Director, Provider Network & Analytics

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 www.avalonhcs.com

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.

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.