Avalon Healthcare Solutions

Title: Quality Improvement Specialist (Healthcare) Location: Tampa Florida US Department: 0.25 Job Description: About Avalon Healthcare Solutions: Avalon Healthcare Solutions 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 nationwide, the company covers over 44+ million lives and delivers 10-20% proven outpatient lab benefit savings. Avalon is pioneering a new era of value-driven care with its Lab Insights Program 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 costs. 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. Avalon has years of expertise in managing lab benefits and now is leveraging digitized lab results to drive quality clinical outcomes and proven savings. When you look at how we bring this to life, we offer Lab Insights solutions that work together to arm you with critical lab-driven insights to accelerate your value-driven care success. This is the first-of-its-kind suite of solutions to help you achieve the Triple Aim of improving the patient experience of care, improving the health of populations, and reducing the per-member cost of healthcare. 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. About the Quality Improvement Specialist: The Quality Improvement Specialist facilitates the establishment of QI activities and methods of measurement that are prioritized to organizational priorities. This position collaborates with various functional areas to understand and alleviate obstacles as needed and monitors for successful performance via the Quality Improvement Committee. This position is eligible for remote work, but quarterly travel will be required to Avalon's corporate office located in Tampa, Florida. Quality Improvement Specialist – Essential Functions and Responsibilities: - Manage and monitor quality auditing that may be undertaken by Avalon, to include receipt and analysis of claims data, development of improvement recommendations, implementation of plan, and evaluation for desired result. - Perform quality auding based on data analytics reporting on claims data with a keen eye for inconsistent results. - Complete work on a monthly and quarterly cadence to deliver quality auditing findings and recommendations. - Collaborates with Medical Policy, Configuration, Policy and Enforcement, Coding and Translation departments to accurately reflect medical and claims payment policies. - Monitor required QI Work Plan metric trends, identify variation, convene functional area or cross-functional teams as needed to conduct root cause analysis and institute meaningful action to achieve defined performance goals. - Establish annual QI Work Plan which defines quality improvement priorities from both an activity and metric standpoint; update to insert data and information as received; conduct annual evaluation. - Set agenda/create Quality Improvement Committee meeting materials to drive desired meeting outcomes and ensure proper recording of committee activities. - Perform various department functions and processes, such as those associated with client health plan delegation oversight, internal auditing functions, and annual QI/UM operational policy review and revision. - Other duties as assigned by Manager. Quality Improvement Specialist – Minimum Qualifications: - 3-5 years of Health Care Quality Improvement experience in a managed care or health care services vendor relationship setting. - Bachelor’s degree or equivalent experience - Certified Billing and Coder: CPC (Certified Professional Coder) and/or CCS (Certified Coder Specialist), CPMA (Certified Professional Medical Auditor) - Working knowledge of Medical Policies and medical coding. - Strong knowledge of Health Plan claims, medical billing, and medical coding - Expert proficiency in written and oral communication skills required. - Expert proficiency in computer skills including Microsoft Office Suite products (Excel a must). - Strong understanding of health insurance claims and terminology. - Strong communication, delivery, and presentation skills. - Strong understanding of laboratory billing and reimbursement practices. - High attention to detail and documentation. - Clinical experience with a background of ICD-10, CPT, and HCPCS coding principles. - Exceptional interpersonal skills with demonstrated ability to work independently as well as with a team. - Strong organizational skills. Quality Improvement Specialist – Qualifications Preferred: - Experience with Centers for Medicare & Medicaid Services (CMS) and industry standard billing, compliance, and reimbursement methodologies. - Lab/Genetic test experience/familiarity. - Familiarity with commercial payor medical policies - Knowledge of and experience with laboratory medical coding rules and regulations, compliance, reimbursement, bundling issues. - Experience with data analysis tools (SQL, PowerBI, JIRA) - Certification in Healthcare Quality - Biology, chemistry, medicine, nursing, medical

Title: DevOps Engineer III Location: Remote Employee, US Job Description: 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. 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. 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 DevOps Engineer III Position: The DevOps Engineer III is responsible for architecting, designing, implementing, and supporting tools and practices that enhance engineering productivity and operational efficiency. This role enables software development teams, including multiple scrum teams, by establishing and maintaining scalable, automated CI/CD processes aligned with organizational standards. The position requires a strong understanding of the software development lifecycle and the ability to evaluate and implement tooling solutions that support continuous integration and continuous delivery across scrum teams. The DevOps Engineer III contributes to the advancement of development workflows, automation, and infrastructure capabilities to support reliable and efficient software delivery. This position is eligible for remote work, but quarterly travel will be required to Avalon’s corporate office located in Tampa, Florida. DevOps Engineer III – Essential Functions and Responsibilities: - Identifyopportunities for improvements to continuously drive greater operational excellence, including areas such as improving elastic horizontal scaling, observability, logging, alerting, containerization, and application orchestration at scale. - Responsible for driving Site Reliability Engineering (SRE) and Platform Engineering (PE) principles to enable the success of scrum teams and IT Operations teams. - Responsible for driving a post-incident blameless postmortem process to help review opportunities to minimize risk and drive continuous self-improvements to our processes and products. - Collaborate with IT Operations, Application Development Scrum Teams, Database, EDI, and Clinical Operations teams to provide ongoing support and ensure seamless cross-functional integration. - Expected to drive technical excellence anddemonstratethe leadershiprequiredtoestablishand advance a mature DevOps practice for Avalon. DevOps Engineer III – Minimum Qualifications: - 4-8 years of experience in Cloud Engineering, Systems Administration, Systems Engineering, Software Engineering, or DevOps - Bachelor of Science degree in a technical field such as engineering or computer science, or equivalent relevant experience - Strong hands-on experience in Linux-based production environments and core AWS services. - Hands-onIaCexperience with AWS CloudFormation and working knowledge of Terraform, including support for CloudFormation-to-Terraform migration. - Solid experience with CI/CD principles and tooling, including deployment automation and support for multiple scrum teams (Harness preferred). - Experience with container and orchestration technologies, including Docker, AWS ECS, AWS Fargate, and Kubernetes/AWS EKS. - Strong automation and scripting skills in Bash and Python, with exposure to anadditionallanguage such as Go for platform tooling. - Experience implementing observability practices, including metrics, logging, alerting, and incident response workflows. - Security-first mindset with experience integrating security scanning tools (e.g., Snyk),secretsmanagement, and least-privilege access controls. - Proven ability to troubleshoot and resolve complex infrastructure and delivery pipeline issues. - Strong collaboration, communication, and mentoring skills, with the ability to work independently in a fast-paced environment. - Experience using AI-assisted engineering tools and implementing AI-driven operational workflows such as automated troubleshooting, alert enrichment, smart notification routing, and remediation guidance withappropriate securityand compliance controls. DevOps Engineer III – Preferred Qualifications: - AWS Certified Cloud Practitioner - AWS Certified DevOps Engineer (Professional) - Experience with AIOps capabilities such as anomaly detection, event correlation, and alert noise reduction. - Experience tracking operational KPIs (e.g., MTTD, MTTR, alert fatigue reduction, and deployment lead time) to drive continuous improvement.

