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