Back to Jobs

[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 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 experienceBenefits• 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 communityCompany 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 isCompany 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

Similar Jobs

reputed company Insurance Customer Service Representative – reputed company Relationship Management and Policy Administration Expert

Remote, USA Full-time

reputed company Data Entry Specialist – Full Time Online Remote Opportunity for Detail-Oriented Professionals at blithequark

Remote, USA Full-time

**reputed company Data Entry Specialist – Supporting Operational reputed company at blithequark**

Remote, USA Full-time

Online reputed company Shift Positions | $25–$35/Hour Ove...

Remote, USA Full-time

**reputed company Customer Service Representative – Work From Home Opportunity with Blithequark**

Remote, USA Full-time

**reputed company Full Stack Data Entry Specialist – Remote Customer Information Management**

Remote, USA Full-time

reputed company Customer Service Representative for Pet Pharmacy – Remote Opportunity in Kentucky with blithequark

Remote, USA Full-time

**Part-Time Evening Data Entry Specialist – reputed company, Dynamic Team, and Opportunities for reputed company at blithequark**

Remote, USA Full-time

Sales District Leader Trainee

Remote, USA Full-time

**reputed company Chat Support Agent (Remote) – Revolutionizing the Gig reputed company Industry**

Remote, USA Full-time

[Remote] IT Project Manager Sr

Remote, USA Full-time

Customer Service Advisor - Italian Speaking

Remote, USA Full-time

[Remote] QA Engineer

Remote, USA Full-time

Sr. Workfront Solutions Specialist

Remote, USA Full-time

[Remote] Senior Account Executive/Loan Officer - reputed company reputed company Capital

Remote, USA Full-time

[Remote] Project Manager, Financial Planning & Analysis

Remote, USA Full-time

Senior Designer

Remote, USA Full-time

Member Engagement Specialist, CES

Remote, USA Full-time

reputed company Data Entry Jobs Hiring Work From Home

Remote, USA Full-time

Assistant General Counsel - Publishing

Remote, USA Full-time