Medicare 5-Star Analytics Lead

Fallon Health; Central Business District (MA); On-site; USD 125,000 - 130,000; Full time

Job summary

Fallon Health seeks a Medicare 5-Star Analyst to support Star Ratings improvement through advanced analytics, dashboards, and forecasting. You will partner with Hyperlift and internal teams to monitor CMS Star measures, trends, and KPIs, delivering data-driven recommendations.

You will translate complex datasets into actionable insights, support planning, and help drive Fallon Health's Medicare performance goals with strong communications to leadership.

Qualifications

• Bachelor's degree in healthcare/analytics or related field required.
• Strong analytical and forecasting capabilities.
• Experience with CMS Star Ratings or healthcare quality programs is a plus.

Responsibilities

• Develop and monitor Medicare Star Ratings performance and dashboards.
• Collaborate with vendor to forecast measures and validate projections.
• Provide actionable insights to improve Medicare quality outcomes.
• Translate complex data into presentations for leadership.

Skills

Analytical thinking

Forecasting

Communication (non-technical)

Problem solving

Data interpretation

Education

Bachelor's in Healthcare Administration/Health Informatics/Analytics

Master's degree preferred

Tools

SQL

Excel

Dashboards/Visualization

Healthcare analytics tools

Job description

Fallon Health seeks a Medicare 5-Star Analyst to support Star Ratings improvement through advanced analytics, dashboards, and forecasting. You will partner with Hyperlift and internal teams to monitor CMS Star measures, trends, and KPIs, delivering data-driven recommendations.

You will translate complex datasets into actionable insights, support planning, and help drive Fallon Health's Medicare performance goals with strong communications to leadership.