Associate Principal, Utilization Management Integrations (Remote)

Availity-posted 3 days ago
Full-time • Mid Level
Remote
501-1,000 employees
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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 13 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. We are seeking a highly skilled and relationship-driven Associate Principal, Utilization Management Integrations, to lead the intersection of technical strategy and client success across our utilization management programs. This hybrid role combines deep expertise in health plan operations and utilization management with strategic alignment leadership, enabling seamless integration of Availity’s intelligent solutions into payer environments. The ideal candidate will serve as a trusted advisor to our strategic partners, driving innovation, alignment, and long-term value within health plans’ utilization management programs. Why Join Us Be part of a fast-paced, collaborative, and purpose-driven team. Influence the future of healthcare IT by shaping how health plans adopt and scale utilization management solutions. Gain exposure across product, engineering, marketing, and client strategy teams. Grow into future leadership opportunities within Availity’s strategic and technical domains.

  • Strategic Integration Leadership Lead cross-functional stakeholder groups to define integration strategies that align with health plan goals and Availity’s product roadmap.
  • Provide conceptual architectural and high-level technical guidance to assess client domains and recommend scalable, interoperable solutions.
  • Develop high-level conceptual architecture that reflects current and future states across people, processes, technology, and data.
  • Collaborate with internal teams to ensure solution alignment with client short-, mid-, and long-term objectives.
  • Client Engagement & Account Strategy Serve as the primary liaison for high-value payer accounts, managing escalations, driving retention and UM product expansion efforts, and supporting product post implementations.
  • Build and maintain UM strategies for accounts, identify growth opportunities, and align client needs with Availity’s offerings.
  • Facilitate regular communications with clients and Availity Growth Teams through meetings, and executive briefings.
  • Represent the voice of the customer internally and advocate for their UM needs in internal discussions.
  • Program Oversight & Performance Monitoring Define KPIs and success metrics to measure integration impact and program performance.
  • Provide executive-level communications on program status, risks, and outcomes.
  • Track and report on account performance, including volume trends, retention metrics, and strategic goal progress.
  • Industry Insight & Thought Leadership Stay informed on healthcare industry trends, payer needs, and competitive activity.
  • Leverage insights to inform account strategies and influence product direction.
  • Attend client meetings, industry conferences, and internal planning sessions to strengthen relationships and support business development.
  • 5+ years in utilization management, care management, or healthcare operations within a health plan, provider organization or healthcare technology organization. This is required to be considered for the role.
  • 4+ years of customer management experience in healthcare, health plan, provider relations, or technology.
  • Proven success managing enterprise-level accounts and delivering strategic technical solutions.
  • Strong understanding of health plan operations, systems integration, and interoperability. This is required to be considered for the role.
  • Familiarity with AI technologies.
  • Experience with Salesforce, Jira, Gainsight, Confluence, and other internal operating systems.
  • Exceptional communication skills—verbal and written—tailored to both technical and non-technical audiences.
  • Strong facilitation, negotiation, and problem-solving skills.
  • Ability to lead and influence cross-functional teams and client stakeholders.
  • Comfortable presenting executive leadership and navigating high-stakes engagements.
  • HIPAA knowledge and familiarity with healthcare compliance standards.
  • Bachelor's degree in business, Healthcare Administration, Finance, Marketing, or related experience.
  • Highly motivated, proactive, and adaptable in a rapidly changing environment.
  • Experience in solution selling and strategic consulting.
  • Ability to produce critical deliverables under tight deadlines.
  • Works well as part of a team.
  • Availity is a certified “Great Place to Work”, a “Best Workplaces for Technology Companies”, a “Best Workplaces for Women” and a “Best Workplaces for Millennials”!
  • Culture is important to us and there are many ways for you to make your mark here!
  • We have several Diversity & Inclusion teams and various ways to engage with fellow Availity associates.
  • “AvaiLadies”, “Beyond Black”, “HOLA”, “Availity Pride”, “VetAvaility” a Young Professionals Group and “She Can Code IT” a group for women in tech are some of the groups you can get involved in.
  • 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!
  • 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.
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