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Avalon Healthcare Solutions

Technical Business Analyst

Posted 18 Hours Ago
In-Office or Remote
Hiring Remotely in United States
Mid level
In-Office or Remote
Hiring Remotely in United States
Mid level
Supports two Scrum teams developing a healthcare claims rules engine. Translates product direction into user stories, acceptance criteria, functional and technical requirements, process flows, data mappings, and related documentation. Serves as a bridge between product owners and technical teams while supporting multiple complex projects. Requires SQL, data modeling, healthcare IT, HIPAA, Agile, SAFe, Waterfall, change management, and claims-system knowledge. The role is remote with quarterly travel to Tampa, Florida.
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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.
 Learn more at www.avalonhcs.com.

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 Technical Business Analyst Position:

The Technical Business Analyst (TBA) will support two scrum teams in the Product Department, both of which support the same business application: a rules engine that enables automated evaluation of health care claims. The TBA plays a crucial role in the Scrum Team by acting as the link between the Product Owner and the technical IT team. The TBA will write user stories and acceptance criteria for product features based on direction of the product team. This role reports to the Vice President, Product.

This position is eligible for remote work, but quarterly travel will be required to Avalon's corporate office located in Tampa, Florida.

Technical Business Analyst – Essential Functions and Responsibilities:

  • Documents functional and technical requirements as user stories, working with Product Owner and others as needed to clarify desired features and functionality.
  • Establish and enforce best practices for documenting detailed requirements, use cases, process flows, data flows, context diagrams, wire frames, data mapping documents, data dictionaries and other documents needed to clearly define and support the evolving needs of the company.
  • Work collaboratively and constructively with all internal and external customers in a professional manner. Strong interpersonal skills, including the ability to work comfortably and effectively with technical delivery teams, management, and other staff at all levels of the organization. Strong verbal and written communication skills required.

Technical Business Analyst – Minimum Qualifications

  • 3+ years as a technical business analyst or similar position in health care IT Experience as a Technical Business Analyst on multiple projects of medium to high complexity involving custom and vendor supported solutions
  • Bachelor’s degree in related field or 8+ years direct and applicable experience considered in lieu of degree.
  • Experience serving as the functional SME for applications and processes supported, including the underlying infrastructure and data. 
  • Able to perform intermediate to complex SQL queries. Understands data modeling concepts (e.g., the Entity-Relation model) and their application.
  • Strong written and oral communication skills. Ability to create and deliver presentations on a specific topic to varying audiences. Able to collaborate and encourage an environment for creative excellence. Promote continuous innovation and improvement.
  • Strong change management and documentation skills. Experience with Agile, SAFe, Waterfall and hybrid project delivery methodologies.
  • Able to support multiple projects with minimal direction and supervision.
  • Knowledge and experience with HIPAA regulations and standards for security (PHI, IIHI), privacy and transactions.
  • Creative thinking skills with the ability to ask the needed bigger-picture questions that lead to process improvements and anticipating needs beyond what is being specifically asked.
  • Adept at working in a matrix organization.
  • Knowledgeable of the software development life cycle and work management tools (e.g., JIRA). 

Technical Business Analyst – Preferred Qualifications:

  • Hands-on experience working with health plan claims and related systems.
  • Prior experience in an early-stage growth company.

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