Authorizations Solutions Engineer (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.

We are seeking a Solutions Engineer to join our Authorization Delivery team, supporting the implementation of prior authorization products to payer organizations. In this highly client-facing role, you will lead the solutioning during the implementation of new and existing health plan clients for Availity's Essentials, Intelligent Gateway, and End to End Authorization products. You will act as a trusted consultant, guiding payers through configuration, workflow optimization, and best practices for leveraging Availity's prior authorization solutions. This is an opportunity to influence platform growth, represent the voice of the customer, and collaborate across teams to ensure successful implementations.

• Work with a collaborative and growth-focused team that values continuous learning.

• Support the growth and acceleration of a fast-paced AI-driven solution creating differentiation in the healthcare industry across payers.

• Influence the future direction of Availity's prior authorization platform.

• Make a real impact by helping payers and providers reduce administrative burdens.

• Lead solution design for payer implementations for the End to End prior authorization products, including Essentials and Intelligent Gateway.

• Conduct client-facing meetings and product demonstrations with internal and external stakeholders.

• Document business and technical requirements, aligning them with scalable solutions from a multi-payer perspective.

• Relay technical requirements and solution design review with the authorization engineering teams for collaboration, timeline estimates, and delivery of the optimal solution for both Availity and its payers.

• Collaborate with Product Management on custom requests and identify opportunities for process improvement.

• Participate in the sales discovery process, helping shape solutions that meet client needs.

• Manage multiple concurrent projects across multiple payer clients, ensuring on-time delivery.

• Bachelor's degree or equivalent combination of education and relevant experience.

• 3+ years in a client-facing solution design role, building strong internal and external relationships.

• 3+ years working on projects or contracts greater than $1,000,000 ACV.

• 5+ years of experience in technology consulting, technical implementation, or solutions delivery-healthcare experience required, specifically in the prior authorization space.

• Ability to articulate product features and translate payer requirements into scalable solutions.

• Strong analytical and technical problem-solving skills with an understanding of SDLC and Agile methodologies.

• Excellent written and verbal communication skills, including business and technical documentation.

• Proven ability to deliver in time-sensitive engagements and adapt to changing priorities.

• Technical aptitude with healthcare workflows, high-volume transactions, and emerging technologies.

• Balance between delivering the right solution to a payer and Availity's goal of scalable, innovative solutions supporting hypergrowth.

• Vast experience with prior authorization solutions or utilization management workflows.

• Prior delivery or solutioning engagements or employment with major payers in the industry.

• Knowledge and expertise with healthcare data standards such as EDI, X12, FHIR, and APIs.

• Knowledge of health plan systems and payer operations.

• Experience delivering enterprise SaaS solutions.

• Working knowledge of Atlassian (Jira, Confluence), Azure DevOps, Salesforce, or similar tools.

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 Video Pre-Screen

• Video Interview with Hiring Manager

• Video Panel Interview

• 2nd Video Interview with Hiring Manager

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.

Click the links below to view Federal Employment Notices.

Family& Medical LeaveAct Equal Employment Law PosterPay TransparencyEmployee Polygraph Protection Act IER Right to Work Poster Important Notice about Employee Rights to Organize and Bargain Collectively with Their Employers