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Lead STAR Rating Improvement Analyst

AnalystAnalystFull TimeRemoteTeam 1,001-5,000Since 1934H1B SponsorCompany Site LinkedIn

Location

Louisiana + 2 more

Posted

26 days ago

Salary

Not specified

Bachelor Degree7 yrs expExperience acceptedEnglish

Job Description

• Oversee, plan, and implement new and existing healthcare quality improvement initiatives and educational programs that enhance CMS Part C and Part D Star Ratings. • Manage enterprise‑wide Stars projects from design through completion, ensuring timely delivery and measurable outcomes. • Serve as a key liaison supporting collaboration across multiple internal departments. • Lead, plan, and execute Stars performance improvement initiatives across multiple business units. • Manage and standardize Stars projects, ensuring effectiveness, compliance, and alignment with regulatory and accreditation standards. • Analyze and interpret complex data sets to identify trends, evaluate program effectiveness, and develop improvement strategies. • Serve as a subject matter expert, providing thought leadership on measure‑level improvement opportunities. • Collaborate closely with cross‑functional teams to track KPIs, escalate barriers, and implement innovative quality improvement workflows. • Build strong internal partnerships, particularly with Health Services and analytics teams, to support clinical workflow enhancements, reporting, and targeting strategies.

Job Requirements

Bachelor’s degree in business, nursing, analytics, public health, health sciences, health promotion, or related field required.
7 years’ experience in government programs, value‑based programs, quality improvement, or a similar role.
Experience with Medicare Advantage, HEDIS, analytics, quality, or value‑based programs required.
Strong organizational relationship management skills.
Ability to thrive in ambiguity and operate independently.
Critical thinking, problem‑solving, and conflict resolution skills.
Excellent time management and attention to detail.
Strong verbal and written communication skills; comfortable presenting to leadership.
Ability to navigate multiple systems including Microsoft Outlook, Teams, Word, Excel, Visio, and other corporate applications.
Ability to apply analytical and statistical knowledge to support quality improvement projects.
Ability to work collaboratively in a matrix environment and engage effectively with all levels of staff.
Knowledge of healthcare industry operations, payer business models, and quality programs.
Lean Six Sigma certification preferred.