Title: Human Resources Compliance Specialist Location: Tampa Florida US Full Time 2D Remote Employee, US Job Description: 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. 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. 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 Human Resources Compliance Specialist Position: The Human Resources Compliance Specialist plays a critical role in ensuring Avalon’s employment practices, policies, and people data remain compliant with federal, state, and client-driven requirements. This role serves as the operational backbone of HR Compliance - owning regulatory reporting, audits, required training programs, and documentation - while proactively monitoring employment law changes and translating them into practical, scalable processes. This position partners closely with HR, Legal, Finance, IT, and Operations to support audits, reporting obligations, and continuous improvement of HR governance. The ideal candidate is highly detail-oriented, organized, and comfortable navigating complexity, deadlines, and evolving regulatory landscapes. This position is eligible for remote work, but quarterly travel will be required to Avalon's corporate office located in Tampa, Florida. Human Resources Compliance Specialist – Essential Functions and Responsibilities: - Monitor and interpret federal, state, and local labor laws and regulatory mandates to ensure ongoing organizational compliance - Maintain and administer the Affirmative Action Plan (AAP), including required analysis, updates, and regulatory reporting - Develop, maintain, and govern position descriptions to ensure role clarity, internal equity, and compliance with posting standards - Ensure HRIS data integrity and accuracy within ADP, supporting compliance, reporting, and audit readiness - Oversee the development, maintenance, and implementation of the Employee Handbook, standalone HR policies, and HR standard operating procedures (SOPs) - Coordinate and respond to internal, external, regulatory, client, financial, and compliance audits (including HITRUST), ensuring documentation accuracy and audit preparedness - Administer annual background checks, motor vehicle records (MVRs), and exclusionary monitoring - Manage compliance reporting and submissions, including QRT annual applications and monthly filings, quarterly client reporting, and annual BLS and other state-mandated reports - Track and monitor consultants on a monthly basis to ensure compliance with contractual, regulatory, and organizational requirements - Lead the rollout, administration, and documentation of required annual HR compliance training programs - Oversee equity-related compliance activities, including 83(b) election filings and related equity documentation Human Resources Compliance Specialist – Minimum Qualifications: - Bachelor’s degree in Human Resources, Business Administration, Public Administration, or a related field. - At least 3 years of experience in HR compliance, HR operations, or regulatory reporting. - Working knowledge of U.S. federal and state employment laws and reporting requirements. - Experience with EEO-1, VETS, AAPs, audits, and background check administration. - Ability to interpret regulations and apply them practically. - Strong written communication skills with experience drafting policies, SOPs, and formal documentation. - High attention to detail with the ability to manage multiple deadlines and priorities. Human Resources Compliance Specialist – Preferred Qualifications: - Experience in healthcare, regulated industries, or environments with client-driven compliance obligations. - Familiarity with audit frameworks such as HITRUST or similar regulatory standards. - Advanced proficiency in HRIS systems, Excel, and reporting tools, particularly ADP Workforce Now. - Working knowledge of document management systems, preferably PowerDMS. - Experience in an early growth-stage company. PM18

• Assist with migration from ActiveCampaign to Salesforce Marketing Cloud • Support data cleansing, list validation, and field mapping • QA email builds, workflows, and automation logic • Help maintain data accuracy and system integrity during transition • Assist with audience segmentation and target list development (including TPAs, Brokers, and Small Health Plans) • Support execution of nurture and drip campaigns • Clean, prepare, and validate contact lists • Track and report basic campaign performance metrics • Support event-related campaigns and logistics for conferences/events • Support development and maintenance of marketing dashboards and KPI tracking • Assist with campaign performance reporting and data analysis • Help manage and organize marketing data across platforms (CRM, marketing automation tools) • Identify data gaps and support ongoing data quality improvements • Leverage AI tools to support content drafting, campaign optimization, data analysis, and workflow efficiency • Assist in documenting marketing processes, workflows, and best practices