About the Company:
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. Working with health plans across the country, the company covers more than 36 million lives and delivers 7-12% outpatient lab benefit savings. Avalon is pioneering a new era of value-driven care with its Lab Insights Platform that captures, digitizes, and analyzes lab results in real time to provide actionable insights for earlier disease detection, ensuring appropriate treatment protocols, and driving down overall cost.
Studies show that 30% of clinical laboratory testing is unnecessary or overused. Inappropriate testing or missing a key screening can lead to complications and expense arising from unwarranted care, or not obtaining proper care when needed, leading to increased health risks and costs. Avalon helps ensure delivery of the right test, at the right time, and in the right setting. We seek to ensure the most effective patient treatment, improve clinical outcomes, and optimize cost and affordability.
Avalon is a portfolio company of Francisco Partners, a global private equity firm that specializes in investments in technology and technology-enabled service companies.
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.
For more information about Avalon, please visit www.avalonhcs.com.
About the EDI Data Analyst Position:
The EDI Data Analyst is responsible for solution design, development, testing, maintenance, and support for Electronic Data Interchange (EDI) interfaces and systems; both to and from Avalon's trading partners and core business systems. Provide EDI implementation and operational technical support for healthcare applications. Monitor and maintain EDI exchanges and transaction processing. Configure EDI applications that allow healthcare providers to send and receive EDI transactions. Respond to inquiries regarding issues related to EDI enrollment, claims processing, payment inquiries, and/or other clearinghouse activities. Conduct detailed analysis of EDI transactions and take responsibility for process documentation and business reports. Reports to the Manager, EDI Operations.
EDI Data Analyst – Essential Responsibilities:
§ Effectively communicate issues and needs to internal business partners, external vendors, and network laboratory providers.
§ Consistently prepare and accurately maintain process and procedure documentation.
§ Monitor daily EDI processes and report problems to stakeholders.
§ Analyze and enhance existing EDI processes by collaborating with technical and/or business resources in troubleshooting application issues and supported business activities.
§ Gather and analyze requirements, combining user information with knowledge of Avalon systems and healthcare partners.
§ Assist with development of Transact-SQL queries, views, cursors, and stored procedures to meet business requirements.
§ Collaborate with a database administrator and consultants in optimizing SQL queries.
§ Adhere to the corporate security policies.
§ Follow full lifecycle software development methodologies.
§ Write well designed, testable, efficient program code --- on time and high quality.
§ Collaborate with developers and team members to design and implement highly reliable interfaces.
- Document and maintain software functionality.
EDI Data Testing – Minimum Qualifications:
- Bachelor's Degree in software engineering, computer science, or other related discipline preferred
- 3+ years developing interfaces using HIPAA compliant transactions
- 2+ years Healthcare IT Experience
- Technical and non-technical troubleshooting skills with ability to diagnose and resolve problems efficiently and effectively.
- Familiar with EDI transactions including 837P/I, 835, 834, TA1, 999, 277CA, 276/277 and 270/271
- Strong fluency with Microsoft SQL Server, XML, FTP/SFTP, and TCP/IP communications
- A reliable and highly motivated self-starter with the ability to work independently or as a part of a collaborative team.
- Self-starter requiring limited management capable of multi-tasking. Requires creativity and latitude under general supervision.
- Experience with Chiapas EDI Systems preferred