Manager, Quality Testing and Implementation (Healthcare Claims)

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 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 Manager, Quality Testing and Implementation position: The Manager of Quality Testing and Implementation leads a cross-skilled team responsible for ensuring the successful testing, validation, and delivery of complex client implementations. This role oversees the full testing lifecycle - from requirements interpretation through system integration testing (SIT), user acceptance testing (UAT), and go-live readiness - while driving process standardization, team development, and scalable quality practices. This leader serves as the central orchestrator of quality, balancing hands-on technical depth with strategic leadership, and ensuring alignment across product, enforcement engineering, implementation, and client teams. This position is eligible for remote work, but quarterly travel will be required to Avalon's corporate office located in Tampa, Florida. Manager, Quality Testing and Implementation - Essential Functions and Responsibilities: * Define and operationalize a standardized quality testing framework (system implementation tools, UAT, regression, performance testing) to position for automation opportunities in the coming 1-2 years * Establish clear entry/exit criteria, defect severity models, and validation standards * Ensure data integrity and end-to-end system validation across integrations * Drive adoption of risk-based and predictive testing approaches * Lead quality efforts across the full implementation lifecycle * Partner with implementation, product, and enforcement engineering teams to ensure readiness at each phase * Own go/no-go readiness assessments and executive-level quality summaries * Ensure successful execution of high-priority implementations (e.g., complex enterprise clients) * Build and lead a high-performing, cross-functional QA/testing team * Develop structured career paths, competency models, and training programs * Mentor team members in both technical skills (SQL, APIs, system behavior) and leadership capabilities * Oversee regression testing frameworks, including automation and data-driven test generation * Establish clear handoffs between requirements, testing, and implementation phases * Standardize prioritization frameworks and improve documentation and onboarding pathways * Reduce reliance on manual processes through automation and tooling; improve coordination across tools (e.g., JIRA, Smartsheet) * Lead escalation and resolution of systemic issues impacting quality and delivery * Build a centralized, structured knowledge system and establish feedback loops for continuous improvement Manager, Quality Testing and Implementation - Minimum Qualifications: * 8+ years' experience in quality assurance, quality engineering, or implementation roles in complex systems * 3+ years' experience leading teams in a delivery-intensive, cross-functional setting * Experience in healthcare, claims processing, or highly regulated environments * Familiarity with AI/automation in testing or knowledge management systems * Background in both hands-on testing and leadership (player-coach model) * Strong technical skills including SDLC, SQL, Postman, and EDI 835 and 837 transactions Manager, Quality Testing and Implementation - Preferred Qualifications: * Previous experience in growth stage, private-equity backed companies * Working knowledge of Jira and Smartsheet PM18