Technical Account Manager, Utilization Management (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 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. 

Reporting to the Authorization Strategy & Operations Director, the Technical Account Manager (TAM) serves as a liaison between Availity's technical teams, Program Managers, Strategic Account Managers (SAS) and the other Availity TAMs, ensuring that our Intelligent Utilization Management (IUM) solutions align with the customers' technical needs and business objectives post product implementation. TAMs are responsible for ensuring customer success by proactively building, maintaining, and expanding relationships with our strategic Payer Partners to advance Availity Utilization Management products in the healthcare information technology marketplace. Will become trusted advisors to their book of business, knowledge resource to internal Availity account teams, coordinate cross-functional efforts, manage timelines, and ensure deliverables meet quality standards. The TAM represents the voice of the customer internally and the interests of the organization externally. The TAM is an expert communicator and relationship builder that implements key marketing strategies to enhance the company's position. Some travel is required. 

Sponsorship, in any form, is not available for this position. 

Why do you want to work for this team: 

• This is a fast-paced, flexible, and collaborative work environment where you are encouraged to bring your authentic self every day in the pursuit of serving our clients. 

• This position gives exposure to multiple areas within Availity and is a great career path to future Account Management roles within the company. 

 
To be qualified for this role you: 

• Have at least 3 years of account OR customer management experience in healthcare, payer, provider relations, or technology environment, with experience in sales or solution selling.  

• Manage technical accounts effectively, including client relationship management and technical support.

• Have Utilization Management (UM) expertise. Understanding UM processes and workflows is required to be considered for this role.

• Demonstrate understanding in healthcare management software and tools (EHR, care management systems, FHIR APIs, etc.)

• Have strong interpersonal skills. Experience facilitating meetings and engaging with multiple stakeholders at all levels of the organization is vital. 

• Are a team player that works in support of others and in close collaborative partnership.  

• Have knowledge of healthcare payer processing, provider/hospital office operations, customer service and IT operations. 

• Are a problem-solver who listens to business problems and can provide potential solutions. 

• Are a self-starter!

• Have exceptional customer service skills.

• Have strong analytical and research skills. 

• Highly motivated, self-starting, and proactive – not reactive. 

• Have demonstrated the ability to use discretion and make sound decisions. 

• Have an associate degree in Business, Finance, Marketing, or equivalent work experience, bachelor’s degree a plus. 

• Have HIPAA (Health Insurance Portability and Accountability Act) knowledge. 

What will set you apart: 

• You thrive in a rapidly changing environment. 

• Can effectively manage complex projects end-to-end ensuring high levels of satisfaction and execution. 

• Have knowledge of healthcare technical integrations and operating systems (e.g. Epic, delegated vendors, etc.)  

• You have worked in a healthcare technology organization.

 
What you will be doing: 

• Supporting the relationship between complex assigned accounts and Availity, and acts as an internal and external point of contact for accountability, issue escalation/resolution, and product implementations. 

• Supporting aspects of the re-contracting process including pricing, proposal, administration functions, preparation for negotiations and customer presentations. 

• Obtaining, utilizing, and accurately summarizing key competitive data to affect positive account growth. 

• Working with cross functional teams to coordinate and implement new functionality for assigned payers. 

• Staying current on industry and competitive trends and applies knowledge of marketplace to account planning processes. 

• Identifying and coordinating marketing, management, and technical resources necessary to achieve existing account up-sell objectives. 

• Communicating with accounts on a regular basis based on tier structure and need, via newsletters, email, phone, and/or face to face meetings. 

• Consults with Health Plan customers to identify and qualify opportunities to up-sell new products or services 

• Monitoring and supports retention through volume analysis and account penetration. 

• Reporting regularly on the progress and accomplishment of stated goals by updating metrics that track results. 

• Building strong inter-departmental relationships to achieve individual and Account Management team objectives. 

• Establishing, maintaining, and updating Relationship Account Plans with all assigned accounts.  

Availity culture and benefits: 

• 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.  

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 Resume Review 

• Manager Resume Review 

• Recruiter Video Screen

• Manager Video Interview

• Panel Video Interview 

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