Credentialing & Enrollment 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

Location: Remote

The Credentialing & Enrollment Analyst will play a key role in supporting the Credentialing and Enrollment team in reporting through CredentialStream (web-based credentialing platform) including monthly roster submissions to all delegated health plans and ACO/PQN rosters, producing key metrics for KPI assessments for each associate, producing monthly executive level dashboards, and other ad hoc reports as needed.  This role is a critical player in the support and continuous improvement of our credentialing and enrollment data platform.

Primary Job Duties:

• Develop and produce health plan rosters on a monthly basis for all markets for delegation and Value Based Care contracts.

• Develop and produce key metrics from the credentialing platform for KPI assessments for each associate in conjunction with department leaders.

• Manages reporting function for credentialing and enrollment system.

• Discover and implement process improvements through automation of existing processes.

• Foster relationships and cross-functional support between Privia teams.

• Strategic thinker who assesses situations carefully and delivers scalable recommendations and results.

• Performs other duties as assigned.

Qualifications

• Bachelor’s Degree or equivalent experience preferred

• Familiarity with EHR systems (athenaNet) preferred 

• Strong technical skills and is able to investigate technical issues including strong competency in SQL and other database concepts required 

• Strong analytical and problem solving skills

• Demonstrated ability to use technical support and operational data to develop reports and dashboards

• Demonstrated ability to manage projects independently

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. 

• Willing to collaborate with team members via chat or video conference.

• 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

The salary range for this role is $65,000 to $70,000 in base pay and exclusive of any bonuses or benefits. This role is also eligible for an annual bonus targeted at 10% based on performance in the roles. The base pay offered will be determined based on relevant factors such as experience, education, and geographic location.

Additional Information

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

Technical Requirements (for remote workers only, not applicable for onsite/in office work):

In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like https://www.speedtest.net/. This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your connection. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost.

Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. Privia is a better company when our people are a reflection of the communities that we serve. Our goal is to encourage people to pursue all opportunities regardless of their age, color, national origin, physical or mental (dis)ability, race, religion, gender, sex, gender identity and/or expression, marital status, veteran status, or any other characteristic protected by federal, state or local law.