Vice President, Clinical Operations--AuthAI

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 12 billion transactions annually, our influence is continually expanding.This is a rare chance to build something meaningful at the intersection of healthcare, AI, and operations. As the Vice President, Clinical Operations, Auth AI you will lead the strategy and execution behind AuthAI’s clinical delivery model, helping scale an innovative solution that is transforming utilization management. If you thrive in high-impact roles, love building from the ground up, and want to shape the future of AI-enabled healthcare, this is the opportunity to do it.Sponsorship, in any form, is not available for this position.Location: Remote, USWhy you want to work on this team:Passionate about building and leading a high-impact clinical operations function at the intersection of healthcare, AI, and innovation.Enjoy shaping strategy across the business by partnering with product, data, sales, and client teams on a fast-growing solution.Opportunity to make meaningful impact by improving utilization management workflows and helping healthcare organizations deliver better patient outcomes.To be qualified for this position you have:Undergraduate degree in nursing, healthcare administration, business, or other relevant field. 3–4+ years of progressive leadership experience in a healthcare setting to include change management.Prior relevant experience in healthcare or utilization management strongly preferred, including experience in leading operations teams.Payer experience and understanding of health plan operations.Experience in leading teams through change and periods of rapid growth.Advanced proficiency in Microsoft Office suite.Solid understanding of regulatory and compliance implications within UM workflows, including implications for application of AI.Knowledge of industry standards around interoperability, including knowledge of UM platforms, EMR integrations, and clinical data exchange standards.Excellent problem-solving, critical thinking, and attention to detail.Strong written and verbal communication skills, including ability to present to executives.You will set yourself apart with:Deep payer-side utilization management expertise with the ability to translate clinical complexity into scalable operational models.Proven success building and leading teams through growth, change, and cross-functional execution.Strong fluency in AI-enabled clinical workflows with the credibility to influence both executive stakeholders and technical partners.What you will be doing:Owning clinical delivery timelines and planning, coordinated with the overall delivery lead.Overseeing pre-sales scoping, timelines, and clinical resource planning to ensure scalable, efficient, and compliant delivery commitments.Ensuring clinical scope contract sign-off is governed and consistently executed.Creating strong clinical oversight models, including build of clinical tooling to support efficiency and standardization.Leading policy mapping and ensuring operational readiness for clinical content execution.Owning DAG creation, ongoing policy updates, and DAG maintenance with disciplined change control.Providing DAG oversight and accountability for quality, consistency, and operational sustainability.Establishing and running SLA auditing, including review of findings and action plans, including close collaboration with clinical account managersLeading clinical audits, including bug creation and clinical performance remediation pathways.Reviewing product performance and client reporting outcomes and supporting coordinated improvement efforts across teams (engineering, data science, and product).Owning clinical release updates and serving as Clinical Release POC for coordinated readiness and communication.Driving operational rigor across clinical QA and delivery processes to reduce defects and improve consistency.Providing sales support, including demo use case consistency and deep UM workflow expertise.Delivering client education on AI, product process, reporting, and serving as clinical SME support for AEs/CSMs.Managing and resolving client escalations for clinica