Program Manager II

Availity delivers revenue cycle and related business solutions for health care professionals who want to build healthy, thriving organizations. Availity has the powerful tools, actionable insights and expansive network reach that medical businesses need to get an edge in an industry constantly redefined by change.

Availity is a Healthcare IT company headquartered in Jacksonville, FL, with additional offices in Indianapolis, IN, and Bangalore, India, and a significant remote workforce throughout the US. Availity is the nation’s largest health information network, connecting over 2 million providers with health plans nationwide and processing more than 12 billion transactions a year, and growing! We work collaboratively with health plans and providers to disrupt an antiquated healthcare system by offering solutions that solve core issues in how these stakeholders communicate. Availity also provides revenue cycle management solutions to help providers, hospitals, and health systems receive accurate, timely payment for their services.

As the premier healthcare engagement platform, our mission is to create connections and deliver products that help healthcare businesses succeed. We connect, delight, and empower the nation’s premier healthcare ecosystem, providing multi-stakeholder solutions that simplify the business relationship between providers and health plans. Reporting to the Director of Technical Implementations, AuthAI, the Program Manager provides executive level program leadership for complex government related programs. In doing so, the program manager works with all levels of management, alliance, sales, and account management to collect contract information to set the overall strategy and objectives for a group of projects or initiatives. In addition, the Program Manager is responsible for leading client-based initiatives and managing cross-functional teams for delivery on client implementations. This role will be the face of Availity to our clients and will need a high degree of client relationship management skills. The Program Manager may assist with the analysis of project, program, and operational data to align the outcome of projects with Availity strategic, product and business goals. The Program Manager determines the optimal mix of resources and sequencing of projects within their program to best achieve the company's overall goals while managing costs and client expectations. The Program Manager must have excellent communication and presentation skills and the ability to relate to customers at the project and executive level.

Sponsorship, in any form, is not available for this position.

Location: Remote, US

Why you want to work on this team:

· You will work for a team that has high visibility across the organization

· You will get to handle Availity’s premiere clients that receive “white glove” service

· You will play an integral part of the revenue stream as new customers are implemented

· You will be working on an innovative, AI-enabled Prior Authorization solution that is new to Availity’s suite of products

To be qualified for this position you:

· Experience managing multiple, complex implementations and strategic initiatives

· Possess strong written and oral communication skills

· Experience working directly with multiple levels of customers (Project Managers to C-Level Executives), this is a client facing position

· Proven track record in managing/influencing cross functional teams (technology and business) within Availity as well as Availity’s clients

· Demonstrated political awareness and ability to diplomatically handle sensitive situations with internal and external customers and ability to cultivate effective, productive customer relationships and partnerships

· Demonstrated balance of business, operational, and technical experience in customer delivery

· Technical acumen, specific to payer processes, is required

You will set yourself apart with:

· Healthcare Technology experience

· Industry standard data integrations and transmissions: EDI X12, FHIR APIs, DaVinci FHIR APIs, and REST/SOAP APIs

· Payer experience is a requirement, particularly large payers (based on covered lives)

· Experience managing multi-million dollar payer implementations

· An in-depth understanding of the prior authorization end to end process from providers to payers

· Demonstration of company culture influencing you personally and professionally

You will be:

· You will be responsible for leading internal and external teams on the day-to-day oversight of project deliverables, working business and technical requirements along with a technical delivery plan, deployment plans, operational project plans, etc.

· The primary programs you will be managing are strategic Health Plan implementations

· Establish and maintain relationships with key stakeholders at multiple levels within the Health Plan

· Prepare and present material associated with the implementation including kick-off meetings, program status (including C level stakeholders), etc.

· There may be travel involved with this position as you will need to be at the client site as needed

· Working cross-functionally with many internal Availity teams: product, engineering, client services, strategic account services, provider services, provider engagement and training, clinical operations, and many more. You must have the ability to tailor communications and discussions to the applicable audiences.

· Held accountable to team and customer Key Performance Indicators as a measure of success

Availity culture and benefits:

· Availity is a certified “Great Place to Work”! Culture is important to us and there are many ways for you to make your mark here!

· We have several Diversity & Inclusion teams, a Young Professionals Group, a She Can Code IT group for women in tech, and various ways to engage with fellow Availity associates.

· Availity is a culture of continuous learning. We have many resources and experts in our tech stack and in our industry that can help get you there too!

· Don’t feel like wearing business attire? Cool, you can wear jeans – we are a casual place.

· Availity offers a robust total rewards package that is competitive and meaningful. We offer a competitive salary and bonus structure. We offer two different types of medical plans: a HDHP plan that has the lowest permitted deductible allowed by the IRS with a generous HSA company contribution and a PPO plan with a low deductible and out of pocket maximum. In addition, Availity offers two dental plans including orthodontia care (even for adults), vision, Employee Assistance Program (EAP), pet care, legal/ID shield services and a 401k match program that you can take advantage of on day one!

· We offer unlimited PTO for salaried associates + 9 paid holidays. Hourly associates start at 19 days of PTO and go up from there with all the same holiday benefits.

· Interested in wellness? We allow our associates to reimburse up to $250/year for gym memberships, participation in racing events, weight management programs, etc.

· Interested in furthering your education? We offer education reimbursement!

· Availity offers Paid Parental Leave for both moms and dads, both birth parents and adoptive parents.

· Want to work for an organization that gives back to the community? You’re at the right place! Availity partners with various organizations, both locally and nationally, to raise awareness, funds and morale as our staff members volunteer their time and funds to engage the organizations campaign. Each associate has 1 paid day per year to volunteer at the non-profit charity of your choice.

Availity perks for remote, hybrid and office-based associates:

· We offer a flexible working environment! Whether you are a fully remote associate or one that enjoys a hybrid or fully onsite approach we are flexible to help ensure you have a working environment to thrive in!

· All associates can have 1on1 sessions with their supervisor or manager to help facilitate transparency and growth within the organization.

· Availity holiday parties/events are available to ALL associates no matter if you are fully remote or have a hybrid or onsite schedule.

Next steps:

After you apply, you will receive text/email messages thanking you for applying and then you will continue to receive more text/email messages alerting you as to where you are in the recruitment process.

Interview process:

· Phone Screen with Recruiter

· Video Panel Interview

· Video Interview with the Hiring Manager

· Video Interview with the Director, Health Plan Delivery

Availity is an equal opportunity employer and makes decisions in employment matters without regard to race, religious creed, color, age, sex, sexual orientation, gender identity, gender expression, genetic information, national origin, religion, marital status, medical condition, disability, military service, pregnancy, childbirth and related medical conditions, or any other classification protected by federal, state, and local laws and ordinances.

Availity is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

NOTICE: Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States. When required by state law or federal regulation, Availity uses I-9, Employment Eligibility Verification in conjunction with E-Verify to determine employment eligibility. Learn more about E-Verify at http://www.dhs.gov/e-verify.

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