Company Description Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers. Job Description The National Director, Risk Adjustment identifies and implements initiatives to achieve complete and accurate coding goals across all markets. This role collaborates and communicates extensively with Market and Provider Clinician Leadership to identify improvement opportunities, establish clear goals, and facilitate the implementation of effective solutions that are scalable with repeatable outcomes. As a partner to market management and SMEs, this includes interfacing in the market with individual Care Centers as mutually determined between the director and the market. The Director is comfortable navigating a matrixed environment and cultivates strong partnerships with key stakeholders across various departments to integrate complete and accurate coding principles and tactics into their workflows. This leader monitors corporate and market performance and also partners with analytics, data, and technology internal and external (EHR for instance) teams to enhance and automate tactics, and develop timely and meaningful reporting. As the internal subject matter expert on risk adjustment models, this individual promotes and adheres to the tenets of coding compliance and aligned educational programs. - Collaborate with Market and Provider Leadership and market SMEs to identify opportunities and tactics to improve complete and accurate coding performance, document specific goals, facilitate discussion and discovery of solutions across markets, and lead and/or facilitate the implementation of processes across all markets. - Manage projects to enable complete and accurate coding, including those that require vendor assessment, contracting, implementation and management, and the coordination of clinician and Privia market and national teams. - Cultivate collaborative relationships with key stakeholders across RCM, Finance, Platform Engineering, and other departments to ensure effective integration of risk adjustment principles into their workflows, utilizing strategies such as attending staff meetings and fostering leader buy-in. - Partner closely with data and technology teams to continuously improve timely and meaningful reporting and insights at the point of care for all providers (platform and non-platform) and through to payers. - Serve as the internal subject matter expert on the current Hierarchical Condition Category (HCC) Risk Adjustment models. - Responsible for the management of one or more staff members and their professional development. - In partnership with Privia’s Compliance leader, maintain a focus on coding compliance; develop models for chart review, audit, and education that minimize risk and promote thorough patient care. - Conduct training, from time to time, with individual and large provider groups, particularly in new markets. Qualifications - Bachelor’s degree required - Minimum of 3 years experience in leadership position in risk adjustment - Certified Professional Coder (CPC) required; CPC and Certified Risk Adjustment Coder (CRC) preferred - Knowledge of Federal laws and regulations, including laws affecting risk adjustment documentation and coding compliance - Extensive knowledge of documentation and coding guidelines established by the Center for Medicare and Medicaid Services (CMS) and the American Medical Association (AMA) for assignment of diagnostic codes - Familiarity with Electronic Medical Records (athenahealth preferred), Encoder, Coding Clinic, G-Suite, other software programs and internet based applications as needed to fulfill position duties - Possess an understanding of healthcare billing compliance, including the prevention of upcoding and other regulatory requirements. - Maintain patient, team member and employer confidentiality; comply with all HIPAA regulations The salary range for this role is $125,000.00-$150,000.00 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 20% and restricted stock units. The base pay offered will be determined based on relevant factors such as experience, education, and geographic location. Additional Information All your information will be kept confidential according to EEO guidelines. Technical Requirements (for remote workers only, not applicable for onsite/in office work): In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like https://www.speedtest.net/. This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your connection. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost. Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. We understand that healthcare is local and we are better when our people are a reflection of the communities that we serve. Our goal is to encourage people to pursue all opportunities regardless of their age, color, national origin, physical or mental (dis)ability, race, religion, gender, sex, gender identity and/or expression, marital status, veteran status, or any other characteristic protected by federal, state or local law. - Department: Clinical Operations

