[Remote] Program Manager, Prior Authorizations (Remote)

Note: The job is a remote job and is open to candidates in USA. Availity is a healthcare technology company focused on delivering revenue cycle solutions for healthcare professionals. The Program Manager will lead post-sales healthcare implementations, ensuring efficient customer transitions from contract signature through delivery, while managing multiple implementations and coordinating cross-functional teams.

Responsibilities

• Leading post‑sales healthcare implementations, ensuring customers move efficiently from contract signature through delivery in a complex, fast‑paced environment
• Managing multiple concurrent implementations, coordinating cross‑functional dependencies with product, engineering, and Solutions Engineering teams while adapting to shifting timelines and capacity constraints
• Assisting with the analysis of project, program, and operational data to align the outcome of projects with Availity strategic, product and business goals
• Determining 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
• 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
• Managing strategic Health Plan implementations
• Establishing and maintaining relationships with key stakeholders at multiple levels within the Health Plan
• Preparing and presenting material associated with the implementation including kick-off meetings, program status (including C level stakeholders), etc
• 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
• Accountable to team and customer Key Performance Indicators as a measure of success
• Traveling to the client site as needed (less than 25%)

Skills

• Experience managing multiple, complex implementations and strategic initiatives within the healthcare space. Healthcare background is required to be considered for the role
• Technical acumen. The ideal candidate is familiar with X12, FHIR, and understands prior authorization workflows
• 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)
• 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
• Proven ability to independently assume ownership of active projects, establish priorities, and successfully deliver outcomes with minimal oversight
• Ability to quickly evaluate project progress, identify gaps, align stakeholders, and drive initiatives to completion with limited direction
• An in-depth understanding of the prior authorization end to end process from providers to payers
• Familiarity with APIs and FHIR

Benefits

• We offer a competitive salary, bonus structure, generous HSA company contribution, healthcare, vision, dental benefits 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.
• We allow our associates to reimburse up to $250/year for gym memberships, participation in racing events, weight management programs, etc.
• We offer education reimbursement!
• Paid Parental Leave for both moms and dads, both birth parents and adoptive parents.
• 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.
• We have several Culture teams, a Young Professionals Group, and various ways to engage with fellow Availity associates – if you’re near Jacksonville, we have lots of pop up lunches where lunch is provided for everyone when we can see meetings are taking place and we’ve got teams in the office.
• Availity is a culture of continuous learning. We have many resources and experts in our tech stack, our industry and your function that can help get you there too!

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