Chief Medical Officer (Remote)

Availity

3d•Remote

About The Position

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. As Availity’s Chief Medical Officer (CMO), you will be the company’s senior clinical voice—guiding how our platform, workflows, and next-generation innovations show up in the real world of care delivery and reimbursement. Reporting to the COO, you will partner across Product, Technology, Data, Legal, and Commercial teams to embed clinical integrity into our large-scale, network-based solutions, building trust with health systems and payers and accelerating impact for patients and providers. The ideal CMO is a clinically credible systems‑thinker who understands that small clinical decisions—when scaled across millions of transactions—carry significant impact. They balance innovation with stewardship and bring confidence to Availity’s role as a trusted advisor to both sides of the network. Sponsorship, in any form, is not available for this position. Location: Remote, US Why you want to work on this team: Passionate about influencing workflows tied to prior auth, utilization management, clinical data exchange, and revenue-cycle steps that directly affect patient access and provider burden—at platform scale. Excited about helping a fast-growing healthcare technology company move faster (automation/AI-enabled workflows) while also protecting patients, providers, and the business by managing clinical, ethical, and reputational risk.

Requirements

Medical degree required (MD or DO).
Extensive experience working with health systems and health plans.
Deep understanding of payer‑provider workflows, clinical policy, and utilization management.
Experience partnering with technology, data, or analytics organizations at enterprise scale.
Strong executive presence and ability to influence without direct clinical operations ownership.
Background in health IT, healthcare networks, or enterprise healthcare platforms.
Experience with clinical decision support, utilization management, or AI‑enabled healthcare workflows.
Familiarity with value‑based care and population health models.
MBA, MPH, or clinical informatics experience.

Nice To Haves

Experienced working in the Healthcare Technology space
Strong understanding of value-based care and population health models

Responsibilities

Clinical Oversight & Governance Providing clinical leadership across Availity’s platform, including solutions that influence: Prior authorization Utilization management Clinical data exchange Revenue cycle and administrative workflows connected to patient care Ensuring clinical logic, policies, and automation align with standards of care and payer medical policy frameworks. Identifying and mitigating clinical, ethical, and reputational risk associated with scaled automation and AI‑enabled workflows. Partnering with Legal, Compliance, and Security teams on clinical governance and regulatory considerations.
Product, Data & AI Partnership Acting as the senior clinical partner to Product, Engineering, and Data Science. Validating clinical assumptions embedded in business rules, analytics, and AI models. Ensuring solutions are usable, defensible, and trusted in real provider and payer environments.
Payer & Health System Engagement Serving as Availity’s primary clinical executive for enterprise customers. Supporting payer medical leaders, provider executives, and clinical operations teams in adopting Availity solutions. Partnering with Sales, Growth, and Customer teams in complex clinical discussions, evaluations, and implementations. Aligning Availity’s value messaging to payer and provider priorities: quality, efficiency, administrative burden reduction, and trust.
Outcomes, Value & Credibility Defining clinical success criteria for solutions that support payer‑provider interaction and decision‑making. Ensuring clinical claims are accurate, defensible, and supported by evidence or operational logic. Supporting outcome measurement tied to efficiency, quality, and reduced friction in healthcare delivery.
Thought Leadership & Internal Enablement Representing Availity as a credible, clinically grounded leader in the healthcare ecosystem. Educating internal teams on how clinical practice, payer policy, and operational realities intersect. Helping position Availity as a trusted, neutral intermediary in healthcare collaboration.

Benefits

Availity is a certified “Great Place to Work”!
We have several Culture teams, a Young Professionals Group, and various ways to engage with fellow Availity associates
Availity is a culture of continuous learning.
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.
We allow our associates to reimburse up to $250/year for gym memberships, participation in racing events, weight management programs, etc.
We offer education reimbursement!
Availity offers Paid Parental Leave for both moms and dads, both birth parents and adoptive parents.
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.