Business Analyst, Medicare Star Rating Quality Program

TAHMO Tufts Associated HMO Inc; Canton (MA); Hybrid; USD 62,000 - 92,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

Retirement plans

Paid time off

Employer-paid life and disability

Tuition program

Well‑being benefits

Job summary

Point32Health is seeking a Business Analyst to support Medicare Star Analytics. You will generate reports, dashboards, and member-level analytics to improve Star Ratings, working with the Senior Products Division and provider organizations.

The role requires strong analytical skills, attention to detail, and the ability to translate business needs into technical specs. Remote work may be required; solid communication and collaboration are essential.

Qualifications

• Proven experience as a Business Analyst or similar role.
• Strong analytical skills with the ability to collect, organize, analyze, and disseminate significant amounts of information with attention to detail and accuracy.
• Excellent communication and interpersonal skills to collaborate with stakeholders at all levels.
• Ability to prioritize and manage multiple tasks simultaneously.
• Experience with business analysis tools and methodologies.
• Certification in Business Analysis (e.g., CBAP) is a plus.

Responsibilities

• Conduct detailed analyses of business processes and requirements.
• Translate business requirements into actionable specifications for technical teams.
• Develop and implement strategies to achieve business goals.
• Collaborate with stakeholders to understand their needs and gather requirements.
• Evaluate current business processes and systems to propose improvements.
• Perform data analysis to support decision‑making processes.
• Create clear and concise documentation including business requirements, functional specifications, and test plans.
• Assist in project management activities such as planning, scheduling, and coordination.
• Conduct user acceptance testing and provide post‑implementation support.

Skills

Analytical skills

Communication

Interpersonal skills

Prioritization

Project management

Excel

PowerPoint

CBAP

Education

Bachelor’s degree in business administration, Finance, Computer Science, or related field

Tools

Excel

PowerPoint

Job description

Who We Are

Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We’ve had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it’s at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work.

Learn more about who we are at Point32Health.

Job Summary

Under the general direction of the Senior Manager, Star Analytics and Policy of the Medicare Star Program, the Business Analyst is primarily responsible for producing and enhancing insightful and actionable reports, performance dashboards, and member-level analytics to support Medicare Advantage Star Ratings performance. The Business Analyst will also be responsible for conducting analyses at the provider organization level to identify opportunities for improvement and support performance monitoring activities. This position offers exposure to various stakeholders and leaders within the Senior Products Division. A successful candidate in this role will demonstrate a strong analytical mindset, exceptional attention to detail, critical and organized thinking skills, a commitment to data accuracy, and a collaborative attitude.

Key Responsibilities/Duties – what you will be doing (top five):

• Conduct detailed analyses of business processes and requirements.
• Translate business requirements into actionable specifications for technical teams.
• Develop and implement strategies to achieve business goals.
• Collaborate with stakeholders to understand their needs and gather requirements.
• Evaluate current business processes and systems to propose improvements.
• Perform data analysis to support decision‑making processes.
• Create clear and concise documentation including business requirements, functional specifications, and test plans.
• Assist in project management activities such as planning, scheduling, and coordination.
• Conduct user acceptance testing and provide post‑implementation support.
• Stay updated with industry trends and best practices in business analysis.

Qualifications – what you need to perform the job

Certification and Licensure: N/A

Education Required (minimum): Bachelor’s degree in business administration, Finance, Computer Science, or related field.

Experience Required (minimum): 1-3 years of professional experience

Preferred: 1-3 years of professional experience in business development

Skill Requirements: Proven experience as a Business Analyst or similar role. Strong analytical skills with the ability to collect, organize, analyze, and disseminate significant amounts of information with attention to detail and accuracy. Excellent communication and interpersonal skills to effectively collaborate with stakeholders at all levels. Ability to prioritize and manage multiple tasks simultaneously. Experience with business analysis tools and methodologies. Familiarity with project management principles and practices. Proficiency in Microsoft Office Suite, especially Excel and PowerPoint. Certification in Business Analysis (e.g., CBAP) is a plus.

Working Conditions and Additional Requirements: Must be able to work under normal office conditions and work from home as required. Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations. May be required to work additional hours beyond standard work schedule.

Disclaimer

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position. Management retains the discretion to add to or change the duties of the position at any time.

Salary Range

$61,522.53 -$92,283.79

Compensation & Total Rewards Overview

The annual base salary range provided for this position represents a range of salaries for this role and similar roles across the organization. The actual salary for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; as well as internal equity. As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company’s sole discretion, consistent with the law.

Benefits

• Medical, dental and vision coverage
• Retirement plans
• Paid time off
• Employer-paid life and disability insurance with additional buy-up coverage options
• Tuition program
• Well‑being benefits
• Full suite of benefits to support career development, individual & family health, and financial health

For more details on our total rewards programs, visit https://www.point32health.org/careers/benefits/

We welcome all All applicants are welcome and will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and shared values that guide our behaviors and decisions. We’ve had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it’s at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work.