Payment Accuracy Solutions Consultant (Remote)

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.

In the Payment Accuracy portfolio, our mission is reduce administrative expense, reduce abrasion and create a better patient experience by shifting actionable insights left in the claim lifecycle. Availity's dual sided network and powerful platform provides the foundation to deliver the right content at the right time in the workflow with real-time benefits to providers, payers and patients.

We are looking for a highly motivated individual to join our Payment Accuracy team as a Payment Accuracy Solution Consultant that will accelerate growth in this market that requires deep subject matter expertise and consultation. This individual will report directly to the Vice President of Payment Accuracy at Availity and will be expected to work in close partnership with our sales and account management, strategy, product and technology teams to grow our Payment Accuracy business supporting payer and provider accounts, both pre and post sales. The successful candidate will ultimately be accountable for driving net new revenue growth and supporting customer retention and expansion.

This role requires a blend of technical acumen, payment accuracy (payment integrity, claims processing) knowledge, strong problem-solving skills and excellent relationship development and communication skills. The ideal candidate will be passionate about helping providers, payers and technology partners successfully use our payment accuracy solutions and will embody a tenacious approach to winning deals, driving successful adoption of our payment accuracy solutions, while also excelling in highly technical and strategic competencies.

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

Location: Remote, US

Why you want to work on this team:

• Energized by innovation, transformation and disruption
• Passionate about working in a space that is complex and disruptive in nature
• Playing a critical role in supporting Payment Accuracy revenue growth for Availity
• Motivated to secure customer relationships as a trusted advisor with some of the largest healthcare entities in the country

To be qualified for this position you:

• Bachelor's or advanced degree in Business, Information Technology, healthcare or a related field.
• A minimum of 5 years of experience working at a health plan, a health technology company serving health plans, or in healthcare consulting serving health plans.
• Demonstrated success in achieving topline revenue growth.
• Deep expertise in payment accuracy use cases.
• Proficiency in claim data processing and data standards (e.g., X12, FHIR) and can speak to its challenges.
• Excellent communication, negotiation, relationship and presentation skills.
• Experience working across sales, account management, product and technology teams.
• Ability to adapt and learn quickly, especially regarding new product features and market needs.
• Willingness to travel for customer meetings, demos, and industry events.
• Ability to build trusted relationships with customers and partners.
• Overseeing the execution of complex multi-phase projects.

You will set yourself apart with:

• Familiar with claims data processing and data standards (e.g., X12, FHIR)
• Payment Accuracy or Revenue Cycle Management Experience

You will be:

• Driving top-line revenue growth by advancing payment accuracy sales opportunities in close collaboration with sales and account management teams.
• Serving as a strategic and technical expert during sales engagements, partnering with sales to mature later-stage deals with payers, providers, and health information technology (HIT) partners.
• Delivering compelling presentations and demos of Availity payment accuracy solutions to current and prospective customers, either independently or alongside the sales team.
• Pitching payment accuracy solutions and strategy to payer department leaders (claims operations, payment integrity, provider relations), provider leaders (revenue cycle), and HIT partners (technology and operations).
• Developing solution proposals and crafting solution designs, including technical and data workflow diagrams, tailored to customer architecture and aligned with Availity's payment accuracy solutions.
• Contributing to RFP responses in collaboration with the growth and proposal management team.
• Supporting pilot engagements with existing and prospective customers in partnership with product management, presenting detailed analyses relevant to their payment accuracy use cases.
• Providing subject matter expertise to support customer success by incorporating strong data-driven ROI discussions and financial modeling into consultations with prospects and ongoing engagements, while also developing compelling case studies that aid in revenue retention and customer reference-ability.
• Advising customers and partners on software solutions, integration strategies, and delivery techniques, supporting implementation with a focus on technical design and functional alignment.
• Partnering with account management to ensure customer satisfaction, proactively developing risk mitigation strategies when needed.
• Leveraging deep understanding of targeted payment accuracy use cases to shape discovery and solutioning discussions that drive sales and expand customer adoption.
• Translating complex technical concepts into accessible language for non-technical audiences, dynamically adjusting communication to build rapport and trust.
• Collaborating cross-functionally to provide technical and product subject matter expertise to commercial and customer services teams.

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 Recorded Video Pre-Screen
• Video Interview with Vice President, Product, Payment Accuracy
• Product Panel Video Interview
• Sales Panel Video Interview
• Final Interview with Chief Product Officer

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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