Senior Healthcare Economics Analyst

This is a fully remote position, open to applicants in Florida.

📋 Description

• Oversee comprehensive analytical projects from initial scoping and data gathering to delivering insights and presenting to stakeholders for all product lines.

• Create and sustain sophisticated dashboards, models, and reports that monitor contract performance, usage, cost trends, and population health results.

• Collaborate with clinical, operational, and financial leadership to convert intricate data into high-level executive recommendations.

• Propel value-based care analytics, encompassing risk stratification, identification of care gaps, network performance assessment, and total cost of care modeling.

• Facilitate cross-functional teamwork with IT, data engineering, and clinical informatics to establish data standards and enhance pipeline reliability.

• Recognize opportunities for operational enhancements and construct the analytical justification for changes.

• Develop and document best practices, reusable frameworks, and analytical standards for the team.

• Keep abreast of healthcare policies, reimbursement modifications, and emerging analytics methodologies, translating their implications for the organization.

⛳️ Requirements

• A Bachelor's degree in Health Informatics, Statistics, Business Analytics, or a related discipline.

• A minimum of 4 years of experience in healthcare analytics or health plan operations.

• Proficient in SQL for querying relational databases.

• Experience in data visualization tools such as Tableau, Power BI, Excel, or similar platforms.

• Familiarity with healthcare data types, particularly claims data.

• Knowledge of medical coding systems (ICD-10, CPT, HCPCS, DRG).

• Strong analytical, critical thinking, and problem-solving abilities.

• Excellent written and verbal communication skills.

• Preferred: A Master's degree in Health Informatics, Public Health (MPH), or Data Science.

• Preferred: Experience with Tableau, Python, or R for statistical analysis.

• Preferred: Understanding of value-based care models (ACOs, PCMH, bundled payments).

• Preferred: Familiarity with HIPAA regulations and healthcare data governance practices.

🏝️ Benefits

• Eligibility for remote work.

• Quarterly travel to Avalon's corporate office.

• Equal Opportunity Employer - Veteran/Disability.