Medicare Data & Analytics Lead for Star Ratings

Emergent Holdings, Inc.; Detroit (MI); On-site; USD 83,000 - 139,000; Full time

Job summary

Emergent Holdings, Inc. is seeking a Senior Health Care Analyst to drive Medicare Part D quality initiatives through data analysis, reporting, and dashboard development.

You will collaborate with business and clinical partners to monitor CMS measures and provide insights for improving Star Ratings. The role requires strong SQL, Python, SAS, and Tableau skills, plus experience with PBM transitions and healthcare data governance.

Qualifications

• Bachelor’s degree in a related field; Master’s preferred.
• Seven years of experience in a related field.
• Strong PBM transition and analytics experience.
• Proficiency with SQL, Python, SAS, and Tableau.
• Experience with CMS reporting and healthcare data.

Responsibilities

• Analyze data to monitor CMS Star Ratings and medication adherence initiatives.
• Develop dashboards and executive reports for business and clinical partners.
• Lead data quality validation and CMS measure calculations investigations.
• Support PBM transition tasks and analytics to assist business teams.
• Collaborate with stakeholders to translate data into actionable insights.

Skills

PBM transition experience

PBM systems

Analytical and communication skills

MS Office (PowerPoint, Excel, Word)

CMS reporting

Independent and team collaboration

SQL

Python

SAS

Tableau

Spark SQL

Databricks

Education

Bachelor's degree in Business Administration, Economics, Health Care, Information Systems, Statistics

Master's degree preferred

Tools

SQL

Python

SAS

Tableau

PowerPoint

Excel

Word

Spark SQL

Databricks

Job description

Emergent Holdings, Inc. is seeking a Senior Health Care Analyst to drive Medicare Part D quality initiatives through data analysis, reporting, and dashboard development.

You will collaborate with business and clinical partners to monitor CMS measures and provide insights for improving Star Ratings. The role requires strong SQL, Python, SAS, and Tableau skills, plus experience with PBM transitions and healthcare data governance.