Payment Accuracy Solutions Consultant (Remote)

Availity

225d

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. 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.

Requirements

• 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.

Nice To Haves

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

Responsibilities

• 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.

Benefits

• Competitive salary and bonus structure.
• Generous HSA company contribution.
• Healthcare, vision, dental benefits.
• 401k match program available on day one.
• Unlimited PTO for salaried associates + 9 paid holidays.
• Hourly associates start at 19 days of PTO with all the same holiday benefits.
• Reimbursement up to $250/year for gym memberships, racing events, weight management programs, etc.
• Education reimbursement.
• Paid Parental Leave for both moms and dads, both birth parents and adoptive parents.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Bachelor's degree
• Number of Employees: 501-1,000 employees