Sr. STARS Quality Analyst
Core
Analyze performance data for the Medicare Advantage STAR Program to drive quality improvements in clinical care, customer experience, and operational compliance.
Role type
Senior IC Quality Analyst (Healthcare/Medicare Advantage)
Builds
Performance dashboards, scorecards, and data-driven quality improvement strategies for SCAN's Medicare Advantage plans.
Domain
Healthcare / Medicare Advantage / Quality Measurement
Deliverable
production ML models | dashboards & analysis
Required skills
STAR Ratings methodology, HEDIS measures, CAHPS, HOS, claims data analysis, encounter data analysis, EMR data familiarity, root-cause analysis, forecasting, process analysis, regulatory compliance knowledge
Preferred skills
Master's degree in related field, experience with provider engagement initiatives, knowledge of AI applications in healthcare
Technologies
SQL, Python, SAS, R, Tableau, Power BI, Excel, MS Access
Responsibilities
Monitor and analyze STAR measure performance; perform root-cause analysis for performance gaps; model future projections and 'What-if' scenarios for STAR ratings; partner with informatics teams to build dashboards and reports; conduct process analysis for regulatory compliance; collaborate with clinical and operational teams on quality improvement strategies; track intervention effectiveness; conduct competitor analysis.
Seniority
Senior, hands-on IC