Product Operations Analyst

🔥 5 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

⚡️ Product Operations

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Availity

WebsiteLinkedInAll Job Openings

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

• Support and help advance an AI-enabled utilization management (UM) solution that automates and modernizes the prior authorization process for healthcare organizations • Manage payer and clinical data, support software testing, and drive process improvements • Collaborate across departments to ensure operational excellence • Support the testing and evaluation of AI capabilities, specifically Natural Language Processing (NLP) models that leverage clinical concepts • Validate model outputs, contribute to annotation and test case development, and provide feedback to improve AI-driven solutions in the healthcare domain

🎯 Requirements

• Undergraduate degree is preferable, but applicable experience in a health care setting will be strongly considered in lieu of a degree • Prior relevant experience in healthcare or utilization management strongly preferred • Experience with AI/NLP model testing or annotation is a plus • Advanced proficiency in Excel and general computer skills (Microsoft Office suite) • Ability to create and execute test strategies, plans, and cases • Experience with bug tracking systems and EMRs is a plus • Familiarity with CPT and ICD-10-CM coding, Medicare/Medicaid, and NCD/LCD is beneficial • Strong knowledge of healthcare and medical terminology • Excellent problem-solving, critical thinking, and attention to detail • Ability to work independently and as part of a team • Organized, able to multitask, responsible, and proactive • Open to giving and receiving feedback • Strong written and verbal communication skills, including the ability to communicate complex technical issues to internal and external stakeholders • Comfortable with ambiguity and able to design organized approaches to address challenges • Ability to take on meaningful responsibility and thrive with limited supervision

🏖️ Benefits

• Competitive salary • Bonus structure • Generous HSA company contribution • Healthcare, vision, and dental benefits • 401k match program • Unlimited PTO for salaried associates + 9 paid holidays • Education reimbursement • Paid Parental Leave for both moms and dads • Wellness program reimbursement up to $250/year • Community engagement opportunities