Lead Quality/STARS Technical Analyst- remote - MediGold

Lensa; Columbus (OH); Remote; USD 80,000 - 100,000; Full time

Job summary

A leading healthcare organization is seeking a Lead Quality/STARS Technical Analyst to manage diverse datasets and develop reporting tools to support business decisions. Candidates should have extensive HEDIS experience and strong analytical skills. This remote position offers competitive compensation and comprehensive benefits from day one.

Benefits

Competitive compensation

Medical/dental/vision coverage from day one

Retirement plan with employer match

Paid time off

Tuition reimbursement

Relocation assistance

DailyPay option

Diversity and inclusion groups

Qualifications

• Minimum of 5 years of HEDIS and technical experience.
• Thorough knowledge of NCQA and HEDIS; Medicare Stars knowledge preferred.

Responsibilities

• Develop and maintain reporting capabilities, monitor report accuracy.
• Provide statistical and analytical support using SAS, SQL.
• Create dashboards to track and predict Medicare performance.

Skills

Effective communication

Team collaboration

Project execution

Multitasking

Knowledge of Big Data applications

Education

Bachelor's Degree

Tools

SAS

Excel

SQL

Power BI

Tableau

Job description

Lead Quality/STARS Technical Analyst - Remote - MediGold

Apply now to be among the first 25 applicants for this exciting opportunity!

Lensa, the leading career site, connects job seekers at every stage of their careers with top employers. Our client, Trinity Health, is seeking qualified professionals. Apply today via Lensa!

Employment Type: Full-time

Shift: Day Shift

Description

Successful candidates will have at least 5 years of HEDIS and technical experience, with a thorough understanding of NCQA and HEDIS requirements. Knowledge of Medicare Stars, including CAHPS, HOS, Part D, and operational measures, is highly preferred.

Why MediGold?

MediGold (https://medigold.com/) is a not-for-profit Medicare Advantage plan serving seniors and Medicare beneficiaries nationwide. We focus on excellent customer service, cost-effective care, and comprehensive healthcare coverage, employing professionals across IT, finance, audit, provider relations, and more.

About The Job

The Lead Quality/Stars HEDIS and Technical Analyst designs and implements processes for managing diverse datasets used in data mining, analysis, modeling, and prediction to support business decisions. Responsibilities include developing tools, dashboards (Tableau), queries, and collaborating to develop strategies for achieving a 5-Star rating, including report creation, data verification, and QA in line with CMS guidelines.

Qualifications

• Bachelor's Degree required
• Minimum of 5 years of HEDIS and technical experience
• Effective communication skills and team collaboration
• Proficiency with SAS, Excel, SQL
• Experience with project execution and multitasking
• Mastery of relational databases and SQL, familiarity with RDBMS
• Knowledge of Big Data applications
• Experience with analytics tools like Power BI and Tableau
• Thorough knowledge of NCQA and HEDIS; Medicare Stars knowledge preferred

Key Responsibilities

• Develop and maintain reporting capabilities, monitor report accuracy
• Provide statistical and analytical support using SAS, SQL, SOURCE
• Define parameters for complex analytic projects
• Research healthcare cost and quality data
• Create dashboards to track and predict Medicare performance
• Collaborate on Medicare data infrastructure improvements
• Ensure compliance with CMS and NCQA reporting deadlines
• Interpret Star/HEDIS reports for stakeholders

Benefits

• Competitive compensation, medical/dental/vision coverage from day one
• Retirement plan with employer match
• Paid time off, recognition programs, tuition reimbursement
• Relocation assistance, tuition discounts, employee referral rewards
• DailyPay option, diversity and inclusion groups

About Mount Carmel and Trinity Health

Mount Carmel, part of Trinity Health, has served Central Ohio for over 135 years, offering extensive healthcare services and nursing programs. We are committed to diversity, equity, and inclusion, providing accessible, equitable care and employment opportunities.

Trinity Health employs 115,000 colleagues across 25 states, dedicated to serving diverse populations with trained, culturally competent staff. We are an equal opportunity employer, embracing diversity and fostering an inclusive environment.