management
Added 3 hours agoChief Medical Officer (Remote)
at Availity
United StatesRemote
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Requirements
- Excited about helping a fast-growing healthcare technology company move faster (automation/AI-enabled workflows) while also protecting patients, providers, and the business by managing clinical, ethical, and reputational risk.
- To be qualified for this position you have: Medical degree required (MD or DO). Extensive
- experience working with health systems and health plans. Deep understanding of payer‑provider workflows, clinical policy, and utilization management.
- Experience partnering with technology, data, or analytics organizations at enterprise scale.
- Experience with clinical decision support, utilization management, or AI‑enabled healthcare workflows.
- Familiarity with value‑based care and population health models.
- MBA, MPH, or clinical informatics experience.
- You will set yourself apart with: Experienced working in the Healthcare Technology space Strong understanding of value-based care and population health models What you will be doing: Clinical Oversight & Governance Providing clinical leadership across Availity’s platform, including solutions that influence: Prior authorization Utilization management Clinical data exchange Revenue cycle and administrative workflows connected to patient care Ensuring clinical logic, policies, and automation align with
- Identifying and mitigating clinical, ethical, and reputational risk associated with scaled automation and AI‑enabled workflows.
- Product, Data & AI Partnership Acting as the senior clinical partner to Product, Engineering, and Data Science.
- Validating clinical assumptions embedded in business rules, analytics, and AI models.
- Video participation is required to ensure that only authorized personnel are present in meetings and to prevent unauthorized access, data breaches, preventing social engineering, or the sharing of confidential information with non-participants.
- Candidates are required to pass a drug test before beginning employment.
Benefits
- Availity delivers revenue cycle and related business solutions for health care professionals who want to build healthy, thriving organizations.
- We're on a mission to bring the focus back to what truly matters – patient care.
- We're transforming the healthcare landscape, solving communication challenges, and creating connections that empower the nation's premier healthcare ecosystem.