Policy Researcher

25 Jan, 2021

Jobs

Policy Researcher

Avalon Healthcare Solutions
Remote

About the Company:

Avalon Healthcare Solutions, headquartered in Tampa, Florida, is a clinical services and information technology company using evidence-based medicine to develop and deploy medical policies and protocols in the high-volume, dynamic and complex diagnostic lab environment. The company manages the appropriate use of thousands of existing lab tests and researches new tests to determine efficacy and impact on patient care.

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. Since its launch 15 years ago, FP has raised approximately $10 billion and invested in more than 150 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. You’ll enjoy seeing the results of your work as we rapidly implement our plan. 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 about Avalon, please visit our web site at http://www.avalonhcs.com.

We are looking to hire an innovative, enthusiastic individual with attention to details and passionate about quality. Policy Researcher will be a part of scientific policy development team reporting directly to VP of Medical Policy. As a member of Laboratory Policy Team, Policy Researcher will help Avalon Healthcare Solutions to redefine the way health plans, physicians, and laboratories coordinate laboratory care for millions of patients.

About the Policy Researcher Position:

We are looking to hire an innovative, enthusiastic individual with attention to details and passionate about quality. Policy Researcher will be a part of scientific policy development team reporting directly to VP of Medical Policy. As a member of Laboratory Policy Team, Policy Researcher will help Avalon Healthcare Solutions to redefine the way health plans, physicians, and laboratories coordinate laboratory care for millions of patients.

The Policy Researcher is responsible to provide research support for the scientific evidence-based laboratory policy development process. The main duty is to research evidence-based scientific literature, critically evaluate it, summarize the data and present it to the policy team. Policy Researcher researches, revises content of existing policies and drafts new policies as directed by VP, Medical Policy. In addition, the Policy Researcher will be responsible to provide administrative support for the scientific evidence-based laboratory policy development team and will manage the entire document lifecycle including document formatting, tracking of document numbers, changes and client variances, routing documents for reviews and approvals. This role will ensure that as policies are created or revised, they retain acceptable quality in content and structure and that all associated documents are updated. In addition, Policy Researcher is responsible to research any questions that policy department might get from clients or prospective clients. The Policy Researcher interacts with Client health plan policy staff, working toward alignment in coverage criteria. The position requires a background in health care delivery and reports to Avalon’s Vice President, Medical Policy.

This position is a full-time remote role. At this time, we can only consider candidates authorized to work in the US. No sponsorship is available. No recruiter calls, please.

Policy Researcher – Essential Functions and Responsibilities:

Research and summarize evidence-based scientific literature;
Research and draft responses to client’s scientific questions;
Revise content of existing Avalon scientific laboratory policies as directed by VP, Policy;
Draft new policies as directed by VP, Policy;
Conduct Client policy reconciliation;
Monitor variances to AHS policy;
Develop and improve document templates;
Opening workflows in policy repository system (PDMS);
Formatting, updating, publishing, and archiving documents;
Updating Clinical Advisory Board process schedules;
Keeping track of all policy changes and client variances in several spreadsheets and trackers;
Filing and maintaining of multiple forms and electronic documents such as Client Communication Forms
Updating and maintaining various spreadsheets;
Working in collaboration with other departments;
Manage Client communication post-CAB;
Monitor for LCD/NCD, Medicaid, and/or Client Custom policy coverage criteria;
Provide administrative support for Laboratory Policy team;
Provide inter-departmental communication regarding policy updates.
Policy Researcher – Qualifications:

Experience creating/revising medical policies and/or clinical practice guidelines within a managed care organization or similar health care environment.
Understanding of process improvement principles.
Outstanding written communication skills.
Proficient computer skills (Excel, Word, Power Point, etc.).
Knowledge of standard editorial/style conventions (eg. APA format)
Strong general admin skills
Ability to prioritize and manage multiple projects
Fast learner
Strong attention to details
Flexible to changes and innovation
Ability to learn new technologies

Learn more here

Job posted: 2021-01-25