Configuration Analyst
Job Summary
About Avalon Healthcare Solutions:
Avalon Healthcare Solutions is the nations leader in diagnostic intelligence uniquely focused on transforming the role of diagnostic testing across the healthcare ecosystem. Our proprietary Diagnostic Insights Platform delivers evidence-based policies curated lab networks and real-time analytics that simplify complex diagnostics accelerate innovation adoption and optimize diagnostic investments.
Supporting over 30 health plans and 100 million members nationwide Avalon partners with payers and providers to ensure diagnostic testing is performed appropriately efficiently and at the right time. Our flexible solutions span routine and genetic testing management automated adherence and end-to-end diagnostics supportdriving measurable value reduced waste and improved clinical outcomes.
With unmatched scientific rigor deep clinical expertise and a performance-based model Avalon is redefining how diagnostics power personalized care and healthcare value.
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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.
Avalon Healthcare Solutions is an Equal Opportunity Employer - Vet/Disability.
This position description is subject to change at any time. As determined by the company based upon business needs an employee in this position may be required to perform duties and take responsibility for work other than as described in this document.
About the Configuration Analyst Position:
Reporting to the Manager Configuration the Configuration Analystis 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 Avalons 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:
- 3 years of relevant work experience
- Bachelors degree in Business or similar field or equivalent work experience
- 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.
Required Experience:
IC
About Company
Avalon delivers real-time diagnostic oversight with trusted science, actionable analytics, and curated lab networks to cut costs and improve patient care.