Medicare Star Analytics Lead

Fallon Health; Massachusetts; On-site; USD 90,000 - 120,000; Full time

Job summary

Fallon Health is seeking a Medicare 5-Star Analyst to drive Star Ratings performance through advanced analytics, dashboards, and forecasting. Based in Worcester, MA, you will partner with Hyperlift and internal teams to monitor measures and recommend improvement actions.

You will translate complex data into actionable business insights, support Stars planning, and help ensure high-quality healthcare outcomes for members. This role emphasizes collaboration and data-driven decision making.

Qualifications

• Bachelor's degree in Healthcare Administration, Health Informatics, Data Analytics, Public Health, or related field.
• Preferred Lean Six Sigma and PMP certifications.
• Advanced analytical skills and ability to forecast performance.
• Experience with HEDIS, CAHPS, CMS quality programs.

Responsibilities

• Serve as the primary analytical resource supporting Fallon Health's Medicare Star Ratings strategy.
• Monitor CMS Star measures and develop dashboards and reports.
• Identify risks, opportunities, and trends affecting Star outcomes.
• Collaborate with Hyperlift and leadership to translate forecasts into improvement plans.
• Provide analytical consultation for cross-functional projects impacting quality outcomes.

Skills

Excel

SQL

Dashboards

Data analysis

Communication

Education

Bachelor's Degree in Healthcare Administration, Health Informatics, Data Analytics, Public Health, or related field

Master's Degree preferred

Tools

SQL

Job description

Fallon Health is seeking a Medicare 5-Star Analyst to drive Star Ratings performance through advanced analytics, dashboards, and forecasting. Based in Worcester, MA, you will partner with Hyperlift and internal teams to monitor measures and recommend improvement actions.

You will translate complex data into actionable business insights, support Stars planning, and help ensure high-quality healthcare outcomes for members. This role emphasizes collaboration and data-driven decision making.