Director, Technical Implementation

4 days ago

Orlando, United States Avalon Healthcare Solutions Full time

Career Opportunities with Avalon Healthcare Solutions
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Current job opportunities are posted here as they become available.
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.
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.
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.
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.
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.
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.

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