Job details

Senior Manager, Clearinghouse Operations

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.

Availity is a Healthcare IT company headquartered in Jacksonville, FL, with additional offices in Indianapolis, IN, and Bangalore, India, and a significant remote workforce throughout the US. Availity is the nation’s largest health information network, connecting over 2 million providers with health plans nationwide and processing more than 12 billion transactions a year, and growing! We work collaboratively with health plans and providers to disrupt an antiquated healthcare system by offering solutions that solve core issues in how these stakeholders communicate. Availity also provides revenue cycle management solutions to help providers, hospitals, and health systems receive accurate, timely payment for their services.

As the premier healthcare engagement platform, our mission is to create connections and deliver products that help healthcare businesses succeed. We connect, delight, and empower the nation’s premier healthcare ecosystem, providing multi-stakeholder solutions that simplify the business relationship between providers and health plans.

The Senior Manager of Clearinghouse Operations leads a multi-functional set of teams responsible for the integration and maintenance of payer/provider connections, EDI Enrollment, and file delivery. The primary focus for this role is to organize work, prioritize issues, and ensure the timely and quality delivery of Availity’s healthcare transactions for health plans, trading partners, and providers. This includes leading separate teams responsible for each component of delivery and onboarding. This position works directly with clients and leadership at various levels of the organization. This individual will also be expected to create a strategy that helps the company gain a competitive advantage in the market and improve the effectiveness and efficiency of the growth of Availity’s Healthcare Network.

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

Location: Remote, US

Why you want to work on this team:

Culture is important to you and want great colleagues and teammates that are all working toward a common purpose
You will get to work for a team that is laser focused on making a positive impact on the US Healthcare System, reducing costs, and improving outcomes
Have a passion for teaching, leading, and mentoring high performing teams that are collaborative and like to have fun along the way

To be qualified for this position you:

8 years of healthcare and/or IT related experience
Strong proven leadership, coaching and mentoring multiple teams
Ability to lead and influence others in a dynamic and changing team environment
Strong accountability for individual and team performance
Proven track record in building out a strategic vision as well as KPI’s
Demonstrated leadership integrating multiple operations teams focused on a common goal or shared services
Ability to drive technical automation and seek continuous improvement opportunities
Experience managing budget and cost related activities for multiple teams
Knowledge of the health care industry, specifically administrative transactions (ANSI X12), processing systems, and revenue cycle management is preferred
Ability to lead and report on multiple projects managed by others and work multiple assignments concurrently
Ability to work and make sound decisions independently with minimal guidance
Ability to establish and maintain effective working relationships (internal and external), supporting the strategic initiatives of Availity
Strong presentation skills

You will set yourself apart with:

EDI ANSI X12 and healthcare revenue cycle management experience

You will be:

Overseeing the budget, expense management, forecasting and hiring and strategic planning needs of the Availity Clearinghouse Operations team
Coaching and mentoring direct leadership reports and team members
Daily monitoring and responsibility for KPIs for the Clearinghouse Operations team
Providing support and optimization for EDI enrollment, payer connectivity (build and maintenance), and file delivery
Serving as the escalation contact for the teams’ critical issues
Presenting to strategic initiatives or critical updates to internal and external stakeholders
Interacting and engaging with Product Management, Technology, Account Management, and other operations teams to achieve defined service levels
Properly staffing and professionally developing your leadership team and others
Supporting the enterprise build or maintain payer connectivity in the most cost-effective manner
Defining what strategic initiatives are prioritized based on capacity, cost, timing, and other measures to ensure teams success
Owning all daily operations decisions within the Clearinghouse Operations Team
Setting the strategic vision for the Clearinghouse Operations Team and improve the operating models and SLA's

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.
Availity offers a robust total rewards package that is competitive and meaningful. We offer a competitive salary and bonus structure. We offer two different types of medical plans: a HDHP plan that has the lowest permitted deductible allowed by the IRS with a generous HSA company contribution and a PPO plan with a low deductible and out of pocket maximum. In addition, Availity offers two dental plans including orthodontia care (even for adults), vision, Employee Assistance Program (EAP), pet care, legal/ID shield services 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. Each associate has 1 paid day per year to volunteer at the non-profit charity of your choice.

Availity perks for remote, hybrid and office-based associates:

We offer a flexible working environment! Whether you are a fully remote associate or one that enjoys a hybrid or fully onsite approach we are flexible to help ensure you have a working environment to thrive in!
Don’t feel like going too far to eat? We occasionally have food trucks at our Jacksonville Office as well as food available for purchase in our cafe and an onsite café next to our Indianapolis office
We also have onsite Fitness Centers with showers for our Jacksonville & Indianapolis offices and an annual Wellness reimbursement you can use for a gym membership, classes, sports activities, etc.
We appreciate work/life balance! Need to get a quick break in between meetings? We offer online Yoga, virtual total body condition classes, step challenges, and health and wellness courses and in our Jacksonville office, we have Ping Pong, Foosball, Arcade games, and XBox to help you decompress – and we have a massage therapist onsite once a week for a little relaxation too
We’ve got you covered with free coffee, lemonade and tea anytime you want in Jacksonville

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 Phone Screen
Video Interview with Hiring Manager
Video Panel Interview

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

By Availity

At Availity, we’re in relentless pursuit of simple and efficient solutions for a sustainable healthcare system. And each solution is a result of the collaboration and dedication of our talented, curious, and passionate teams. We wouldn’t want it a...

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FUNDING

Private

INDUSTRY

Information Technology Support Services

TEAM SIZE

501-1000

LOCATION

Hybrid, based in Jacksonville, FL

DATE POSTED