Job Description

About Avalon Healthcare Solutions:

Avalon Healthcare Solutions 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 nationwide, the company covers over 44+ million lives and delivers 10-20% proven outpatient lab benefit savings. Avalon is pioneering a new era of value-driven care with its Lab Insights Program 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 costs. 

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. 

Avalon has years of expertise in managing lab benefits and now is leveraging digitized lab results to drive quality clinical outcomes and proven savings. When you look at how we bring this to life, we offer Lab Insights solutions that work together to arm you with critical lab-driven insights to accelerate your value-driven care success. This is the first-of-its-kind suite of solutions to help you achieve the Triple Aim of improving the patient experience of care, improving the health of populations, and reducing the per-member cost of healthcare.

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 .

About the Director, Technical Implementation:

Avalon’s comprehensive Laboratory Benefit Management (LBM) solution ensures appropriate and cost-effective lab testing. We work with our health plan clients to implement LBM programs and services. The Director, Technical Implementations 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.

This position is eligible for remote work, but quarterly travel will be required to Avalon's corporate office located in Tampa, Florida.

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:

• 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.
• Minimum of ten years of managed care experience in some combination of project management, program management or account management roles.
• 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.
• 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 Implementations – Qualifications 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.

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