Avalon Healthcare Solutions · 5 hours ago
Director, Technical Implementation
United States
Full-time
Remote
Director/Executive
10+ years exp
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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.
Qualification
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Required
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
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
Preferred
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
Company
Avalon Healthcare Solutions
Avalon is the world’s first Lab Insights company pioneering a new era of value-driven care by unlocking the potential of lab results.
51-200 employees
Funding
Current Stage
Growth StageTotal Funding
$54.27MKey Investors
Francisco Partners
2018-01-01Debt Financing· $25M
2017-02-06Series C· $29.27M
2016-01-07Series B· Undisclosed
Leadership Team
William (Bill) Kerr
Co-Founder and CEO
Company data provided by crunchbase
