Senior Healthcare Economics Analyst

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🔥 0 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

⏰ Full Time

🟠 Senior

🧐 Analyst

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Avalon Healthcare Solutions

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2013

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 B2B

Healthcare • Healthcare Insurance • B2B

Avalon Healthcare Solutions is a company that provides Diagnostic Intelligence and lab benefit management solutions to health plans, labs, and providers. It offers a platform and services — including genetic test management, routine test and radiology management, curated lab networks, real-time test decisioning, evidence-based policies, and analytics — to reduce unnecessary diagnostic testing, control costs, and improve care quality. Avalon emphasizes science-driven, evidence-based approaches to manage growing diagnostic complexity (particularly genetic testing and oncology), delivering operational workflows and measurable savings for health plans and other healthcare organizations.

📋 Description

• 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 tracking contract performance, utilization, cost trends, and population health outcomes • Partner with clinical, operational, and financial leadership to translate 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 • 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 • Monitor healthcare policy, reimbursement changes, and emerging analytics methodologies and translate implications for the organization

🎯 Requirements

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

🏖️ Benefits

• Remote work eligibility • Quarterly travel to Avalon's corporate office • Equal Opportunity Employer - Vet/Disability