Medicare 5-Star Analytics Lead

Fallon Health

Worcester (MA)

On-site

USD 125,000 - 130,000

Full time

9 days ago

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Job summary

Fallon Health in Worcester, MA is seeking a Medicare 5-Star Analyst to lead advanced analytics for Star Ratings, validate forecasts with Hyperlift, and drive performance improvements. The role emphasizes dashboards, trend analysis, and executive insights to support quality initiatives and strategic planning.

The candidate will translate complex data into actionable recommendations, monitor KPIs, and collaborate across departments to improve Medicare Star outcomes and overall quality performance.

Qualifications

Bachelor’s degree in Healthcare Administration, Health Informatics, Data Analytics, or Public Health.
Lean Six Sigma certification and PMP preferred.
Experience with Medicare Star Ratings and related quality programs.
Knowledge of healthcare data, KPIs, and benchmarking methodologies.

Responsibilities

Support Medicare Star Ratings strategy with advanced analytics and forecasting.
Develop and maintain dashboards and reports.
Collaborate with Hyperlift to validate projections and forecasts.
Translate data insights into actionable business recommendations.
Present findings to leadership and stakeholders.

Skills

Analytical thinking

Forecasting

Communication

Problem solving

Education

Bachelor's Degree in Healthcare Administration

Bachelor's Degree in Health Informatics

Bachelor's Degree in Data Analytics

Bachelor's Degree in Public Health

Tools

SQL

Power BI

Excel

Tableau

Job description

The candidate will translate complex data into actionable recommendations, monitor KPIs, and collaborate across departments to improve Medicare Star outcomes and overall quality performance.

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