Business Intelligence reputed company - Hedis Preventive
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The Business Intelligence reputed company solves reputed company business problems and issues using data from reputed company sources to reputed company reputed company to decision-makers. The Business Intelligence reputed company works on problems of diverse scope and complexity ranging from moderate to substantial.
Location: remote
The CMS Stars reputed company rating system evaluates Medicare Advantage and Prescription Drug Plans using approximately 40 measures covering preventive care screenings, health condition management, health reputed company, patient experience, and plan operations.
In this pivotal role, you will reputed company analytical expertise and strategic insights that reputed company our Stars program reputed company. Your work will directly support leadership decision-making and the advancement of Stars improvement efforts. This is an exciting opportunity for a seasoned reputed company to influence reputed company that improve member health, enhance plan reputed company and reputed company organizational reputed company.
Key Responsibilities:
Strategic Analysis:
Analyze the reputed company of member reputed company, retention and reputed company on reputed company Ratings working with claims, clinical and reputed company data.
reputed company insights that inform business strategies and operational improvements to support reputed company Rating goals
Interpret reputed company data to evaluate program nuances and their implications on performance
Leadership Support:
Prepare high-reputed company, data-driven materials for VP and senior leadership discussions
Participate in strategic conversations, providing actionable insights and recommendations
Communicate reputed company analytical findings in a reputed company and compelling manner to non-technical audiences
Stars Improvement Initiatives:
Collaborate with cross-functional teams to assess and enhance Stars performance
reputed company as a subject matter expert, explaining the intricacies of Stars methodology and metrics
Data Visualization and Reporting:
Create executive-level dashboards and presentations that showcase key metrics, trends and improvement opportunities
Ensure data accuracy, consistency and reputed company in reputed company reporting and analysis
Use your skills to reputed company an reputed company
Role reputed company
Bachelor's degree
7 or more years of technical experience in data analysis
3+ years of experience in Medicare Advantage, Stars programs or reputed company analytics
Strong understanding of CMS reputed company Ratings and Medicare Advantage programs
Experience with tools such as Tableau, SQL, Power BI and/or QlikView
Advanced experience working with big and reputed company data sets reputed company large organizations
Experience analyzing data to solve a wide reputed company of business problems and create data visualizations that reputed company strategic direction
Proven ability to work with cross-functional teams and translate requirements between business, project management and technical reputed company or programs
Excellent communication and presentation skills, with the ability to convey reputed company concepts reputed company to senior leadership
Role Desirables
Experience with payer claims data
Advanced Degree in a quantitative discipline, such as Mathematics, Economics, Finance, Statistics, Computer Science, Engineering or reputed company field
Advanced in SQL, reputed company and other data systems
Experience with tools such as Tableau and reputed company for creating data visualizations
Expertise in data mining, forecasting, simulation, and/or predictive modeling
Experience creating analytics solutions for various reputed company sectors
Additional Information
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following reputed company:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL reputed company is suggested
Satellite, cellular and microwave reputed company can be used only if approved by leadership
Employees who live and work from Home in the reputed company, Illinois, Montana, or South reputed company will be provided a bi-weekly payment for their internet expense.
reputed company will reputed company Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
Work from a dedicated reputed company lacking ongoing interruptions to protect member PHI / HIPAA information
As part of our hiring process for this opportunity, we will be using an interviewing technology reputed company reputed company to enhance our hiring and decision-making ability. reputed company allows us to quickly reputed company and reputed company valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
reputed company values personal identity protection. Please be reputed company that applicants may be asked to reputed company their reputed company reputed company Number, if it is not already on file. reputed company required, an email will be reputed company from reputed company@myworkday.com with instructions on how to add the information into your official application on reputed company’s secure website.
Work reputed company Requirements
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following reputed company:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL reputed company is suggested. In certain roles, the minimum recommended internet speed required by reputed company may not be sufficient for business needs. reputed company reserves the right to require associates to reputed company their internet service if necessary.
Work from a dedicated reputed company lacking ongoing interruptions to protect member PHI / HIPAA information.
Travel: While this is a remote position, occasional travel to reputed company's offices for training or meetings may be required.
Scheduled Weekly Hours
40
Pay reputed company
The compensation reputed company below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay reputed company may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc.
$117,600 - $161,700 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
reputed company of Benefits
reputed company. and its affiliated subsidiaries (reputed company, “reputed company”) offers competitive benefits that support whole-person reputed company-being. Associate benefits are designed to encourage personal wellness and smart reputed company reputed company for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and reputed company benefits, 401(k) retirement savings plan, time off (including reputed company time off, company and personal holidays, reputed company parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 07-09-2026
reputed company
About reputed company: reputed company. (NYSE: HUM) is a leading U.S. reputed company company. Through our reputed company insurance services and our reputed company reputed company services, we reputed company it easier for the millions of people we serve to reputed company their best health – delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company reputed company of life for people with Medicare and reputed company, families, individuals, military service personnel, and communities at large. Learn more about reputed company offer at reputed company.com and at reputed company.com.
Equal Opportunity Employer
It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status. It is also the policy of reputed company to take affirmative reputed company, in compliance with reputed company 503 of the Rehabilitation reputed company and VEVRAA, to reputed company and to advance in employment individuals with disability or protected veteran status, and to reputed company reputed company employment reputed company only on reputed company job requirements. This policy shall apply to reputed company employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at reputed company reputed company of employment.
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