Director, Provider Network – Analytics

Avalon Healthcare Solutions

Director of Provider Network & Analytics at Avalon Healthcare Solutions leading healthcare analytics initiatives. Partnering with executive leadership to drive strategic, operational, and financial decision-making.

Posted 7/25/2026full-timeTampa • Florida • 🇺🇸 United StatesLeadWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Expertise in healthcare analytics, including advanced proficiency in Microsoft Excel for financial modeling and data analysis, alongside strong knowledge of CPT coding and reimbursement strategies. Proven ability to lead cross-functional teams and communicate complex insights to executive stakeholders effectively.

Highest-signal resume keywords

Healthcare AnalyticsMicrosoft Excel ProficiencyCPT Coding KnowledgeStrategic Initiative LeadershipExecutive Communication Skills

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Healthcare AnalyticsFinancial ModelingData AnalysisCPT CodingReimbursement AnalysisPricing StrategiesClaims Data EvaluationData ManipulationPerformance MonitoringMargin Optimization

Soft Skills

Problem-SolvingCommunicationPresentation SkillsInfluencing SkillsCollaboration

Industry Keywords

Healthcare ContractingProvider Network ManagementUtilization TrendsData Quality GovernanceCross-Functional Collaboration

About the role

Key responsibilities & impact

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 problem-solving 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 decision-making and client engagements, clearly communicating insights, risks, and recommendations.
Develop and deliver executive-level 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 cross-functionally with finance, contracting, clinical, and operational teams to ensure data-driven decision-making across the organization.
Establish best practices for coding and pricing governance, and data quality.

Requirements

What you’ll need

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 executive-level 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.

Benefits

Comp & perks

Remote work eligibility
Equal Opportunity Employer - Vet/Disability