[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. They are seeking a reputed company Analyst on the Value-Based Care reputed company team to support national Population Health reputed company through analytics and reporting efforts that drive improved performance in CMS and payer reputed company programs.
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.
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