HEDIS, Stars & ACO Analytics Lead

CINQCARE; United States; On-site; USD 120,000 - 160,000; Full time

Benefits offered by this job

Competitive Salary

401(k) Match

Medical Plan

Dental & Vision

Job summary

Grace at Home is hiring a Manager of HEDIS, Stars & ACO Data Analytics to lead quality measurement and reporting across product lines. You will ensure regulatory compliance, audit readiness, and timely submissions to NCQA, CMS, and EOHHS, while driving performance improvements and pay-for-performance outcomes.

You will guide data integration with EHRs and lab systems, manage vendors and audits, and lead a cross‑functional analytics team in a matrix environment.

Qualifications

• Bachelor’s degree in health, informatics, data science, or related field required.
• Master’s degree (MBA, MPH, MS, or related) preferred.
• 5+ years in healthcare analytics; 5–10 years of HEDIS leadership experience.
• Experience leading HEDIS audits.
• Strong knowledge of HEDIS/QRS specs, Medicare Stars measures, and healthcare data systems.
• Proven team leadership and project management experience.

Responsibilities

• HEDIS, Stars & ACO Oversight: plan and execute performance for HEDIS, Medicare Stars, and ACO quality.
• Data Strategy & Integration: expand electronic data exchange and improve data integrity.
• Vendor & Audit Management: manage HEDIS software vendors and audits.
• Team Leadership: mentor cross‑functional analytics and clinical staff.
• Collaboration & Strategy: partner with Operations, Clinical, Network, Finance, Analytics, and Care Management.
• Compliance: adhere to regulatory standards.

Skills

Power BI

Tableau

Excel

SQL

SAS

Leadership

Communication

Vendor management

Healthcare analytics

Education

Bachelor’s degree

Master’s degree

Tools

PowerBI

Tableau

Excel

Word

PowerPoint

OneNote

Access

SQL

SAS

Job description

Grace at Home is hiring a Manager of HEDIS, Stars & ACO Data Analytics to lead quality measurement and reporting across product lines. You will ensure regulatory compliance, audit readiness, and timely submissions to NCQA, CMS, and EOHHS, while driving performance improvements and pay-for-performance outcomes.

You will guide data integration with EHRs and lab systems, manage vendors and audits, and lead a cross‑functional analytics team in a matrix environment.