Quality Improvement Research Analyst
Avalon Healthcare Solutions
Posted: 10/20/2026SQL
Senior Operations Research Analyst, Modeling and Simulation
AMERICAN SYSTEMS
Posted: 10/20/2026PerlPythonTypeScript
Associate Research Scientist
The College Board
Posted: 10/20/2026Tableau
Grants Research Associate – Part-Time
Hanover Research
Posted: 10/20/2026
Operations Research Associate II
BBOT
Posted: 10/20/2026
Lead Research Specialist – School of Medicine Orthopaedics
Emory University
Posted: 10/20/2026Quality Improvement Research Analyst
Avalon Healthcare Solutions
Posted: 10/20/2026SQL
Data/Operations Research Analyst
Peraton
Posted: 10/19/2026PythonSQLTableau
Research Specialist II
Georgetown University Center on Education and the Workforce
Posted: 10/19/2026
Senior Foreign Material SME – Operations Research Analyst 5
Mission Technologies, a division of HII
Posted: 10/19/2026TypeScript
Lab Research Analyst I
Duke Careers
Posted: 10/19/2026
Research Associate, Core Lab – Echocardiography
NAMSA
Posted: 10/18/2026Google Cloud Platform
Research Analyst – Policy Counsel
State of Washington
Posted: 10/17/2026
Equity Research Associate
Green Street
Posted: 10/16/2026PythonSQL
Senior Tax Research Analyst
H&R Block
Posted: 10/16/2026
Associate Research Scientist
OCLC
Posted: 10/16/2026JavaOpen SourceC++
Research Associate
Green Street
Posted: 10/16/2026PythonSQL
Research Consultant
Prolific
Posted: 10/16/2026Python
Marketing Analyst – Market Research, Customer Insights
Ajinomoto Health & Nutrition North America, Inc.
Posted: 10/16/2026
Operations Research Analyst
Winvale
Posted: 10/15/2026Python
Quality Improvement Research Analyst
Avalon Healthcare SolutionsCore Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in claims processing and customer service within the healthcare sector, with strong analytical skills and a focus on continuous improvement. Proficient in SQL queries and advanced Excel for data analysis and reporting.
Highest-signal resume keywords
Claims ProcessingSQL QueriesAdvanced Excel ProficiencyHealthcare Services ExperienceExpert Communication Skills
Tech Stack
Tools & technologiesAbout the role
Key responsibilities & impact- Act as the Quality Subject Matter Expert and support team for service delivery
- Maintain in-depth knowledge of internal processes to resolve customer inquiries
- Develop, run, and execute client queries for internal reports
- Pull and prepare monthly, quarterly, and ad hoc reports for assigned clients
- Evaluate disputed claims in the denial management process for system configuration, claims processing, and/or contractual issues
- Facilitate health plan review of claims
- Support resolution of operational inaccuracies and trends
- Collaborate with the Service Delivery team and other internal departments
- Understand departmental needs and recommend process improvements
- Support special assignments and projects requiring extensive research
- Triage and resolve client inquiries and issues through detailed claims research
Requirements
What you’ll need- Minimum 3+ years of relevant experience in a healthcare field, including claims processing, claims coding, customer service, and/or account management
- Bachelor’s degree preferred; 5+ years of relevant experience accepted in lieu of a degree
- Previous experience working in a health plan or healthcare services company required
- Solutions-oriented, analytical mindset
- Strong ownership and accountability for outcomes and continuous improvement
- Strong communication and consistent follow-up
- Expert written and oral communication skills
- High attention to detail in documentation
- Working knowledge of SQL queries
- Expert computer skills, including Microsoft Office Suite
- Advanced Excel proficiency required
- Experience with data analysis tools preferred
- Reporting and JIRA experience preferred
- Experience or certification in medical billing and/or medical coding a plus
- Knowledge of laboratory medical coding rules and regulations, compliance, reimbursement, and bundling issues preferred
Benefits
Comp & perks- Eligible for remote work
- Quarterly travel to Avalon’s corporate office in Tampa, Florida
- Equal Opportunity Employer - Vet/Disability
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims CodingData AnalysisReport PreparationOperational ImprovementDocumentation Attention to Detail
Soft Skills
Solutions-Oriented MindsetStrong OwnershipAccountabilityAnalytical ThinkingEffective Follow-Up
Tools & Technologies
Microsoft Office SuiteJIRAData Analysis Tools
Certifications & Qualifications
Medical Billing CertificationMedical Coding Certification
Industry Keywords
HealthcareHealth PlanClaims ManagementComplianceReimbursement