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

Remote, USA Full-time Posted 2026-07-28
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. Apply tot his job Apply To this Job

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