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Program Manager
Program ManagerAvaility • Springfield, MA, US
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Program Manager

Program Manager

Availity • Springfield, MA, US
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Program Manager

Availity delivers revenue cycle and related business solutions for health care professionals who want to build healthy, thriving organizations. Availity has the powerful tools, actionable insights and expansive network reach that medical businesses need to get an edge in an industry constantly redefined by change.

At Availity, we're not just another Healthcare Technology company; we're pioneers reshaping the future of healthcare! With our headquarters in vibrant Jacksonville, FL, and an exciting office in Bangalore, India, along with an exceptional remote workforce across the United States, we're a global team united by a powerful mission.

We're on a mission to bring the focus back to what truly matters patient care. As the leading healthcare engagement platform, we're the heartbeat of an industry that impacts millions. With over 2 million providers connected to health plans, and processing over 12 billion transactions annually, our influence is continually expanding.

Join our energetic, dynamic, and forward-thinking team where your ideas are celebrated, innovation is encouraged, and every contribution counts. We're transforming the healthcare landscape, solving communication challenges, and creating connections that empower the nation's premier healthcare ecosystem.

Reporting to the Director of Technical Implementations, AuthAI, the Program Manager provides executive level program leadership for complex government related programs. In doing so, the program manager works with all levels of management, alliance, sales, and account management to collect contract information to set the overall strategy and objectives for a group of projects or initiatives. In addition, the Program Manager is responsible for leading client-based initiatives and managing cross-functional teams for delivery on client implementations. This role will be the face of Availity to our clients and will need a high degree of client relationship management skills. The Program Manager determines 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.

Sponsorship, in any form, is not available for this position.

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
  • Working on an innovative, AI-enabled Prior Authorization solution that is new to Availity's suite of products

To be qualified for this position you :

  • Experience managing multiple, complex implementations and strategic initiatives within the healthcare space.
  • 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) within Availity as well as Availity's clients
  • Have an in-depth understanding of the prior authorization end to end process from providers to payers
  • 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
  • Technical acumen, specific to payer processes, is required
  • You will set yourself apart with :

  • Industry standard data integrations and transmissions : EDI X12, FHIR APIs, DaVinci FHIR APIs, and REST / SOAP APIs
  • Payer experience is a requirement, particularly large payers (based on covered lives)
  • Experience managing multi-million dollar payer implementations.
  • 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.
  • Traveling to the client site as needed (less than 25%)
  • 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.
  • Availity culture and benefits :

  • Availity is a certified "Great Place to Work"! Culture is important to us and there are many ways for you to make your mark here!
  • We have several Diversity & Inclusion teams, a Young Professionals Group, a She Can Code IT group for women in tech, and various ways to engage with fellow Availity associates.
  • Availity is a culture of continuous learning. We have many resources and experts in our tech stack and in our industry that can help get you there too!
  • Don't feel like wearing business attire? Cool, you can wear jeans we are a casual place.
  • 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.
  • Interested in wellness? We allow our associates to reimburse up to $250 / year for gym memberships, participation in racing events, weight management programs, etc.
  • Interested in furthering your education? We offer education reimbursement!
  • Availity offers Paid Parental Leave for both moms and dads, both birth parents and adoptive parents.
  • Want to work for an organization that gives back to the community? You're at the right place! 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.
  • 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 Video Pre-Screen
  • Video Interview with Hiring Manager
  • Video Panel Interview
  • 2nd Video Interview with Hiring Manager
  • Final Video Panel Interview
  • Video Camera Usage :

    Availity fosters a collaborative and open culture where communication and engagement are central to our success. As a remote first company, we are also camera-first and provide all associates with camera / video capability to simulate the office environment. If you are not able to use your camera for all virtual meetings, you should not apply for this role.

    Having cameras on helps create a more connected, interactive, and productive environment, allowing teams to communicate more effectively and build stronger working relationships. The usage of cameras also enhances security and protects sensitive company information. Video participation is required to ensure that only authorized personnel are present in meetings and to prevent unauthorized access, data breaches, preventing social engineering, or the sharing of confidential information with non-participants.

    Disclaimers :

    Availity is an equal opportunity employer and makes decisions in employment matters without regard to race, religious creed, color, age, sex, sexual orientation, gender identity, gender expression, genetic information, national origin, religion, marital status, medical condition, disability, military service, pregnancy, childbirth and related medical conditions, or any other classification protected by federal, state, and local laws and ordinances. Availity is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. NOTICE : 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. Learn more about E-Verify at http : / / www.dhs.gov / e-verify .

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