Credentialing & Enrollment Analyst - Remote, USA, United States

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 …