Note: The job is a remote job and is open to candidates in USA. Avalon Healthcare Solutions is the nation’s leader in diagnostic intelligence, focused on transforming diagnostic testing across the healthcare ecosystem. The Configuration Analyst will be responsible for updating managed care claims processing, supporting interfaces, and enhancing process flows to improve clinical outcomes and healthcare affordability.
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
Skills
- 3+ years of relevant work experience
- Bachelor's 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
Company Overview
Avalon is the world’s first Lab Insights company pioneering a new era of value-driven care by unlocking the potential of lab results. It was founded in 2013, and is headquartered in Tampa, Florida, USA, with a workforce of 51-200 employees. Its website is http://www.avalonhcs.com/.