About Us Galileo is a team-based medical practice working to improve the quality and affordability of health care for all. Operating across 50 states, Galileo offers high-touch, data-driven, multi-specialty, longitudinal care to diverse and complex patients—on the phone, in the home, and everywhere in between. Regional and national health plans, employers, and Fortune 500 organizations trust Galileo as the leading solution to improve population health. Founded by Dr. Tom X. Lee, the healthcare pioneer behind One Medical and Epocrates, Galileo is a team of leading innovators from healthcare, technology, and human-centered design. Our mission is to apply that talent and scientific thinking to transform society by solving our largest, toughest healthcare problems, while at the same time bringing patient and provider closer. About the Role Are you a Nurse Practitioner who thrives on connecting with patients and making a real difference in their health outcomes? Do you want to leave behind rigid, cookie-cutter systems and join a dynamic, patient-centered organization that values your creativity and clinical expertise? If you're passionate about improving outcomes at scale and energized by meaningful patient engagement, we want you on our team. At Galileo, we're transforming healthcare by delivering personalized, comprehensive care to those who need it most — underserved patients and those with complex medical needs. We use technology, data, and operational rigor to drive outcomes, and we believe the clinicians doing this work are central to that mission. We're a digital-first medical group, and we're proud of the culture we've built: inclusive, collaborative, and deeply committed to health equity. Galileo is looking for a culturally Nurse Practitioner to join our Population Health team. In this role, you will use phone and video-based care to provide high-quality, comprehensive follow-up care to patients who are post-hospital discharge. Here's what you'll do: - Cover our care needs for our Transitions of Care program. - Day to day work includes telephonic outreach (“cold calls”) and scheduled video/phone visits for patients who have recently been hospitalized and discharged. - Visits focus on: Medication reconciliation, symptom screening, and ordering of any needed follow-up labs, medications or supplies. - You will also navigate conversations with patients to build trust, explain Galileo's care model and connect them to services. - Coordinate care across settings — hospital and ED transitions, pharmacies, and community providers — to keep patients connected and moving forward. - Collaborate with our nursing team - Be accountable to individual performance targets while contributing to team-level population health goals How We Work Galileo is a 24/7 medical group that provides high-quality, comprehensive primary care as well as transition of care follow-up. We work in 4-hour shifts (mornings, afternoons, evenings, overnight on weekdays and weekends). At 24+ hours you will be considered full-time and benefits eligible. Providers are expected to work weekends on a monthly basis, specific schedule will be influenced by total hours committed and patient care demands. We are currently looking for a Nurse Practitioner with an active license in either MA and/or CT who is available to work 32-36 hours/week. Compensation $78/hour (regular rate) and $90/hour (premium rate) About You You're a people person. You love connecting with others and have an innate ability to build rapport quickly — even on a cold call. Your curiosity and creativity come through in every patient conversation, and you're looking for an environment where those instincts are an asset, not an afterthought. We look for passionate clinicians who are invested in solving complex problems that impact millions of lives and excited about fixing what's broken to improve care quality and health outcomes for everyone. We believe in a culture that fosters teamwork, excellence, and sound decision-making — built on mutual respect and trust. We would love to hear from you if you have the following or equivalent experience: - Certified Nurse Practitioner in Adult, Family or Geriatrics - Active state licensure in MA and/or CT, with the ability to obtain additional state licensures - 5+ years of post-graduate clinical experience in Primary Care or Geriatrics - 2 of those years may be substituted by time spent working at a Skilled-Nursing facility or Long Term Care facility - Direct experience engaging Medicare and Medicaid populations managing complex, comorbid conditions - Motivational interviewing skills you can draw on to help patients make meaningful behavioral changes - Comfort in a digital-first environment, with experience in or a genuine appetite for virtual care delivery - Solid tech proficiency; familiarity with Google Suite and Slack is a plus - Excellent written and verbal communication skills - Bilingual in English and Spanish, including cultural fluency, is a strong bonus How We Care for You - Flexible scheduling - design the schedule that works best for YOU - Competitive health, vision and dental plans - Company paid short and long term disability - 12 weeks paid parental leave - Malpractice insurance provided, including tail coverage - 401(k) with company match How We Hire Galileo Health is an equal-opportunity employer and welcomes applicants from all backgrounds. We have recently become aware of the fraudulent use of our name on job postings and via recruiting emails that are illegitimate and not in any way associated with us. We will never ask you to provide sensitive personal information as part of the recruiting process, such as your social security number; send you any unsolicited job offers or employment contracts; require any fees, payments or access to any financial accounts; and/or conduct text-only interviews. If you suspect you are being scammed or have been scammed online, you may report the crime to the Federal Bureau of Investigation and obtain more information regarding online scams at the Federal Trade Commission.

