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Laboratory Policy Research Specialist
2 months ago
About Avalon Healthcare Solutions:
Avalon Healthcare Solutions, based in Tampa, Florida, is a pioneering Lab Insights organization that integrates advanced Lab Benefit Management solutions, lab science expertise, digitized lab values, and proprietary analytics. Our mission is to assist healthcare insurers in proactively guiding appropriate care, minimizing costs, and enhancing clinical outcomes.
With a reach that encompasses over 36 million lives across the nation, Avalon delivers significant outpatient lab benefit savings ranging from 7-12%.
We are at the forefront of a transformative approach to value-driven care through our Lab Insights Platform, which captures, digitizes, and analyzes lab results in real-time. This innovation provides actionable insights for early disease detection, ensuring adherence to appropriate treatment protocols, and reducing overall healthcare costs.
Research indicates that approximately 30% of clinical laboratory testing is either unnecessary or overutilized. Inappropriate testing or the omission of critical screenings can lead to complications and increased expenses due to unwarranted care or missed essential treatments, heightening health risks and costs.
Avalon is dedicated to delivering the right test at the right time and in the right environment, ensuring optimal patient treatment, improving clinical outcomes, and enhancing cost-effectiveness.
Position Overview:
The Research Scientist I will contribute to the scientific policy development team, reporting directly to the Manager of Laboratory Policy. This role is pivotal in redefining how health plans, physicians, and laboratories collaborate on laboratory care for millions of patients.
Key Responsibilities:
- Conduct research and summarize evidence-based scientific literature.
- Draft responses to scientific inquiries from clients.
- Create new policies and revise existing Avalon scientific laboratory policies.
- Assist in client policy reconciliation as directed by the Manager of Laboratory Policy.
- Format and update documentation as required.
- Maintain and organize multiple forms and electronic documents.
- Track policy changes using various spreadsheets and trackers.
- Collaborate with other departments to ensure cohesive communication regarding policy updates.
- Perform additional duties as assigned by the Manager of Laboratory Policy.
Qualifications:
Applicants should possess a Bachelor's Degree in Nursing, Biology, Chemistry, Biochemistry, Molecular Genetics, Molecular Biology, Medical Technology, or a related field. Experience in creating or revising medical policies and/or clinical practice guidelines within a managed care environment is preferred. Candidates should demonstrate:
- Understanding of process improvement principles.
- Exceptional written and verbal communication skills.
- Proficiency in computer applications (Excel, Word, PowerPoint, etc.).
- Familiarity with standard editorial and style conventions (e.g., APA format).
- Strong administrative skills with the ability to prioritize and manage multiple projects.
- Flexibility in adapting to changes and innovations.
- Capacity to learn new technologies and effectively interact with counterparts at assigned clients.
Preferred Qualifications:
Membership in the American Medical Writers Association or equivalent is advantageous. Knowledge of clinical laboratory testing methods and prior experience in a health plan setting is also beneficial.
Avalon Healthcare Solutions is an equal opportunity employer committed to diversity and inclusion in the workplace.
