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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.
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.
For more information about Avalon, please visit www.avalonhcs.com.
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 QI Research Analyst Position:
The QI Research Analyst is a key member of the Quality Department, supporting the internal operations needed for stellar client service delivery. This position is responsible for resolution of client inquiries and issues, including triaging requests and conducting detailed claims research. The QI Research Analyst works cross-functionally with other departments to conduct research, pull claims data, and obtain information as needed from other departments to understand and resolve operational issues.
This position is eligible for remote work, but quarterly travel will be required to Avalon’s corporate office located in Tampa, Florida.
QI Research Analyst – Essential Functions and Responsibilities:
QI Research Analyst – Minimum Qualifications:
QI Research Analyst – Preferred Qualifications:
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