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 Manager, UM Preservice Review Position:

The Manager, UM Preservice Review oversees the daily operations of preservice utilization management activities, leading a team of nurse clinicians. This role is responsible for workload management, staff development, and maintaining standard operating procedures (SOPs). In partnership with Team Lead, the manager ensures effective inventory oversight, prioritization, and adherence to service level agreements (SLAs). The role collaborates with executive leadership, vendors, and Medical Directors to ensure consistent application of clinical criteria and accurate medical necessity determinations. This position is accountable for clinical quality, accuracy, turnaround times (TAT), and compliance with contractual SLAs.

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

Manager, UM Preservice Review – Essential Functions and Responsibilities:

Manager, UM Preservice Review – Minimum Qualifications:

Manager, UM Preservice Review – Preferred Qualifications:

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