Configuration Analyst - Military veterans preferred

About Avalon Healthcare Solutions:

Avalon Healthcare Solutions is the world's first and only Lab Insights company, bringing together our proven Lab Benefit Management solutions, lab science expertise, digitized lab values, and proprietary analytics to help healthcare insurers proactively inform appropriate care, reduce costs, and improve clinical outcomes. Working with health plans nationwide, the company covers over 44+ million lives and delivers 10-20% proven outpatient lab benefit savings. Avalon is pioneering a new era of value-driven care with its Lab Insights Program that captures, digitizes, and analyzes lab results in real-time to provide actionable insights for earlier disease detection, ensuring appropriate treatment protocols and driving down overall costs. 

Avalon is a portfolio company of Francisco Partners, a global private equity firm that specializes in investments in technology and technology-enabled service companies. Avalon is a high growth company where every associate has an opportunity to make a difference. 

Avalon has years of expertise in managing lab benefits and now is leveraging digitized lab results to drive quality clinical outcomes and proven savings.  When you look at how we bring this to life, we offer Lab Insights solutions that work together to arm you with critical lab-driven insights to accelerate your value-driven care success.  This is the first-of-its-kind suite of solutions to help you achieve the Triple Aim of improving the patient experience of care, improving the health of populations, and reducing the per-member cost of healthcare.

You will be part of a team that shapes a new market and business. Most importantly, you will help Avalon to achieve its mission and improve clinical outcomes and health care affordability for the people we serve.

For more information about Avalon, please visit www.avalonhcs.com.

About the Configuration Analyst:

Reporting to the Manager, Configuration the Configuration Analyst is responsible for updating managed care claims processing, maintenance and support of interfaces and third-party applications, process flow updates and enhancements.

This position is eligible for remote work, but quarterly travel will be required to Avalon's corporate office located in Tampa, Florida.

Configuration Analyst – Essential Functions and Responsibilities:

• Perform analyses of Avalon laboratory benefits management configuration in order to determine and create use cases for regression testing. 
• Ability to take requirements from medical policy translation documents and successfully incorporate these as rules in the Avalon laboratory benefits management configuration file.
• Run regression testing prior to Production releases for Avalon Claim Editor to ensure optimal functionality of the Claim Editor.
• Development and maintenance of ReadyAPI! test suite for regression testing management. 
• Validate and/or provide input to LBM global rules process flows.

Configuration Analyst – Minimum Qualifications:

• At least 3 years of experience developing and managing business requirements throughout a project lifecycle.
• Experience in or knowledge of the health care business and customer service.
• Intermediate knowledge of Microsoft Excel and Access.
• Experience with use case testing.
• 1 - 2 years’ experience in reporting, with a preference for intermediate knowledge of SQL 
• Knowledge of one or more of the following areas of health plan operations - configuration, utilization, claims processing, and/or reimbursement.
• Proven analytical and project management skills, including a thorough understanding of how to interpret customer business needs and translate them into application and operational requirements.
• Facilitation skills that include workgroup leadership, problem resolution across multiple groups, etc.
• Willingness to work in various capacities and to learn new skill sets.

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