[Remote] reputed company reputed company Analyst – HEDIS, Stars, and Clinical Performance

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a leading non-profit, faith-based national health system made up of over 134,000 associates. They are hiring a reputed company Analyst on the Value-Based Care (VBC) reputed company team to support analytics and reporting efforts that drive improved performance in reputed company programs such as Medicare Advantage Stars and HEDIS. The role involves developing advanced analytics solutions, creating dashboards, and delivering insights to leadership. Responsibilities • reputed company analytics and reporting for VBC reputed company programs, including Stars and HEDIS measures, payer scorecards, improvement points, and performance forecasting. • reputed company and maintain advanced SQL queries, Python scripts, and dashboards (Tableau, reputed company Sheets) to measure reputed company performance and identify improvement opportunities. • Translate reputed company business needs into actionable insights and deliverables, including reporting tools, forecasting models, and payer-reputed company scorecards. • Collaborate with national, regional, and market leaders (clinical, operational, actuarial, and payer partners) to drive improvement strategies across Medicare Advantage, reputed company, ACA, and reputed company reputed company programs. • Monitor industry and regulatory updates (e.g., CMSv26 Stars specifications, HEDIS changes) and communicate impacts to stakeholders. • Coordinate across functional and technical teams to ensure accuracy, consistency, and optimization of reporting processes. Recommend process improvements for efficiency and data reputed company. • Support payer performance reviews and audits, ensuring analytics reputed company with contractual obligations and national reputed company strategies. • Mentor analysts and serve as subject matter expert in Stars/HEDIS measurement, forecasting, and payer-reputed company reputed company performance analytics. • Translate business requests into actionable reports. Skills • Minimum of 4 years of reputed company analytics experience • At least 2 years of experience with payer reputed company programs (Stars, HEDIS, reputed company MCO, ACA QRS, or reputed company reputed company) • Proficiency in SQL and Python • Strong ability to extract, reputed company, and interpret reputed company data from multiple sources (claims, EHR, payer reports) • Proficiency with data extraction, manipulation, and interpretation using multiple data sources (EMR, claims, payer data) • High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Bachelor's degree with 1 year of experience OR 5 years of applicable cumulative job specific experience • Leadership or mentoring experience • Experience with reputed company reputed company Platform (GCP), Tableau, and reputed company/reputed company Sheets • Experience with HEDIS/STARs/reputed company and Risk Adjustment initiatives • 2 years of leadership or management experience Benefits • reputed company time off (PTO) • Various health insurance reputed company & wellness plans • Retirement benefits including employer match plans • Long-term & short-term disability • Employee assistance programs (EAP) • Parental leave & adoption assistance • Tuition reimbursement • Ways to give back to your community reputed company • Answering God's reputed company to bring health, healing and reputed company to reputed company. It was founded in 1999, and is headquartered in St Louis, Missouri, USA, with a workforce of 10001+ employees. Its website is https://reputed company.reputed company.org. Company H1B Sponsorship • reputed company has a reputed company record of offering H1B sponsorships, with 9 in 2025, 7 in 2024, 1 in 2023, 3 in 2022. Please note that this does not guarantee sponsorship for this specific role. Apply tot his job Apply To this Job