Consultant, Stars Consulting Center of Excellence
Core
Consultant supporting Medicare Star Ratings performance and healthcare transformation for health plans and medical groups.
Role type
Senior IC healthcare consultant (Star Ratings)
Builds
Data analyses, assessments, training materials, and strategic recommendations for Stars consulting engagements.
Domain
Healthcare / Health Plan Quality / Medicare Advantage
Deliverable
production ML models | product features | dashboards & analysis | client delivery
Required skills
Medicare Star Ratings expertise, HEDIS operations, CAHPS member experience improvement, medication adherence measures, HOS health outcomes measurement, data analysis (Excel, SQL, SAS), project management, stakeholder engagement
Preferred skills
Special Needs Plans (D-SNP, C-SNP, I-SNP) experience, NCQA program knowledge, performance improvement initiative leadership
Technologies
Press Ganey, Hyperlift analytics, CAHPS/HOS survey tools, Excel, Access, SQL, SAS, MS Office
Responsibilities
Construct and lead data analysis across Stars measure domains including performance trending and gap analysis; Partner with health plans to identify and solve business problems via data interpretation; Coordinate actions and leverage internal/client resources to complete engagements; Manage defined scope including timelines, deliverables, budget, and outcomes; Serve as direct client point of contact to build strategic relationships; Monitor CMS guidance and technical specification updates; Support integration of Stars deliverables with analytics and survey insights.
Seniority
Mid-level, hands-on IC