About Us Galileo is a team-based medical practice working to improve the quality and affordability of health care for all. Operating across 50 states, Galileo offers high-touch, data-driven, multi-specialty, longitudinal care to diverse and complex patients—on the phone, in the home, and everywhere in between. Regional and national health plans, employers, and Fortune 500 organizations trust Galileo as the leading solution to improve population health. Founded by Dr. Tom X. Lee, the healthcare pioneer behind One Medical and Epocrates, Galileo is a team of leading innovators from healthcare, technology, and human-centered design. Our mission is to apply that talent and scientific thinking to transform society by solving our largest, toughest healthcare problems, while at the same time bringing patient and provider closer. About the Role Are you a Nurse Practitioner who thrives on connecting with patients and making a real difference in their health outcomes? Do you want to leave behind rigid, cookie-cutter systems and join a dynamic, patient-centered organization that values your creativity and clinical expertise? If you're passionate about improving outcomes at scale and energized by meaningful patient engagement, we want you on our team. At Galileo, we're transforming healthcare by delivering personalized, comprehensive care to those who need it most — underserved patients and those with complex medical needs. We use technology, data, and operational rigor to drive outcomes, and we believe the clinicians doing this work are central to that mission. We're a digital-first medical group, and we're proud of the culture we've built: inclusive, collaborative, and deeply committed to health equity. Galileo is looking for a culturally Nurse Practitioner to join our Population Health team. In this role, you will use phone and video-based care to provide high-quality, comprehensive follow-up care to patients who are post-hospital discharge. Here's what you'll do: - Cover our care needs for our Transitions of Care program. - Day to day work includes telephonic outreach (“cold calls”) and scheduled video/phone visits for patients who have recently been hospitalized and discharged. - Visits focus on: Medication reconciliation, symptom screening, and ordering of any needed follow-up labs, medications or supplies. - You will also navigate conversations with patients to build trust, explain Galileo's care model and connect them to services. - Coordinate care across settings — hospital and ED transitions, pharmacies, and community providers — to keep patients connected and moving forward. - Collaborate with our nursing team - Be accountable to individual performance targets while contributing to team-level population health goals How We Work Galileo is a 24/7 medical group that provides high-quality, comprehensive primary care as well as transition of care follow-up. We work in 4-hour shifts (mornings, afternoons, evenings, overnight on weekdays and weekends). At 24+ hours you will be considered full-time and benefits eligible. Providers are expected to work weekends on a monthly basis, specific schedule will be influenced by total hours committed and patient care demands. We are currently looking for a Nurse Practitioner with an active license in either MA and/or CT who is available to work 32-36 hours/week. Compensation $78/hour (regular rate) and $90/hour (premium rate) About You You're a people person. You love connecting with others and have an innate ability to build rapport quickly — even on a cold call. Your curiosity and creativity come through in every patient conversation, and you're looking for an environment where those instincts are an asset, not an afterthought. We look for passionate clinicians who are invested in solving complex problems that impact millions of lives and excited about fixing what's broken to improve care quality and health outcomes for everyone. We believe in a culture that fosters teamwork, excellence, and sound decision-making — built on mutual respect and trust. We would love to hear from you if you have the following or equivalent experience: - Certified Nurse Practitioner in Adult, Family or Geriatrics - Active state licensure in MA and/or CT, with the ability to obtain additional state licensures - 5+ years of post-graduate clinical experience in Primary Care or Geriatrics - 2 of those years may be substituted by time spent working at a Skilled-Nursing facility or Long Term Care facility - Direct experience engaging Medicare and Medicaid populations managing complex, comorbid conditions - Motivational interviewing skills you can draw on to help patients make meaningful behavioral changes - Comfort in a digital-first environment, with experience in or a genuine appetite for virtual care delivery - Solid tech proficiency; familiarity with Google Suite and Slack is a plus - Excellent written and verbal communication skills - Bilingual in English and Spanish, including cultural fluency, is a strong bonus How We Care for You - Flexible scheduling - design the schedule that works best for YOU - Competitive health, vision and dental plans - Company paid short and long term disability - 12 weeks paid parental leave - Malpractice insurance provided, including tail coverage - 401(k) with company match How We Hire Galileo Health is an equal-opportunity employer and welcomes applicants from all backgrounds. We have recently become aware of the fraudulent use of our name on job postings and via recruiting emails that are illegitimate and not in any way associated with us. We will never ask you to provide sensitive personal information as part of the recruiting process, such as your social security number; send you any unsolicited job offers or employment contracts; require any fees, payments or access to any financial accounts; and/or conduct text-only interviews. If you suspect you are being scammed or have been scammed online, you may report the crime to the Federal Bureau of Investigation and obtain more information regarding online scams at the Federal Trade Commission.

• Serve as an analyst on a broad range of technology risk projects, conducting fieldwork, and testing controls. • Assess clients' technology landscapes, processes, and associated risks, providing valuable insights for strategic decision-making. • Engage in program and control-level audits, assessments, and technical testing, generate findings and recommendations, and produce deliverables that offer actionable insights to clients. • Assist Managing Consultants in driving operational excellence by actively participating in ongoing projects, including engagement planning, budget development, progress monitoring, and quality control of deliverables. • Cultivate new client relationships and deepen existing ones, leveraging a deep understanding of their business, and delivering exceptional results. • Contribute to developing and implementing firm-approved, AI-enabled solutions for clients, in accordance with company policies on data protection, intellectual property, and professional standards. • Stay informed about emerging AI tools and techniques and collaborate with firm leadership to identify compliant opportunities to enhance client solutions and internal processes. • Collaborate seamlessly with CrossCountry and client team members to address business obstacles, explore potential solutions, and create impactful deliverables.