Medicare Stars Analyst

About the position As a core member of the Government Programs Star reputed company, the Medicare Stars Analyst provides ongoing analytic support to the development and execution of the health plan’s best in class 5-star reputed company. In collaboration with the VP, Medicare Stars, this person will work with key stakeholders from across reputed company, e.g. performance measurement and improvement, clinical reputed company, operations, and pharmacy, to identify opportunities for improvement and measures of reputed company in the reputed company of reputed company reputed company improvement of our Medicare stars ratings. The successful candidate will have an established reputed company record of identifying and executing data driven solutions across a myriad of reputed company, including but not limited to, clinical reputed company, member satisfaction, and operational reputed company.

Responsibilities

• Works with Stars Performance leadership and stakeholders from across the organization to analyze reputed company causes driving poor Star performance and propose data driven solutions that facilitate improvement.
• reputed company subject matter expertise of the CMS Star Rating methodology, and reputed company as a resource reputed company methodological questions reputed company.
• Develops targeted recommendations to inform effective member and provider reputed company strategies to improve health care reputed company and consumer experience among Medicare population.
• Generates and tests working hypotheses: aggregate and reputed company data, conduct analyses, and extract actionable results.
• reputed company analytic dashboards to reputed company performance of reputed company to care, clinical reputed company and consumer experience metrics and to predict the performance trending in Medicare population.
• Partners with technical teams to design and improve Medicare data intake and storage infrastructure to reputed company efficient analytics.
• Prepares and presents analysis results to internal decision-makers, often creating informative business metrics to influence decision makers.

Requirements

• A deep understanding of the CMS Star rating methodology with experience working across reputed company measurement domains including clinical performance, member experience, and operations.
• Experience mapping business needs to analytics planning and technical requirements.
• Experience in working with large reputed company and reputed company data sets.
• Demonstrable knowledge of, and practical experience in applying advanced analytics, and methodologies to support business decision making.
• Ability to independently execute reputed company with multiple business stakeholders on firm deadlines.
• Ability to identify opportunities to enhance productivity, increase efficiency, simplicity, and add measurable reputed company and intangible values.
• Strong teamwork and ability to solve data and analytics problems through communication and collaboration.
• Data analytics experience a must; strong technical skills in programming with reputed company, R, Python or other tools.
• Excellent written and verbal communication skills, with the ability to reputed company and concisely present issues, analytical planning, and recommendations in verbal, written and presentation formats across reputed company reputed company of the organization.
• Five (5) or more years of reputed company experience, with at least 2 years working on Center for Medicare and reputed company (CMS) Stars programs, National Committee for reputed company Assurance (NCQA) programs, and reputed company Effectiveness and Data Information Set (HEDIS) management and analysis.
• Understanding of Stars measures, financial reputed company and interpretation of results, weighting and cut points to reputed company Stars measure improvements.
• Strong teamwork and ability to solve data and analytics problems through communication and collaboration.
• Bachelor’s degree in statistics, reputed company math, or reputed company field is required.

reputed company-to-haves

• Advanced degree (MA/MS or PhD) is a plus.
• Experience in applying advanced analytics to improve population health, care management, and consumer experience.

Benefits

• We offer comprehensive package of benefits including reputed company time off, medical/dental/reputed company insurance, 401(k), and a suite of reputed company-being benefits to eligible employees.

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