Healthcare Analytics Business Analyst

Avalon Healthcare Solutions develops diagnostic intelligence solutions for health plans and providers. The Healthcare Analytics Business Analyst bridges business stakeholders, clinical operations, and data engineering to translate needs into requirements and deliver analytics, reports, and Tableau dashboards that support lab benefit management and healthcare performance improvement.

Responsibilities:

• Collaborate with business, clinical, and IT teams to gather, define, and document business and technical requirements for analytics, reporting, and data integration initiatives
• Translate stakeholders into detailed functional specifications, source-to-target data mappings, and process documentation
• Design, develop, and maintain Tableau dashboards and reports that deliver actionable insights into lab utilization, provider patterns, and operational performance
• Perform data validation, root cause analysis, and reconciliation to ensure the accuracy and integrity of data used in reporting and analysis
• Present findings, metrics, and recommendations through clear visualizations, written summaries, and stakeholder presentations
• Support ongoing enhancements to data models, pipelines, and reporting frameworks within Snowflake to improve scalability and performance
• Collaborate with medical policy, clinical operations, and analytics teams to measure the impact of policy changes and identify areas for improvement
• Act as a liaison between technical developers and business users to ensure alignment on data definitions, logic, and report outputs
• Facilitate requirements sessions, data review meetings, and cross-functional workgroups to support timely project delivery
• Maintain compliance with HIPAA and other healthcare data privacy and security standards
• Stay current with advancements in healthcare analytics, data visualization best practices, and Snowflake/Tableau technologies
• Continuously evaluate and recommend process, system, and reporting enhancements to improve the efficiency and effectiveness of data-driven programs

Requirements:

• 7 – 10 years as a business or operations analyst working in a health plan IT or operational environment
• Undergraduate degree in Data Analytics, Information Systems, Computer Science, Health Informatics, Public Health, or a related field. Equivalent experience in healthcare data analysis, reporting, or business intelligence may be considered in lieu of a formal degree
• Experience working with healthcare data in a data warehousing or analytics environment, preferably leveraging Snowflake and Tableau
• Background in Utilization Management (UM), medical management systems, or prior authorization workflows
• Understanding of Medicare, Medicaid, and commercial insurance programs, including variations in coverage types (Group, Individual, ASO/Fully Insured, HMO/PPO)
• Proven experience facilitating stakeholder and client meetings to gather, validate, and prioritize reporting and data requirements
• Demonstrated ability to document business and technical requirements, and collaborate with developers or data engineers to translate them into system or reporting functionality
• Hands-on experience with data validation, QA/testing, and troubleshooting within analytic or reporting pipelines
• Familiarity with Agile methodologies, SDLC processes, and tools such as JIRA and Confluence
• Knowledge of or experience with clinical or laboratory data (e.g., HL7, EMR/EHR, lab result feeds)
• Strong proficiency in SQL and understanding of database structures, joins, and performance optimization
• Exposure to complementary technologies such as AWS, Python, dbt, Git, or data visualization best practices
• Excellent communication skills with the ability to translate complex data findings into clear, actionable business insights
• SAFe certification or experience working in a scaled Agile environment