Availity
1001 - 5000 employees
Founded 2000
⚕️ Healthcare Insurance
☁️ SaaS
🔌 API
💰 Secondary Market on 2021-07
Healthcare Insurance • SaaS • API
Availity is a leading health information network that connects payers, providers, and technology partners in the healthcare industry. By facilitating over 13 billion clinical, administrative, and financial transactions annually, Availity streamlines payer-provider collaboration and enhances patient care through an integrated provider engagement platform. The company's solutions leverage artificial intelligence and interoperability to automate processes such as prior authorizations, revenue cycle management, and payment accuracy, ultimately reducing costs and improving efficiency across the healthcare ecosystem.
Product Manager, Authorizations
🕒 April 18
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Availity
1001 - 5000 employees
Founded 2000
⚕️ Healthcare Insurance
☁️ SaaS
🔌 API
💰 Secondary Market on 2021-07
Healthcare Insurance • SaaS • API
Availity is a leading health information network that connects payers, providers, and technology partners in the healthcare industry. By facilitating over 13 billion clinical, administrative, and financial transactions annually, Availity streamlines payer-provider collaboration and enhances patient care through an integrated provider engagement platform. The company's solutions leverage artificial intelligence and interoperability to automate processes such as prior authorizations, revenue cycle management, and payment accuracy, ultimately reducing costs and improving efficiency across the healthcare ecosystem.
📋 Description
• Define and communicate a clear product roadmap • Gather and document business requirements through stakeholder interviews • Translate requirements into user stories and API specifications • Validate interoperability standards for transactions • Collaborate with engineering, data, and delivery teams for product releases • Serve as the subject matter expert on workflows and FHIR standards • Monitor CMS mandates and client feedback to inform product decisions • Lead pilot initiatives and define KPIs/OKRs • Define product performance metrics in partnership with data teams • Align executives, clients, and internal teams on product progress
🎯 Requirements
• Minimum of 5 years’ experience in Product Management, preferably client-facing in healthcare technology • Deep expertise in prior authorization workflows • Strong technical background with understanding of CMS 0057-F requirements and X12 278 EDI and FHIR transactions • Knowledge of EHR systems and utilization management platforms • Technical and business acumen to evaluate feasibility & scalability • Familiarity with regulatory requirements and compliance standards • Proven ability to lead cross-functional initiatives and influence stakeholders
🏖️ Benefits
• Competitive salary • Bonus structure • Generous HSA company contribution • Healthcare, vision, and dental benefits • 401k match program from day one • Unlimited PTO for salaried associates + 9 paid holidays • Hourly associates start at 19 days of PTO with the same holiday benefits • Reimbursement up to $250/year for gym memberships and wellness programs • Education reimbursement • Paid Parental Leave for both birth and adoptive parents • Community engagement opportunities
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