Technical Program Manager, 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 Technical Program Manager:

The Technical Program Manager plays a critical role in leading cross-functional initiatives and implementing agile methodologies within the Implementation department. This position focuses on driving process improvements, operational efficiencies, and strategic alignment to organizational goals. The ideal candidate will bring expertise in program and project management, automated testing frameworks, and healthcare industry practices, with a deep understanding of health plan operations, including claims configuration, testing processes, and system edits. This role is responsible for cultivating and enhancing agile and scrum practices while managing complex technical programs to deliver value and optimize operational outcomes

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

Technical Program Manager – Essential Functions and Responsibilities:

• Lead and manage technical programs initiatives related to client implementation services. Responsibilities includes those related to technical integration, configuration, ensuring alignment with organizational goals and industry regulations.
• Act as Scrum Master, facilitating agile ceremonies, coaching teams on agile methodologies, and promoting continuous improvement in processes, documentation, and practices.
• Collaborate with internal and external stakeholders to define project requirements, scope, and deliverables while ensuring timely communication and updates on project status.
• Collaborate with teams on the design, development, and execution of automated testing strategies to streamline the testing of claims processing systems and enhancements.
• Manage the lifecycle of projects from initiation through delivery, including resource allocation, budget management, and risk assessment related to the technical land testing components.
• Assist with the approach and optimization of the LBM system edits through technical integration
• Mentor and provide guidance to team members on best practices in technical project management and agile methodologies.
• Establish and maintain implementation metrics, KPIs, and status reporting processes to track project performance, team productivity, and quality standards.
• Maintain library of all process, procedures, and guidelines for the technical LBM program solution.

Technical Program Manager – Minimum Qualifications:

• Bachelor's degree or 10 years directly applicable work experience in lieu of degree.
• 7-10 years of experience in the healthcare industry, specifically within health plans, with a strong focus on claims configuration and management, project management, and testing.
• Proven experience as a Technical Program Manager, Project Manager, or similar role managing large-scale projects.
• Background as a Scrum Master with expertise in agile methodologies.
• Demonstrated experience in automated testing tools and techniques, managing testing frameworks, and implementing testing strategies for software projects.
• In-depth knowledge of EDI standards, claims file processing, and the end-to-end claims lifecycle.
• Excellent communication, leadership, and interpersonal skills, with a proven ability to work collaboratively across teams and with stakeholders at various levels.
• Experience with health plan regulatory compliance and industry standards (e.g., HIPAA, CMS).
• Relevant certifications such as Project Management Professional (PMP), Certified ScrumMaster (CSM), or equivalent.

Technical Program Manager – Preferred Qualifications:

• Working knowledge of cloud technologies, AWS preferred.

PM18

PI259440673