Configuration Analyst

About Avalon Healthcare Solutions:

Avalon Healthcare Solutions is the nation's leader in diagnostic intelligence, uniquely focused on transforming the role of diagnostic testing across the healthcare ecosystem. Our proprietary Diagnostic Insights Platform delivers evidence-based policies, curated lab networks, and real-time analytics that simplify complex diagnostics, accelerate innovation adoption, and optimize diagnostic investments.

Supporting over 30 health plans and 100 million members nationwide, Avalon partners with payers and providers to ensure diagnostic testing is performed appropriately, efficiently, and at the right time. Our flexible solutions span routine and genetic testing management, automated adherence, and end-to-end diagnostics support-driving measurable value, reduced waste, and improved clinical outcomes.

With unmatched scientific rigor, deep clinical expertise, and a performance-based model, Avalon is redefining how diagnostics power personalized care and healthcare value.

Learn more at www.avalonhcs.com.

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 www.avalonhcs.com.

Avalon Healthcare Solutions is an Equal Opportunity Employer - Vet/Disability.

This position description is subject to change at any time. As determined by the company based upon business needs, an employee in this position may be required to perform duties and take responsibility for work other than as described in this document.

About the Configuration Analyst Position:

Reporting to the Manager, Configuration, the Configuration Analyst is responsible for updating managed care claims processing, maintenance and support of interfaces and third-party applications, process flow updates and enhancements.

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

Configuration Analyst - Essential Functions and 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.

Configuration Analyst - Minimum Qualifications:

• 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.