主管，供应商网络与分析
Director, Provider Network & Analytics
关于Avalon Healthcare Solutions：
Avalon Healthcare Solutions是全美诊断智能领域的领导者，专注于在医疗保健生态系统中转变诊断检测的作用。我们的专有诊断洞察平台提供基于证据的政策、精选的实验室网络和实时分析，简化复杂的诊断流程，加速创新应用，并优化诊断投资。
支持全国30多家健康计划和1亿多名会员，Avalon与支付方和医疗服务提供者合作，确保诊断检测在适当的时间、以高效的方式进行。我们的灵活解决方案涵盖常规和基因检测管理、自动化合规性以及端到端诊断支持，推动可衡量的价值、减少浪费并改善临床结果。
凭借无与伦比的科学严谨性、深厚的临床专业知识和以绩效为导向的模式，Avalon正在重新定义诊断如何推动个性化护理和医疗价值。你将加入一个塑造新市场和业务的团队。最重要的是，你将帮助Avalon实现其使命，为所服务的人群改善临床结果和医疗可及性。
如需了解Avalon的更多信息，请访问
Avalon Healthcare Solutions是一家平等机会雇主——退伍军人/残障人士。
本职位描述可能根据公司业务需求随时更改。根据公司决定，该职位的员工可能需要执行本文件中未描述的职责并承担相应责任。
关于高级经理，供应商网络与分析职位：
高级经理，供应商网络与分析负责领导企业范围内的分析计划，为组织内的战略、运营和财务决策提供依据。作为高管领导层的关键合作伙伴和顾问，该职位利用复杂的医疗数据、报销方法、定价模型和编码智能，提供可操作的见解，推动明智的决策，推进组织优先事项并支持业务增长。该职位负责供应商网络分析的监督，重点关注实验室和支付方合同、报销分析、财务绩效评估和网络优化。高级经理，供应商网络与分析负责制定和实施数据驱动的策略，以提高效率。
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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
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 Director, Provider Network & Analytics Position:
The Director, Provider Network & Analytics is responsible for leading enterprise-wide analytics initiatives that inform strategic, operational, and financial decision-making across the organization. Serving as a key partner and advisor to executive leadership, this role leverages complex healthcare data, reimbursement methodologies, pricing models, and coding intelligence to deliver actionable insights that drive informed decision-making, advance organizational priorities, and support business growth. The position provides oversight of provider network analytics with a strong focus on laboratory and payer contracting, reimbursement analysis, financial performance evaluation, and network optimization. The Director, Provider Network & Analytics is accountable for developing and implementing data-driven strategies that improve operational efficiency, enhance contract performance, identify revenue opportunities, and support organizational growth. This role requires advanced analytical capabilities, extensive knowledge of healthcare reimbursement and provider network management, and the ability to effectively communicate complex findings and recommendations to executive leaders and key stakeholders.
This position is eligible for remote work, but quarterly travel will be required to Avalon's corporate office located in Tampa, Florida, as well as occasional client site visits.
Director, Provider Network & Analytics – Essential Functions and Responsibilities:
- Lead and oversee complex healthcare analytics initiatives to drive strategic planning, operational performance, and favorable financial outcomes aligned with company objectives.
- Apply advanced analytical and problemsolving skills to large, complex healthcare datasets, identifying trends and opportunities that inform enterprise decisions.
- Partner with senior and executive leadership as a trusted analytics advisor, supporting both internal decisionmaking and client engagements, clearly communicating insights, risks, and recommendations.
- Develop and deliver executivelevel presentations, dashboards, and strategic summaries.
- Utilize advanced Microsoft Excel skills (including complex formulas, pivot tables, financial modeling, and data analysis) to support contracting, pricing, and reimbursement analytics.
- Interpret and analyze healthcare utilization, reimbursement, and financial data using CPT coding knowledge, particularly as it relates to laboratory and payer contracts.
- Support analytics related to healthcare contracting, including pricing analysis, utilization trends, performance monitoring, and margin optimization.
- Collaborate crossfunctionally with finance, contracting, clinical, and operational teams to ensure datadriven decisionmaking across the organization.
- Establish best practices for coding and pricing governance, and data quality.
Director, Provider Network & Analytics – Minimum Qualifications:
- 10+ years of progressive experience in healthcare analytics, provider network management, healthcare contracting, reimbursement analysis, or related healthcare business functions
- Experience driving strategic initiatives, leading cross-functional teams, and engaging executive stakeholders.
- Demonstrated advanced analytical and problem-solving capabilities in evaluating healthcare coding, pricing, reimbursement, and claims data to support strategic business decisions.
- Expert-level proficiency in Microsoft Excel, including financial modeling, data manipulation, and advanced analytical techniques.
- Strong working knowledge of healthcare claims data, reimbursement analysis, and CPT/HCPCS coding, including the application of coding methodologies to healthcare analytics, reimbursement optimization, pricing strategies, and provider contracting.
- Exceptional communication and presentation skills, with the ability to effectively influence senior leaders and executive stakeholders through clear, concise, and data-driven insights.
- Exceptional written and verbal communication skills, with experience producing executivelevel materials and presentations.
- Proven ability to synthesize and translate complex technical and analytical information into strategic, actionable recommendations for executive leadership and key stakeholders.
- Demonstrated success leading large-scale analytics initiatives and influencing senior leaders and executive stakeholders to achieve organizational objectives.
Director, Provider Network & Analytics – Preferred Qualifications:
- Experience supporting healthcare contracting initiatives, particularly involving clinical laboratories, health plans, provider networks, and value-based care arrangements.
- Strong understanding of healthcare reimbursement methodologies, payer dynamics, contract structures, and performance analytics.
- Demonstrated experience supporting enterprise-wide, cross-functional healthcare analytics programs involving multiple stakeholders and business units.
Originally posted on Himalayas