Operations Automation & Strategy Lead (Remote)

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

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.