Solutions Engineer - Prior Auths (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.

The Solutions Engineer is a post‑sales, execution‑focused role responsible for supporting healthcare implementations by bridging technical gaps between Program Management, product, and engineering. This role plays a critical part in moving signed customer contracts from requirements into delivery, with a strong and growing emphasis on FHIR‑based integrations tied to current revenue and regulatory‑driven contracts.

Sponsorship, of any kind, is not available for this role.

Why join this team?

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

• You'll sit at the center of high‑impact, real‑world healthcare delivery, where the work is both meaningful and highly visible.

To be qualified for this role, you have:

• 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. Only candidates with prior authorizations experience will be considered.

• Strong technical acumen: Must be well versed in X12 and FHIR.

• 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.

What will set you apart:

• 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.

What you’ll do?

• Support post‑sales customer implementations by providing hands‑on technical guidance throughout delivery, with a primary focus on healthcare prior authorization workflows.

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

• Contribute to scaling delivery operations by helping package and standardize implementation approaches so contracts can be delivered more efficiently at volume.

• Act as a bridge between delivery teams, product, and engineering, helping translate customer requirements into delivery‑ready, scalable solutions.

• Provide practical expertise in FHIR APIs, supporting the growing volume of FHIR‑based contracts that represent the team’s highest delivery and revenue priority.

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

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

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 Culture teams, a Young Professionals Group, and various ways to engage with fellow Availity associates – if you’re near Jacksonville, we have lots of pop up lunches where lunch is provided for everyone when we can see meetings are taking place and we’ve got teams in the office.

• Availity is a culture of continuous learning. We have many resources and experts in our tech stack, our industry and your function 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.

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 Recorded Video Pre-Screen

• Video Interview with Manager, Health Plan Delivery

• Video Interview with Solution Engineers

• Final Video with Director, Delivery Services

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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 Leave Act  Equal Employment Law Poster  Pay Transparency  Employee Polygraph Protection Act  IER Right to Work Poster  Important Notice about Employee Rights to Organize and Bargain Collectively with Their Employers