Manager, Operations Automation & Strategy

Availity; Northern (KY); Hybrid; USD 120,000 - 170,000; Full time

Benefits offered by this job

Great Place to Work

401k match

Unlimited PTO

Paid Parental Leave

Job summary

Availity is a remote-first healthcare technology leader, driving automation and operational excellence for payer operations and provider service delivery. The Manager, Operations Automation & Strategy leads analytical teams, optimizes workflows, and champions scalable automation across product, engineering, and client services.

You will own Missing Claim Response processes, governance of known issues, and collaboration with stakeholders to reduce manual work and improve service stability.

Qualifications

• Bachelor's degree required.
• Five+ years of experience in healthcare payer operations.
• Three+ years of leadership experience managing operational, systems, analytical, or technical teams.
• Strong understanding of healthcare claims processing and payer operations.
• Experience coordinating cross-functional relationships across Product, Engineering, Operations, Client Services, and Account Management.

Responsibilities

• Lead and develop a team of analysts and operational specialists.
• Oversee Missing Claim Response workflow, monitoring, escalation, and resolution.
• Identify operational risks, trends and payer-specific issues.
• Define requirements for automated workflows, alerts, and monitoring solutions.
• Partner with Product and Engineering to develop dashboards and automation capabilities.
• Communicate operational health and risks to leadership.

Skills

Healthcare payer ops

Leadership

Cross-functional collab

Analytical skills

Communication skills

Education

Bachelor's degree

Tools

Jira

ServiceNow

Salesforce

Dashboard tools

Automation tooling

Job description

Manager, Operations Automation & Strategy page is loaded## Manager, Operations Automation & Strategylocations: Remote - United Statestime type: Full timeposted on: Posted Yesterdayjob requisition id: R0008605Availity 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.The Manager, Operations Automation & Strategy is responsible for leading teams that support health plan and provider service delivery through operational excellence, workflow optimization, automation, and systems monitoring. This role oversees the Missing Claim Response process, operational triage and escalation management, and known issue governance to ensure timely resolution of operational risks and service disruptions.The Manager drives continuous improvement initiatives that enhance operational efficiency, strengthen monitoring capabilities, reduce manual effort, and improve scalability. Serving as a key liaison between Operations, Product, Engineering, Account Management, Client Success, and health plan stakeholders, this role promotes service stability, clear ownership, and data-driven decision making across critical operational workflows.**Sponsorship, in any form, is not available for this position**.**Location:** Remote, US**Qualifications:****Required*** Bachelor's degree* Five or more years of experience in healthcare payer operations* Three or more years of leadership experience managing operational, systems, analytical, or technical teams.* Strong understanding of healthcare claims processing, payer operations,* Demonstrated ability to identify process improvement and automation opportunities and translate operational needs into actionable requirements.* Experience managing cross-functional relationships with Product, Engineering, Operations, Client Services, Account Management, and other stakeholders.* Strong analytical, problem-solving, organizational, and decision-making skills.* Excellent written and verbal communication skills, with the ability to communicate complex operational and technical information clearly.**Preferred*** Experience managing configuration-driven solutions, transaction monitoring, or healthcare transaction workflows.* Knowledge of EDI transactions, including the 837, 835, 277CA, and HIPAA X12 standards.* Familiarity with Jira, ServiceNow, salesforce, dashboard development, workflow automation, reporting tools, and operational analytics.* Experience defining requirements for automated workflows, alerts, monitoring solutions, and exception management.**Key Responsibilities:****Leadership & Team Management*** Lead and develop a team of analysts and operational specialists.* Establish performance goals, monitor operational metrics, and provide coaching and professional development.* Foster a culture of accountability, collaboration, innovation, and continuous improvement.* Ensure clear responsibilities, escalation paths, and service expectations across the team.**Operations & Issue Management*** Oversee the Missing Claim Response workflow, including monitoring, investigation, escalation, and resolution activities.* Identify operational risks, recurring response gaps, processing trends, and payer-specific issues.* Lead the intake, triage, prioritization, and routing of operational tickets, known issues, and support requests.* Establish workflow standards and governance to improve efficiency and reduce delays, duplicate work, and unclear ownership.* Ensure timely resolution of production issues, client escalations, and operational support requests.* Lead the identification, tracking, communication, and resolution of known issues and operational risks.* Automation & Process Improvement* Identify, prioritize, and implement automation opportunities that improve efficiency, accuracy, and scalability.* Partner with Product and Engineering teams to develop automated workflows, monitoring solutions, dashboards, and reporting capabilities.* Evaluate operational processes to identify opportunities for standardization, simplification, and continuous improvement.* Define business requirements, success metrics, and operational controls for automation initiatives.* Measure and report on automation outcomes, including reductions in manual effort, processing time, and operational risk.* Strategy & Cross-Functional Collaboration* Partner with internal stakeholders to translate operational challenges into scalable solutions and strategic initiatives.* Communicate operational health, risks, trends, and improvement opportunities to leadership.* Support operational planning, capacity management, and service delivery strategies.* Provide recommendations related to operational priorities, process improvements, monitoring capabilities, and technology investments.**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.* Availity offers Paid Parental Leave for both moms and dads, both birth parents and adoptive parents.**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* Managers resume review* Recruiter screen* Manager 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