Senior Healthcare Analyst

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 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 Senior Healthcare Analyst Position:

The Senior Healthcare Analyst serves as a subject matter expert responsible for leading complex analytical initiatives that drive clinical, operational, and financial decision-making across the organization. This role leverages advanced analytical methodologies and healthcare domain expertise to evaluate data, identify trends, and develop actionable insights that support business and organizational objectives. The Senior Healthcare Analyst partners closely with senior leadership to support data-driven decision-making, shaping initiatives that improve patient outcomes, reduce costs, support health plans, and ensure regulatory compliance.

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

Senior Healthcare Analyst – Essential Functions and Responsibilities:

• Lead end-to-end analytical projects from scoping and data acquisition through insight delivery and stakeholder presentation for all products
• Design and maintain advanced dashboards, models, and reports that track contract performance, utilization, cost trends, and population health outcomes
• Serve as a strategic partner to clinical, operational, and financial leadership, translating complex data into executive-level recommendations
• Drive value-based care analytics, including risk stratification, gap-in-care identification, network performance, and total cost of care modeling
• Lead cross-functional collaborations with IT, data engineering, and clinical informatics to define data standards and improve pipeline reliability
• Proactively identify opportunities for operational improvement and build the analytical case for change
• Establish and document best practices, reusable frameworks, and analytical standards for the team
• Stay current on healthcare policy, reimbursement changes, and emerging analytics methodologies and translate implications for the organization.

Senior Healthcare Analyst – Minimum Qualifications:

• Bachelor's degree in Health Informatics, Statistics, Business Analytics, or a related field
• 4+ years of experience in healthcare analytics or health plan operations
• Proficiency in SQL for querying relational databases
• Experience with data visualization tools such as Tableau, Power BI, Excel or similar
• Familiarity with healthcare data types: claims data
• Understanding of medical coding systems (ICD-10, CPT, HCPCS, DRG)
• Strong analytical, critical thinking, and problem-solving skills
• Excellent written and verbal communication skills

Senior Healthcare Analyst – Preferred Qualifications:

• Master's degree in Health Informatics, Public Health (MPH), or Data Science
• Experience with Tableau, Python or R for statistical analysis
• Knowledge of value-based care models (ACOs, PCMH, bundled payments)
• Familiarity with HIPAA regulations and healthcare data governance practices