Full-Time

Solutions Engineer

Prior Authorizations

Posted on 11/15/2025

Availity

Availity

1,001-5,000 employees

Revenue cycle management and clearinghouse platform

No salary listed

Remote in USA

Remote

Category
Sales & Solution Engineering (1)
Required Skills
Python
Requirements
  • Bachelor’s degree or equivalent combination of education and relevant experience
  • 3+ years in a client-facing solution design role, building strong internal and external relationships
  • 3+ years working on projects or contracts greater than $1,000,000 ACV
  • 5+ years of experience in technology consulting, technical implementation, or solutions delivery—healthcare experience required, specifically in the prior authorization space. Only candidates with prior authorizations experience will be considered
  • Ability to articulate product features and translate payer requirements into scalable solutions
  • Strong analytical and technical problem-solving skills with an understanding of SDLC and Agile methodologies
  • Excellent written and verbal communication skills, including business and technical documentation
  • Proven ability to deliver in time-sensitive engagements and adapt to changing priorities
  • Technical aptitude with healthcare workflows, high-volume transactions, and emerging technologies
  • Balance between delivering the right solution to a payer and Availity’s goal of scalable, innovative solutions supporting hypergrowth
Responsibilities
  • Lead solution design for payer implementations for the End to End prior authorization products, including Essentials and Intelligent Gateway
  • Conduct client-facing meetings and product demonstrations with internal and external stakeholders
  • Document business and technical requirements, aligning them with scalable solutions from a multi-payer perspective
  • Relay technical requirements and solution design review with the authorization engineering teams for collaboration, timeline estimates, and delivery of the optimal solution for both Availity and its payers
  • Collaborate with Product Management on custom requests and identify opportunities for process improvement
  • Participate in the sales discovery process, helping shape solutions that meet client needs
  • Manage multiple concurrent projects across multiple payer clients, ensuring on-time delivery
Desired Qualifications
  • Vast experience with prior authorization solutions or utilization management workflows
  • Prior delivery or solutioning engagements or employment with major payers in the industry
  • Knowledge and expertise with healthcare data standards such as EDI, X12, FHIR, and APIs
  • Knowledge of health plan systems and payer operations
  • Experience delivering enterprise SaaS solutions
  • Working knowledge of Atlassian (Jira, Confluence), Azure DevOps, Salesforce, or similar tools

Availity provides revenue cycle management and clearinghouse services for the healthcare sector. It offers a platform with a multi-payer portal that enables real-time collaboration among providers, payers, and other stakeholders. Core features include eligibility and benefits verification, claims management, and authorizations, all accessible through a subscription-based platform. The system helps healthcare organizations streamline administrative tasks in the revenue cycle, reducing time and costs and allowing providers to focus more on patient care. Unlike single-payer or standalone systems, Availity combines multiple payers and services in one platform, enabling integrated workflows across the healthcare payment process. The goal is to improve efficiency and financial performance for healthcare providers and payers by simplifying and speeding up administrative processes.

Company Size

1,001-5,000

Company Stage

N/A

Total Funding

N/A

Headquarters

Jacksonville, Florida

Founded

2001

Simplify Jobs

Simplify's Take

What believers are saying

  • CMS-0057-F Blueprint positions Availity for 25% payer compliance ahead of January 2027 deadline.
  • RevSpring PersonaPay integration on March 6, 2025, halves reconciliation time and boosts payments.
  • Abridge collaboration delivers real-time prior auth at point of conversation via ambient AI.

What critics are saying

  • Change Healthcare captures 40% more volume through aggressive pricing, eroding Availity share by Q1 2027.
  • Waystar undercuts Essentials Pro pricing by 25%, stealing 15-20% top clients via Epic integrations by mid-2027.
  • CMS-0057-F APIs enable FHIR bypass of Availity portal, slashing fees 60% as Epic embeds tools by 2028.

What makes Availity unique

  • Availity Essentials Pro integrates all-payer clearinghouse for claim scrubbing and denial prevention.
  • Availity Abrasion Index quantifies friction in prior auth, claims, and denials from 2026 research.
  • Availity Extend enables secure AI automation on network connecting 4,000 payers and 3.5 million providers.

Help us improve and share your feedback! Did you find this helpful?

Benefits

Health Insurance

Dental Insurance

Vision Insurance

401(k) Retirement Plan

401(k) Company Match

Unlimited Paid Time Off

Paid Holidays

Wellness Program

Education Reimbursement

Paid Parental Leave

Company News

Abridge
Jan 12th, 2026
Abridge and Availity Collaborate to Redefine Payer-Provider Synergy at the Point of Conversation

Abridge and Availity collaborate to redefine payer-provider synergy at the point of conversation. Announcement: Abridge is collaborating with Availity, the nation's largest real-time health information network, to connect patients, providers, and payers at the point of conversation. The two companies are developing a first-of-its-kind prior authorization experience. This is just one component of a broader revenue cycle collaboration focused on bringing real-time intelligence to the point of conversation. Abridge AI Inc. is just getting started but the vision is bold: For patients: more transparency, reduced administrative delays. For clinicians: workflows designed to support payer determination closer to the visit. For payers: aligning utilization management with the clinician-patient conversation.

360 Magazine
Sep 24th, 2025
Meet the new chief customer officers at SmartSheet, Glassbox, Equinix and more

Great Places Housing Group, a property management firm based in the U.K., said it has promoted Matt Foreman as its new chief customer officer.

Delaware Business Now
Aug 26th, 2025
Delaware health info system partnership aims to provide higher quality medical record summaries

Delaware Health Information Network (DHIN) has partnered with Availity, to improve Continuity of Care Documents (CCDs) shared across DHIN's network.

PR Newswire
Mar 6th, 2025
Revspring And Availity Expand Partnership With Integration Of Revspring'S Personapay™ And Availity Essentials Pro™

Availity's customers gain a more robust, full-service digital revenue cycle solution, including RevSpring's billing engagement and merchant servicesNASHVILLE, Tenn. and JACKSONVILLE, Fla., March 6, 2025 /PRNewswire/ -- RevSpring, the leading provider of healthcare engagement and payment solutions, and Availity, the nation's largest payer, provider and partner network, today announced a significant expansion of their long-time partnership. RevSpring's market leading PersonaPay™ patient payments portal—awarded Best in KLAS® for Patient Financial Engagement—and merchant services are now integrated with Availity Essentials Pro™ revenue cycle management solution. Availity customers gain streamlined access to a more robust, full-service solution to drive increased payments, faster and more efficient patient payments and processing, and, ultimately, higher return on investment.PersonaPay facilitates built-in intelligence to empower patients to pay precisely what they can, when they should from anywhere. It automatically personalizes payment options, such as pay in full, payment plans, financial assistance or patient financing to fit each patient's individual need and ability to pay. Once a payment is made, RevSpring's Merchant Services then seamlessly processes and creates reconciliation reporting that cuts manual reconciliation in half and eliminates the need for multiple vendors to process any payments from a RevSpring payment solution."RevSpring and Availity have successfully partnered to deliver value to providers and their patients for more than a decade

RevSpring
Mar 6th, 2025
RevSpring and Availity Expand Partnership with Integration of RevSpring's PersonaPay(TM) and Availity Essentials Pro(TM)

RevSpring's market leading PersonaPay(TM) patient payments portal - awarded Best in KLAS(R) for Patient Financial Engagement - and merchant services are now integrated with Availity Essentials Pro(TM) revenue cycle management solution.

INACTIVE