Trading Partner Operations Manager (Remote)

Availity

1d•Remote

About The Position

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 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 Trading Partner Operations Manager will act as a key member of the Trading Partner account team. This role involves tracking and reporting on key account metrics, addressing client inquiries, analyzing data and trends, and acting as the main point of contact for various client needs. The ideal candidate will possess strong communication, analytical, and problem-solving skills, and will work collaboratively with internal teams to ensure optimal client satisfaction and solution delivery.

Requirements

Bachelor’s degree in Business Administration, Management, or a related field or; 3+ years of experience in a client-facing role, preferably in a client solutions or account management capacity
Experience with EDI systems and client enrollment processes is a plus
Familiarity with data analytics, ticketing systems, and project management tools
Strong analytical skills with the ability to track, monitor, and report on key metrics and trends
Excellent communication skills, with the ability to effectively liaise between clients, internal teams, and stakeholders
Knowledge of EDI systems, enrollment processes, and payer-related operations
Problem-solving skills with the ability to prioritize and resolve client issues efficiently
Ability to train clients on new solutions, products, and processes
Experience in project management, particularly in relation to client onboarding and solution implementations
Proficiency in using CRM software, ticketing systems, and data analysis tools
Attention to detail and a commitment to delivering high-quality service
Ability to work collaboratively with cross-functional teams, including EDI enrollment, Business Operations, and Launch Readiness teams
Experience with client communications and creating informative content

Responsibilities

Key Metric Tracking and Reporting: Track and report on key account metrics, including transaction volumes, rate limiting, product usage, and other performance indicators. Drive improvements in client solutions and provide data-driven recommendations Monitor and analyze data and trends to identify potential issues and opportunities for improvement Track client support tickets, escalating as needed, and providing trending details to internal teams Work with the data team to build out custom reports as needed
Internal Operational Liaison: Conduct partner gap analysis to identify new business opportunities and provide insights to sales and SAS Act as a liaison between clients and internal teams ensure smooth communication and effective resolution of issues Participate in Launch Readiness projects, assisting in the preparation and execution of new products or service rollouts Create an operational success plan as appropriate Serve as the internal point of contact for trading partner related issues and questions Work with finance on delinquent accounts, credit requests, and terminations
Client Engagement Serve as the primary operational contact for clients, prioritizing and managing issues to ensure timely resolution Serve as the main point of contact for invoice and contract related questions Deliver outbound communications to trading partners including new payer announcements, RCAs, and monthly payer lists Coordinate operational and tactical client meetings, including internal teams as necessary Open security questionnaire requests with Availity security team as applicable

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 Culture teams, a Young Professionals Group, and various ways to engage with fellow Availity associates – if you’re near Jacksonville, we have lots of pop up lunches where lunch is provided for everyone when we can see meetings are taking place and we’ve got teams in the office.
Availity is a culture of continuous learning.
We have many resources and experts in our tech stack, our industry and your function 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.
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.