Program Manager, Prior Authorizations

🔥 12 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Program Manager

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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

• Leading post-sales healthcare implementations. • Ensuring customers move efficiently from contract signature through delivery in a complex environment. • Managing multiple concurrent implementations and coordinating cross-functional dependencies. • Analyzing project, program, and operational data. • Determining optimal mix of resources and sequencing of projects. • Relating to customers at the project and executive level. • Preparing and presenting program status to stakeholders. • Traveling to the client site as needed (less than 25%)

🎯 Requirements

• Experience managing multiple, complex implementations and strategic initiatives within the healthcare space. • Healthcare background is required to be considered for the role. • Technical acumen. • Familiar with X12 and FHIR. • Understanding of prior authorization workflows. • Strong written and oral communication skills. • Experience working directly with multiple levels of customers (Project Managers to C-Level Executives). • Proven track record in managing/influencing cross functional teams (technology and business). • Demonstrated political awareness and ability to diplomatically handle sensitive situations with customers. • Proven ability to independently assume ownership of active projects.

🏖️ Benefits

• Competitive salary • Bonus structure • Generous HSA company contribution • Health care benefits • Vision benefits • Dental benefits • 401k match program • Unlimited PTO for salaried associates + 9 paid holidays • Reimbursement for gym memberships, racing events, weight management programs, etc. • Education reimbursement • Paid Parental Leave for both moms and dads