Healthcare Medicare STARS Analyst

Job Title: Healthcare Medicare STARS Analyst
Job Type: 100% Remote
Job Duration: Fulltime Prem

Job Description:

Key Responsibilities:

Analyse Medicare STARS performance metrics including HEDIS, CAHPS, HOS, and operational measures to identify trends, gaps, and opportunities.

Lead or contribute to the forecasting of STARS ratings, using historical data, predictive modelling, and CMS methodology to project future performance.

Translate STARS forecast insights into strategic initiatives to optimize performance and achieve targeted ratings.

Collaborate with internal teams (Quality, Clinical, Operations, IT, and Compliance) to drive action plans based on performance and forecast data.

Develop and maintain dashboards and performance tracking tools in Power BI and Excel to support ongoing monitoring and executive reporting.

Write and optimize SQL queries to extract, manipulate, and analyse complex datasets from various sources.

Use Python for automating data processing tasks, generating forecasts, and conducting advanced analyses as needed.

Ensure accurate, timely reporting and alignment with evolving CMS requirements and regulatory updates.

Support audits, internal reviews, and CMS data submissions with high attention to data quality and integrity.

---

Required Qualifications:

Bachelor's degree in Health Administration, Business, Data Analytics, Public Health, or a related field.

3+ years of experience working in a Medicare Advantage setting, with a minimum of 2 years focused on STARS performance management.

Strong understanding of CMS STARS methodology, including HEDIS, CAHPS, HOS, and operational measures.

Demonstrated experience with forecasting STARS performance, ideally using data models and predictive analytics.

Proficiency with Python, SQL, Power BI and Excel Skills for visualization and report creation.