Quality & Regulatory Data Analyst - St. Luke's Health Plan

St.-Luke; Boise (ID); Remoto; USD 90.000 - 130.000; Tempo pieno

Vantaggi offerti da questo lavoro

Robust benefits package

Retirement plans

On-site wellness options

On-site counseling

Career development offerings

Descrizione del lavoro

St. Luke’s is seeking a Quality & Regulatory Data Analyst focused on HEDIS/Stars metrics to support healthcare quality, regulatory performance, and member outcomes. The role partners across business segments to analyze health plan data and drive actionable insights for quality improvement.

The position is fully remote, but candidates must reside in Idaho, Oregon, Arizona, or Utah. Expect to work with cross-functional teams, leverage SQL and Excel, and contribute to data governance and reporting

Competenze

• Bachelor’s degree or experience in lieu of degree
• Three (3) years of relevant experience

Mansioni

• Transform healthcare data into actionable insights across medical, pharmacy, eligibility, quality, and operational data
• Become subject matter expert in Medicare Advantage Star Ratings, HEDIS, CAHPS, HOS, Part D, risk adjustment
• Drive quality improvement by identifying care gaps and measuring intervention effectiveness
• Partner with clinical, operational, and business leaders to translate questions into analysis and recommendations
• Ensure data confidence through validation and collaboration with teams and partners

Conoscenze

SQL

Excel

Data analysis

Healthcare analytics

Formazione

Bachelor’s degree or equivalent experience

Strumenti

Python

Descrizione del lavoro

At St. Luke’s, we pride ourselves on fostering a workplace culture that values diversity, promotes collaboration, and prioritizes employee well-being. Our commitment to excellence in patient care extends to creating an environment where our team can thrive both personally and professionally. With opportunities for growth, competitive benefits, and a supportive community of colleagues, St. Luke’s is truly a great place to work.

The Quality & Regulatory Data Analyst focuses on HEDIS/Stars metrics and partners across business segments within the St. Luke’s Health Plan to support the development of business processes and delivery of insights and health insurance data analysis that are in alignment with identified strategies and tactics, while working with cross-functional stakeholders. The work you do will directly support healthcare quality improvement efforts, regulatory performance, operational excellence, and better outcomes for members. You'll have the opportunity to influence decisions, solve complex challenges, and help drive measurable results across the organization.

WHILE THIS OPPORTUNITY IS FULLY REMOTE, YOU MUST LIVE IN IDAHO, OREGON, ARIZONA, OR UTAH TO BE CONSIDERED FOR THE POSITION.

What You Can Expect

• Transform healthcare data into actionable insights, analyzing medical, pharmacy, eligibility, quality, and operational data to identify trends, solve problems, and support key business decisions.
• Become a subject matter expert in Medicare Advantage Star Ratings, HEDIS, CAHPS, HOS, Part D, risk adjustment, and other healthcare quality and regulatory programs.
• Drive quality improvement efforts by identifying care gaps, measuring intervention effectiveness, and helping improve member outcomes and plan performance.
• Partner with clinical, operational, and business leaders to turn complex questions into meaningful analysis and recommendations.
• Ensure confidence in data through validation, reconciliation, and collaboration with internal teams and external partners.
• Contribute to data governance, data quality, and analytics best practices while helping shape trusted, high-value reporting and insights.
• Leverage SQL, Excel, and other analytical tools to uncover opportunities and communicate findings that make an impact.
• Participate in strategic projects that influence healthcare quality, operational performance, and member experience.

Qualifications

• Education: Bachelor’s degree or experience in lieu of degree
• Experience: Three (3) years of relevant experience

Preferred Qualifications

• Experience working with healthcare analytics in a payer and/or provider environment.
• Knowledge of Medicare Advantage Star Ratings, CMS Quality Programs, HEDIS, CAHPS, HOS, Part D, or related quality measures.
• Strong analytical, data validation, and problem-solving skills.
• Ability to communicate insights effectively and collaborate across technical and business teams.
• Advanced SQL and Excel skills; Python experience is a plus.
• Curiosity, initiative, and a passion for using data to improve healthcare outcomes.

What's In It For You

At St. Luke’s, caring for people in the communities we serve is our mission – and this includes our own SLHS team. We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Personify Health Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals.

St. Luke’s is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law.

*Please note: this posting is not reflective of all job duties and responsibilities and is intended to provide an overview to job seekers.