a computer screen

  • Ability to frequently communicate and exchange information

  • Ability to frequently adjust focus

Additional Information

All your information will be kept confidential according to EEO guidelines.

 

Technical Requirements (for remote workers):

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.

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Privia Health is hiring a Remote Physician Recruitment Coordinator

Company Description

Privia Health™ is a national physician platform transforming the healthcare delivery experience. We provide tailored solutions for physicians and providers, creating value and securing their future. Through high-performance physician groups, accountable care organizations, and population health management programs, Privia works in partnership with health plans, health systems, and employers to better align reimbursements to quality and outcomes.

Job Description

The Provider Recruitment Coordinator will support the growth of Privia Health by assisting the Physician Recruitment team with the logistics of the recruitment process to result in the successful placement of physician and advanced practitioner candidates.


Primary Job Duties:
● Develop and maintain working knowledge of our practice model and regional communities in order to assist with candidate inquiries
● Work with physician recruiters to profile positions and develop practice opportunity descriptions
● Maintain a current list of open positions and their status across all relevant job boards
● Distribute announcements, mailings, and other mass communications for physician vacancies
● Actively source provider candidates and manage them in an applicant tracking system
● Assist physician recruiters with candidate interview processes, both telephone and site visit
coordination, which may include arrangements for travel, meals, developing itineraries, etc.
● Assist in the design, order, and stocking of physician recruitment marketing collateral
● Assist in all preparation and coordination efforts for off-site recruitment events, including both regional and national conferences
● Continually develop and improve upon processes, procedures, policies, and techniques to recruit providers
● Establish high reach objectives, personally track and report on performance

Qualifications

● Bachelor’s Degree and one year related experience required, or equivalent thereof
● Previous healthcare, sales, marketing, or recruiting background is preferred with specific
knowledge of the medical/physician community
● Exceptional organizational skills and attention to detail
● Strong computer technology skills including, but not limited to, Microsoft Outlook, Microsoft Word, Excel, PowerPoint, and social media outlets
● Superior marketing and public relations skills with the ability to communicate clearly and
professionally to present practice opportunities in a positive manner
● Proven track record of exceptional customer service skills
● Demonstrated ability to conduct Internet research in an efficient, productive manner
● Must comply with HIPAA rules and regulations

Interpersonal Skills & Attributes:

● Excellent communication skills with the ability to engage at all levels of the organization. 
Demonstrate a professional and adaptable demeanor with internal and external clients, including administrators, physicians, peers, and support staff.
● Exhibit a high energy level, and demonstrate the ability to work as a team, with flexibility in work habits to schedule and meet the needs of the medical staff.
● Proven ability to multi-task, planning and prioritizing a large volume of detail-oriented work in accordance with changing deadlines.

Additional Information

All your information will be kept confidential according to EEO guidelines.

Physical Requirements:

  • Ability to constantly remain in a stationary position

  • Ability to constantly operate a computer and other office productivity machinery, such as computer and printer

  • Ability to read and use close vision, including the ability to do so on a computer screen

  • Ability to frequently communicate and exchange information

  • Ability to frequently adjust focus

Technical Requirements (for remote workers):

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.

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Privia Health is hiring a Remote Sr. Manager, Digital Content Manager

Company Description

Privia Health™ is a national physician platform transforming the healthcare delivery experience. We provide tailored solutions for physicians and providers, creating value and securing their future. Through high-performance physician groups, accountable care organizations, and population health management programs, Privia works in partnership with health plans, health systems, and employers to better align reimbursements to quality and outcomes.

Job Description

Reporting to the Director, Marketing, the Senior Manager, Content Marketing is a B2B storyteller who loves weaving together a compelling narrative that resonates with the needs, concerns, and challenges of our audiences. Our ideal candidate is an upbeat, self-starter who is comfortable wearing multiple hats and passionate about crafting quality content that converts. 

The Senior Manager, Content is a talented marketer who will drive the content strategy while managing and mentoring the Content Marketing team and leading by example to ensure an effective, high-quality, results-oriented content marketing program. 

Primary Job Duties:

  • Develop and oversee comprehensive content strategy across physician marketing, employer engagement, business development, cross-sell/upsell opportunities and product development
  • Create innovative distribution strategies for new and existing content with the help of the demand generation team. Incorporate digital and brand strategy to identify content opportunities and topic-specific engagement journeys that will boost organic growth 
  • Report content performance and key insights to executive leadership highlighting which channels and types of content are most impactful
  • Conduct regular audits to ensure content is fresh, relevant, and reflects our brand voice
  • Define, research, and build channel plans to include the ideal platforms to tell our content story including criteria, processes, and objectives by channel; paired with how to connect them into a cohesive brand conversation
  • Oversee and work collaboratively with content team to ensure work products that reinforce the company’s vision and brand, including but not limited to strategic positioning, blog posts, website copy, podcasts, campaigns, social media, e-books, white papers, solution briefs, videos, collateral and other key marketing materials
  • Collaborate with field sales and marketing teams to develop localized content and sales enablement approaches in each market. Find compelling ways to share Privia’s unique story in each local market to engage physicians in the community and expand the Privia market
  • Ensure impeccable adherence to brand standards, writing standards and compliant language across all materials
  • Oversee quarterly/half-year update process of materials to reflect accurate growth and market changes
  • Develop and set KPI's related to content performance and long-term strategic goals for business growth, exposure and lead gen
  • Act as an escalation point to solve problems and provide direction to internal and external resources
  • Assist marketing team across programs with a key focus on successful execution, teamwork, process improvement for national scale and adding innovative ideas to maximize performance

Qualifications

  • Bachelor’s degree from a four-year college or university in Marketing, Business, English, Communications, Journalism, or related field is a must; advanced degree a plus
  • 5+ years of content marketing, preferably in the healthcare or technology industry, with 2+ years of people management
  • Excellent written and verbal communication skills. Ability to quickly and concisely articulate messaging to various customer segments
  • Exceptional editing skills and attention to detail
  • Experience developing and driving video, content and social media plans to drive sales, experience in Pardot a plus
  • Strong analytical and quantitative skills. Ability to use hard data and metrics to back up assumptions and messaging direction 
  • Must comply with HIPAA rules and regulations 

Interpersonal Skills & Attributes:

  • A passion for writing and storytelling
  • A student of healthcare, interested in constantly learning about the challenges and changes of an exciting industry. 
  • Strong project management skills and strengths in managing multiple projects/deadlines and all levels of stakeholders
  • Strong interpersonal and teamwork abilities
  • A self starter with the ability to be flexible and desire own and grow this role in a dynamic environment
  • A true problem solver who wants to make an impact by improving our healthcare system
  • Polished professional with a proven track record of taking ownership and driving results
  • Think and act both strategically and tactically
  • Reliable communicator
  • Organized, collaborative, and creative approach

Physical Demands:

  • Ability to constantly remain in a stationary position
  • Ability to constantly operate a computer and other office productivity machinery, such as computer and printer
  • Ability to read and use close vision, including the ability to do so on a computer screen
  • Ability to frequently communicate and exchange information
  • Ability to frequently adjust focus

Additional Information

All your information will be kept confidential according to EEO guidelines.

Technical Requirements (for remote workers):

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.

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