Chief Medical Officer (Remote)

Responsibilities

• 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 standards of care and payer medical policy frameworks.
• Identifying and mitigating clinical, ethical, and reputational risk associated with scaled automation and AI‑enabled workflows.
• Partnering with Legal, Compliance, and Security teams on clinical governance and regulatory considerations.
• 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.
• Ensuring solutions are usable, defensible, and trusted in real provider and payer environments.
• Payer & Health System Engagement
• Serving as Availity's primary clinical executive for enterprise customers.
• Supporting payer medical leaders, provider executives, and clinical operations teams in adopting Availity solutions.
• Partnering with Sales, Growth, and Customer teams in complex clinical discussions, evaluations, and implementations.
• Aligning Availity's value messaging to payer and provider priorities: quality, efficiency, administrative burden reduction, and trust.
• Outcomes, Value & Credibility
• Defining clinical su

Benefits

Additional Information

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. 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. As Availity's Chief Medical Officer (CMO), you will be the company's senior clinical voice-guiding how our platform, workflows, and next-generation innovations show up in the real world of care delivery and reimbursement. Reporting to the COO, you will partner across Product, Technology, Data, Legal, and Commercial teams to embed clinical integrity into our large-scale, network-based solutions, building trust with health systems and payers and accelerating impact for patients and providers. The ideal CMO is a clinically credible systems‑thinker who understands that small clinical decisions, when scaled across millions of transactions, carry significant impact. They balance innovation with stewardship and bring confidence to Availity's role as a trusted advisor to both sides of the network. Sponsorship, in any form, is not available for this position. Location: Remote, US Why you want to work on this team: Passionate about influencing workflows tied to prior auth, utilization management, clinical data exchange, and revenue-cycle steps that directly affect patient access and provider burden-at platform scale. 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. Strong executive presence and ability to influence without direct clinical operations ownership. Background in health IT, healthcare networks, or enterprise healthcare platforms. 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

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