Back to Jobs

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

Remote, USA Full-time Posted 2025-11-24
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 experienceBenefits• 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 communityCompany 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 isCompany 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

Similar Jobs

**Experienced Live Chat Representative – Delivering Exceptional Customer Support Experience at blithequark**

Remote, USA Full-time

**Experienced Social Media Customer Support Representative - Work From Home at blithequark**

Remote, USA Full-time

Police Officer

Remote, USA Full-time

Writer / Proofreader

Remote, USA Full-time

**Experienced Customer Service Representative – Specialty Mail Order Pharmacy – Work From Home Opportunity in Nevada**

Remote, USA Full-time

REMOTE Corporate Trainer

Remote, USA Full-time

**Experienced Full Stack Customer Service Representative – Remote Travel Support**

Remote, USA Full-time

**Experienced Customer Service Representative - Data Information Processor - US Remote**

Remote, USA Full-time

**Experienced Customer Service Representative – Work from Home Opportunity with blithequark**

Remote, USA Full-time

Customer Support Specialist

Remote, USA Full-time

[FULL TIME Remote] REMOTE Inbound Customer Service Agent

Remote, USA Full-time

Lead UX/UI Designer

Remote, USA Full-time

ServiceNow Administrator (Remote Eligible)

Remote, USA Full-time

Fractional Marketing Ops Manager (Email + Ecommerce Workflow) – Part-Time, Ongoing

Remote, USA Full-time

Customer Care Representative Onsite - Full-time

Remote, USA Full-time

Consultant - Internal Audit Consultant

Remote, USA Full-time

Netflix Live Chat Support Remote Jobs (Work From Home) $26/Hour

Remote, USA Full-time

Finance Analyst II

Remote, USA Full-time

Tableau Administrator - Remote (Part Time/Short Term)

Remote, USA Full-time

Technical Solutions Consultant

Remote, USA Full-time