[Remote] Lead Quality Analyst – HEDIS, Stars, and Clinical Performance

Note: The job is a remote job and is open to candidates in USA. Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates. They are hiring a Lead Analyst on the Value-Based Care (VBC) Quality team to support analytics and reporting efforts that drive improved performance in quality programs such as Medicare Advantage Stars and HEDIS. The role involves developing advanced analytics solutions, creating dashboards, and delivering insights to leadership. Responsibilities • Lead analytics and reporting for VBC Quality programs, including Stars and HEDIS measures, payer scorecards, improvement points, and performance forecasting. • Develop and maintain advanced SQL queries, Python scripts, and dashboards (Tableau, Google Sheets) to measure quality performance and identify improvement opportunities. • Translate complex business needs into actionable insights and deliverables, including reporting tools, forecasting models, and payer-aligned scorecards. • Collaborate with national, regional, and market leaders (clinical, operational, actuarial, and payer partners) to drive improvement strategies across Medicare Advantage, Medicaid, ACA, and commercial quality 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 quality. • Support payer performance reviews and audits, ensuring analytics align with contractual obligations and national quality strategies. • Mentor analysts and serve as subject matter expert in Stars/HEDIS measurement, forecasting, and payer-aligned quality performance analytics. • Translate business requests into actionable reports. Skills • Minimum of 4 years of healthcare analytics experience • At least 2 years of experience with payer quality programs (Stars, HEDIS, Medicaid MCO, ACA QRS, or commercial quality) • Proficiency in SQL and Python • Strong ability to extract, transform, and interpret healthcare 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 Google Cloud Platform (GCP), Tableau, and Excel/Google Sheets • Experience with HEDIS/STARs/Quality and Risk Adjustment initiatives • 2 years of leadership or management experience Benefits • Paid time off (PTO) • Various health insurance options & 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 Company Overview • Answering God's call to bring health, healing and hope to all. It was founded in 1999, and is headquartered in St Louis, Missouri, USA, with a workforce of 10001+ employees. Its website is https://healthcare.ascension.org. Company H1B Sponsorship • Ascension has a track 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