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When I'm trying to figure out how to automate things related to websites, an important tool for me is Fiddler (https://www.telerik.com/fiddler). Install that and there a few extra steps to set it up to intercept https traffic - you can find this info on their site. Then while it's running you would go in your browser to the hrsa.gov site and click on that download button. In Fiddler you'll see how the download request comes across - i like to look at the Raw header and response sections. That will tell you what you need to do within the download tool in Alteryx (ex. URL, header formation, tokens, etc.)
Alteryx will be able to read that response into it's data stream - you can configure the download tool to save it to a temp file, and the use a dynamic input tool to read in the excel file (if you want to pull the file and read it into your workflow all in the same workflow)