Credentialing Systems Director

Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers

Reporting to the AVP, Enterprise Applications & Projects, the Cred & Enrollment Systems Director, will be responsible for the upkeep and utilization of the credentialing and enrollment software, CredentialStream. The role includes ownership of the CredentialStream vendor partnership and relationship, credentialing and enrollment workflow development and maintenance, system optimization and enhancements, working collaboratively with credentialing and enrollment leaders, implementation, operations, and Privia IT/software development teams to maximize the value of the platform.

Job Duties:

• Serve as the CredentialStream Subject Matter Expert and Senior Administrator 

• Relationship owner for credentialing and enrollment systems

• Responsible for building out workflows, rosters, and creating efficiency in the systems to ensure productivity

• Responsible for creating metrics-related reports and dashboards 

• Handle mass data extracts, data cleansing, and importing for mass updates in the credentialing system

• Oversight of the development of the training program for enrollment and credentialing associates

• Supervises the implementation of integration with both internal and external software to CredentialStream

• Identifies gaps in existing processes and works with leaders to ensure existing issues are addressed in a timely manner

• Elicit business requirements and develop metrics to determine product success

• Deliver on the product roadmap, balancing long-term vision with marketable releases

• Create wireframes and workflow diagrams to illustrate requirements

• Communicate product needs effectively to the development and QA teams

• Manage governance meetings within the organization and ensure change management procedures are adhered to

• Manage user group sessions to ensure all training materials and opportunities are delivered to the organization

• Other duties as assigned

• High School Graduate

• Experience working in CredentialStream required 

• Knowledge and understanding of Credentialing, Enrollment, and Onboarding processes and systems

• Vendor relationship management experience

• 3+ years experience in change / project management

• Excel functions or equivalent Google sheets (minimum: VLOOKUP, pivot tables, sort/filtering and formulas)

• Experience working with athenahealth’s suite of tools is preferred

• Must comply with HIPAA rules and regulations

• Excellent written and verbal communicatiom

• Willingness to train and mentor other team members

• Great time management skills (organized and the ability to manage multiple projects while producing exceptional work. Appropriate approach for duties recognizing priorities, reporting and escalating issues and ideas through the appropriate chain of command)

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

The salary range for this role is $115,000.00-$125,000.00 in base pay and exclusive of any bonuses or benefits  (medical, dental, vision, life, and pet insurance, 401K, paid time off, and other wellness programs). This role is also eligible for an annual bonus targeted at 15% based on the performance for the role and resricted stock units. The base pay offered will be determined based on relevant factors such as experience, education, and geographic location. 

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

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

In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like 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.