Remote Quality & Regulatory Data Analyst: HEDIS/Stars

St.-Luke; Boise (ID); Remote; USD 90,000 - 130,000; Full time

Benefits offered by this job

Robust benefits package

Retirement plans

On-site wellness options

On-site counseling

Career development offerings

Job summary

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

Qualifications

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

Responsibilities

• 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

Skills

SQL

Excel

Data analysis

Healthcare analytics

Education

Bachelor’s degree or equivalent experience

Tools

Python

Job description

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