Director, Clinical Solutions (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 looking for a highly motivated leader to join our clinical product team as a Director, Clinical Solutions and build out a clinical solutioning function to help accelerate growth in this maturing market that requires deep subject matter expertise and consultation. This individual will report directly to the Chief Product Officer of Clinical Solutions at Availity and will be expected to work in close partnership with our sales and account management teams to grow our clinical business. This individual will be charged with building out a clinical solutioning team who will support payer accounts, both pre and post sales, and will ultimately be accountable for driving net new revenue growth and supporting client retention and expansion. This role requires a blend of technical acumen, clinical knowledge, and strong problem-solving skills. The ideal candidate will be passionate about helping payers and technology partners successfully use clinical data and will embody a tenacious approach to winning deals and driving successful adoption of our clinical solutions, while also excelling in highly technical and strategic competencies.

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

Location: Remote, US

Why you want to work on this team:

• Lead a team that is helping to drive growth and profitability for an innovative company
• Help build out and scale our clinical solution within the health plan/payer space
• Have a passion for working with customers through a consultative approach

To be qualified for this position you:

• Bachelor's or advanced degree in Business, Information Technology, healthcare or a related field
• A minimum of 12 years of experience working at a health plan, a health technology company serving health plans, or in healthcare consulting serving health plans
• Demonstrated success in achieving topline revenue growth
• Deep expertise in health plan clinical data use cases and how to effectively use clinical data within payer workflows including, but not limited to:
  • Payment
  • Utilization Management
  • Quality/HEDIS
  • Risk Adjustment
  • Care Management/VBC
  • Population Analytics
  • FHIR interoperability
• Proficiency in clinical data processing and data standards (e.g., Hl7v2, CCDA, FHIR) and can speak to its challenges
• Excellent communication, negotiation, and presentation skills.
• Experience working across sales, account management, product and technology teams
• Ability to adapt and learn quickly, especially regarding new product features and market needs.
• Willingness to travel for client meetings, demos, and industry events.
• Ability to build trusted relationships with customers and partners
• Overseeing the execution of complex multi-phase projects

You will set yourself apart with:

• Possess a deep understanding of targeted payer use cases and leverage this knowledge to shape discussions around successful application of clinical data to these workflows.
• Display thorough understanding of clinical data standards (e.g., Hl7v2, C-CDA, FHIR), their challenges, as well as API processing
• Incorporate ROI model discussions during consultations with prospects and in ongoing conversations with customers.
• Have unique ability to combine understanding of use case economics and financial modeling with solution expertise.
• Translate complex technical jargon into comprehensible language for non-technical audiences while maintaining credibility with technical stakeholders
• Adjust conversations dynamically to meet the expectations of prospects and clients.
• Collaborate cross-functionally to provide both technical and product subject matter expert support to the commercial and client services teams.

You will be:

• Drive top-line revenue growth by maturing clinical sales opportunities in close collaboration with the sales team. Specific activities include:
  • Serving as the strategic and technical linchpin during sales engagements, excelling in a variety of capacities as required by the situation.
  • Partnering with sales to mature later stage deals with health plans and health information technology vendors.
  • Pitching to health plan department leaders spanning Quality/HEDIS, Risk Adjustment, Population Health and Care Management, Utilization Management, and claims adjudication.
  • Building prescriptive plans and solution proposals to advance deals and ensuring opportunities in the clinical pipeline are progressing.
  • Craft solution designs and data flow diagrams based on Availity clinical solutions integrated into client architecture.
  • Lead or deliver compelling presentations/demos of Availity clinical solutions to potential clients, either independently or alongside the sales team.
  • Lead clinical RFP responses in close collaboration with our growth and proposal management team
  • Lead pilot engagements with prospective customers and present detailed analyses relevant to the customer's clinical use-cases.
• Build out clinical success function and ROI stories to support revenue retention in close collaboration with the account management team. Specific activities include:
  • Advise and guide clients and partners on software solutions, integration concepts, and delivery techniques.
  • Offer support during implementation phases, focusing on technical solution design, functional expertise, and alignment to priority use cases
  • Leverage internal analytic tools and product SME support to present data-driven insights to clients surrounding ROI and use case impact.
  • Buildout and operationalize clinical use case ROI playbooks and a clinically focused customer engagement model to drive clinical solutions value and ROI realization - operationalizing
  • Engage with customers to identify clinical case study opportunities that demonstrate ROI
  • Partner closely with the account management team to ensure customer statuses are green and develop risk mitigation strategies should statuses turn yellow
  • Manage objections adeptly, provide swift and clear answers, and handle challenges persuasively.
  • Multi-task effectively, managing diverse assignments and administrative tasks concurrently.
• Lead the build-out of a small solutions consulting team by establishing standard processes and an engagement framework that can scale, ensuring the team meets annual objectives anchored to revenue expansion and retention, and mentoring team members.

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 Recorded Video Interview
• Video Interview with Hiring Manager
• Video Peer Panel Interview
• Video Panel Interview with VP, Finance and Director, Strategic Account Services
• Final Interview with Chief Product Officer

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.

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