
51 - 200 employees
Founded 2013
🏥 Healthcare
☁️ SaaS
⚕️ Healthcare Insurance
Healthcare • SaaS • Healthcare Insurance
Avalon Healthcare Solutions is a healthcare technology company that provides a Diagnostic Intelligence platform and benefit-management services to health plans, labs, and providers. Using evidence-based policies, real-time test decisioning, curated lab networks, automated workflows, and analytics, Avalon manages and optimizes diagnostic testing — including genetic testing, oncology (liquid biopsy), cardiometabolic, and routine labs — to reduce waste, speed care, and improve outcomes. The company focuses on lab benefit management, precision genetic test management, and analytics to deliver measurable savings and operational oversight for payers and diagnostic partners.
🔥 28 minutes ago
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51 - 200 employees
Founded 2013
🏥 Healthcare
☁️ SaaS
⚕️ Healthcare Insurance
Healthcare • SaaS • Healthcare Insurance
Avalon Healthcare Solutions is a healthcare technology company that provides a Diagnostic Intelligence platform and benefit-management services to health plans, labs, and providers. Using evidence-based policies, real-time test decisioning, curated lab networks, automated workflows, and analytics, Avalon manages and optimizes diagnostic testing — including genetic testing, oncology (liquid biopsy), cardiometabolic, and routine labs — to reduce waste, speed care, and improve outcomes. The company focuses on lab benefit management, precision genetic test management, and analytics to deliver measurable savings and operational oversight for payers and diagnostic partners.
• 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 semantic layers and context artifacts consumed by agentic AI systems, including Snowflake semantic views, verified queries, and Cortex AI/Snowflake Intelligence metadata • Coordinate unstructured and semi-structured content for ingestion, chunking, and retrieval by AI agents • Reconcile conflicting definitions, naming, and business logic across departments to establish a single 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 output, 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 named 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, data science products, and knowledge-driven applications • Develop training materials and lead sessions for business users • Collaborate on several projects simultaneously
• 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 reports 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 or 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 to Avalon's corporate office • Equal Opportunity Employer - Vet/Disability
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