UM Product Operations Analyst (Remote)

Availity delivers revenue cycle and related business solutions for healthcare professionals. The UM Product Operations Analyst will support and help advance an AI-enabled utilization management solution that automates and modernizes the prior authorization process for healthcare organizations.

Requirements

• Undergraduate degree is preferable, but applicable experience in a healthcare setting will be strongly considered in lieu of a degree.
• Prior relevant experience in healthcare or utilization management strongly preferred.
• Experience with AI/NLP model testing or annotation is a plus.
• Advanced proficiency in Excel and general computer skills (Microsoft Office suite).
• Ability to create and execute test strategies, plans, and cases.
• Experience with bug tracking systems and EMRs is a plus.
• Familiarity with CPT and ICD-10-CM coding, Medicare/Medicaid, and NCD/LCD is beneficial.
• Strong knowledge of healthcare and medical terminology.
• Excellent problem-solving, critical thinking, and attention to detail.
• Ability to work independently and as part of a team.
• Organized, able to multitask, responsible, and proactive.
• Open to giving and receiving feedback.
• Strong written and verbal communication skills, including the ability to communicate complex technical issues to internal and external stakeholders.

Benefits

• Competitive salary
• Bonus structure
• Generous HSA company contribution
• Healthcare, vision, dental benefits
• 401k match program
• Unlimited PTO for salaried associates + 9 paid holidays
• Education reimbursement
• Paid Parental Leave for both moms and dads, both birth parents and adoptive parents
• Wellness reimbursement up to $250/year