Director, Technical Implementation at Avalon Administrative Services, LLC dba Avalon Healthcare Solutions in Tampa, Florida

Job Description:

Avalon Healthcare Solutions, headquartered in Tampa, Florida, 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 across the country, the company covers more than 36 million lives and delivers 7-12% outpatient lab benefit savings. Avalon is pioneering a new era of value-driven care with its Lab Insights Platform 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 cost.

Studies show that 30% of clinical laboratory testing is unnecessary or overused. Inappropriate testing or missing a key screening can lead to complications and expense arising from unwarranted care, or not obtaining proper care when needed, leading to increased health risks and costs. Avalon helps ensure delivery of the right test, at the right time, and in the right setting. We seek to ensure the most effective patient treatment, improve clinical outcomes, and optimize cost and affordability.

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. 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.

Avalon Healthcare Solutions is proud to be an equal opportunity employer including disability/veteran. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status.

Avalon Healthcare Solutions provides and maintains a drug-free workplace for its employees.

For more about Avalon, please visit our web site at http://www.avalonhcs.com.

About the Director, Technical Implementation:

The Director, Technical Implementation will serve as the primary technical delivery leader for a portfolio of client implementation projects. This role is accountable for the overall success of the implementations with a scope of control that includes Technical Integration, Quality Assurance, Testing, and Post-Production Reliability. The Director, Technical Implementations will maintain strong relationships with client executives, serves as the SME for the product being implemented, and oversee Avalon technical implementation teams consisting of matrixed resources from various internal departments and delivery teams. An effective Director, Technical Implementation will have:

• Extensive health plan experience, especially in claims processing and utilization management.
• Experience across the software development lifecycle and project management methodologies.
• Fluency with data extracts, API integration, and mapping common HIPAA transaction sets.
• Strong client relationship management skills with experience in client implementation management, account management, and/or management consulting.
• Strong leadership experience and skills.
• Exceptional vendor relationship and management capabilities
• Excellent communication, organizational and creative problem-solving skills
• Persistence, assertiveness, and a drive for continuous process improvement.

This position is eligible for remote work, but quarterly travel to the corporate office in Tampa, Florida is required.

Director, Technical Implementation – Essential Functions and Responsibilities:

• Oversee the Avalon Technical Implementation team
• Ensure successful implementation of Avalon LBM programs by establishing effective management structures, maintaining detailed documentation and process standards, assigning resources appropriately, and promptly addressing escalated risks, issues, and decisions to deliver full program scope on schedule with minimal defects.
• Serve as the client facing technical delivery owner and product SME for the Avalon LBM program
• Lead the implementation and enhancement of data exchanges with strategic business partners.
• Drive internal process improvement opportunities through a process of data review and efficiency.
• Is accountable for all data points through implementation
• Act as an interface between Avalon's business and IT leadership.
• Serves as the escalation partner for all technical project components, standards, business and strategic objectives.
• Establishes and monitors key performance indicators (KPIs) to measure project success, identify improvement areas, and provides regular progress reports to leadership.
• Develops and implements technical strategies that ensure scalable, maintainable and high quality solutions.

Director, Technical Implementation – Minimum Qualifications:

• Minimum of ten years of managed care experience in some combination of project management, program management or account management roles
• Bachelor's Degree
• Minimum of 10 years in IT roles with at least 2 years of experience as either an Architect or Technical Project Manager
• Solid understanding of the HIPAA EDI transaction set, especially 837s.Strong experience working with modern cloud technology stacks and API integration.
• Experience with relational data models and SQL.
• Understanding of claim adjudication platforms such as FACETS and QNXT.
• Demonstrated ability to lead a team through problem solving and creative solutioning.
• Ability to lead presentations with audiences ranging from technical stakeholders to client executives.

Director, Technical Implementation – Preferred Qualifications:

• Deep understanding of the software development lifecycle.
• Familiarity with claim editing products such as ClaimsXten and CES.
• Solid understanding of Agile methodologies and experience leading daily scrums.
• Proficiency with Smartsheet and Jira.
• Demonstrated experience interfacing with executive leadership.

PM18

PI255601723