Manage claims-based quality audits, analyze results, recommend and implement improvements, and evaluate whether changes achieve the desired outcomes. Develop and monitor the annual Quality Improvement Work Plan, coordinate root cause analysis and corrective actions, and support Quality Improvement Committee meetings and related oversight activities.
Research and resolve client inquiries and disputed claims by investigating claims data, system configuration, processing, and contractual issues. Prepare client reports, collaborate across departments to address operational issues and trends, and recommend process improvements.
Develop go-to-market strategies, positioning, messaging, launch plans, and sales enablement materials across Avalon's diagnostic intelligence product portfolio. Conduct market and competitive research, incorporate customer feedback, coordinate with cross-functional teams and contractors, and track product marketing performance.
The Director of Human Resources serves as the primary operational partner to the Chief People Officer, overseeing daily HR operations, employee relations, and compliance. This role is responsible for leading the HR team, driving operational efficiency through technology, and ensuring consistent policy application across the organization.
The Director of Actuarial Services leads actuarial and healthcare analytics functions to support strategic, financial, and operational objectives. This role oversees actuarial models, financial forecasting, reserving processes, and risk analyses while partnering with cross-functional teams to drive data-driven decision-making.
