
51 - 200 employees
Founded 2013
🏥 Healthcare
⚕️ Healthcare Insurance
🤝 B2B
Healthcare • Healthcare Insurance • B2B
Avalon Healthcare Solutions is a company that provides Diagnostic Intelligence and lab benefit management solutions to health plans, labs, and providers. It offers a platform and services — including genetic test management, routine test and radiology management, curated lab networks, real-time test decisioning, evidence-based policies, and analytics — to reduce unnecessary diagnostic testing, control costs, and improve care quality. Avalon emphasizes science-driven, evidence-based approaches to manage growing diagnostic complexity (particularly genetic testing and oncology), delivering operational workflows and measurable savings for health plans and other healthcare organizations.
🔥 2 minutes ago
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51 - 200 employees
Founded 2013
🏥 Healthcare
⚕️ Healthcare Insurance
🤝 B2B
Healthcare • Healthcare Insurance • B2B
Avalon Healthcare Solutions is a company that provides Diagnostic Intelligence and lab benefit management solutions to health plans, labs, and providers. It offers a platform and services — including genetic test management, routine test and radiology management, curated lab networks, real-time test decisioning, evidence-based policies, and analytics — to reduce unnecessary diagnostic testing, control costs, and improve care quality. Avalon emphasizes science-driven, evidence-based approaches to manage growing diagnostic complexity (particularly genetic testing and oncology), delivering operational workflows and measurable savings for health plans and other healthcare organizations.
• Partner with business owners, clinical subject matter experts, and operational leaders to elicit and document data, business rules, processes, and decision logic • Produce current-state and future-state process documentation, workflow maps, and decision trees • Translate business, clinical, and regulatory requirements into business glossaries, metric and metadata definitions, taxonomies, semantic models, and decision rules • Contribute to Snowflake semantic views, verified queries, and metadata used by Cortex AI and Snowflake Intelligence • Coordinate unstructured and semi-structured content for AI-agent ingestion, chunking, and retrieval • Reconcile conflicting definitions, naming, and business logic across departments to establish a source of truth • Define and document agent scope, guardrails, and escalation paths • Design and maintain SQL-based audit logic, evaluation sets, and gold-standard question-and-answer pairs • Audit agent outputs, identify defects, perform root-cause analysis, and remediate underlying context • Build reporting and dashboards in Power BI, Tableau, or Streamlit • Maintain a versioned, auditable knowledge base with change management, lineage, and business ownership • Collaborate with Snowflake engineers on data ingestion, structure, and access requirements • Identify opportunities to reduce manual effort through agentic and automation capabilities • Assist with pilots, proofs of concept, and production releases of AI agents and knowledge-driven applications • Develop training materials and lead sessions for business users • Collaborate on multiple projects while applying analytical, organizational, and detail-oriented skills
• Extensive experience eliciting requirements and documenting business processes, business rules, reporting logic, and data definitions with non-technical and clinical stakeholders • Ability to translate complex clinical, operational, and regulatory requirements into practical, well-documented solutions • Strong, hands-on SQL skills for profiling, querying, auditing, and validating data independently • Experience developing audit, quality measurement, or defect identification logic • Experience creating process flow, workflow, and current-state/future-state documentation • Experience building reporting or dashboards using Power BI, Tableau, or SSRS • Superior written communication and documentation skills • Excellent facilitation and interviewing skills • Working understanding of large language models and agentic AI concepts • Ability to work with ambiguity, structure undefined problems, and drive decisions to closure • Desire to learn new software, techniques, and methods • Preferred: healthcare experience in pharmacy, managed care, health plans, hospitals, or pharmaceuticals • Preferred: experience with medical and lab claims, lab results, eligibility, utilization management, or prior authorization data and workflows • Preferred: experience with Snowflake, semantic views, Cortex AI, and Snowflake Intelligence • Preferred: experience building business glossaries, taxonomies, ontologies, semantic models, metadata catalogs, or knowledge graphs • Preferred: experience with prompt design, retrieval-augmented generation, or AI evaluation frameworks • Preferred: experience in data governance, master data management, or data stewardship • Preferred: experience designing or delivering training, enablement, or knowledge transfer programs • Preferred: experience with HEDIS, Stars, NCQA, or URAC quality reporting/accreditation programs • Preferred: background in management information systems, healthcare or clinical informatics, information science, or business process analysis • Preferred: experience with advanced analytics
• Eligible for remote work • Quarterly travel required to Avalon’s corporate office in Tampa, Florida
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