Senior Healthcare Economics Analyst
HybridTampa, Florida, United States
Job Summary
Lead end-to-end analytical projects from scoping and data acquisition through insight delivery and stakeholder presentation. 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 establish best practices and analytical standards for the team. Stay current on healthcare policy, reimbursement changes, and emerging analytics methodologies to translate implications for the organization. This role supports Avalon's mission to improve clinical outcomes and health care affordability for over 100 million members.
Required 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
- Quarterly travel to Avalon's corporate office located in Tampa, Florida
Desired 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
- PM18
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