Program Manager, Prior Authorizations (Remote)

Overview Of The Role

The Program Manager is responsible for leading post-sales healthcare implementations, ensuring customers move efficiently from contract signature through delivery in a complex, fast-paced environment. This role manages multiple concurrent implementations, coordinating cross-functional dependencies with product, engineering, and Solutions Engineering teams while adapting to shifting timelines and capacity constraints.

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. You will determine 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.

Why You Want To Work On This Team

Work for a team that has high visibility across the organization
Handle Availity’s premiere clients that receive “white glove” service
Play an integral part of the revenue stream as new customers are implemented

To Be Qualified For This Position

• 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.

You Will Set Yourself Apart With An in-depth understanding of the prior authorization end to end process from providers to payers.
Familiarity with APIs and FHIR

You Will Be 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.

You must have the ability to tailor communications and discussions to the applicable audiences

Accountable to team and customer
Key Performance Indicators as a measure of success

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

• Recruiter
  Recorded Video Pre-Screen
  Video Interview with Manager, Health Plan Delivery
  Video Interview with Solution Engineer
  Final Video with Director, Delivery Services

Availity Culture And Benefits

• Certified "Great Place to Work"!
• Young Professionals Group
• Various ways to engage with fellow Availity associates
• Competitive salary, bonus structure, generous HSA company contribution, healthcare, vision, dental benefits and a 401k match program
• Unlimited PTO for salaried associates + 9 paid holidays
• Gym memberships, participation in racing events, weight management programs, etc
• Educational reimbursement
• Paid Parental Leave for both moms and dads, both birth parents and adoptive parents
• Partnership 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

Disclaimers

• 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.
• Notice: Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States.