AVP, Medicare Quality Analytics
Core
Senior leadership role architecting the Star Ratings analytics ecosystem to drive quality performance and predictive modeling for Medicare Advantage plans.
Role type
Senior IC data scientist with strategic leadership
Builds
Production ML models, forecasting tools, and performance dashboards for the Star Ratings Program
Domain
Healthcare / Medicare Advantage / CMS Star Ratings
Deliverable
production ML models
Required skills
Predictive modeling, statistical strategy, data architecture, Python, SQL, healthcare domain expertise, team leadership, executive communication
Preferred skills
Medicare Advantage plan experience, technical leadership in healthcare
Technologies
Azure, data warehousing, data lakes, ETL/ELT
Responsibilities
Design and refine advanced statistical/ML models for Star Ratings; own technical roadmap for analytics platform; translate model outputs into actionable insights for clinical outreach; develop forecasting models and risk-adjusted simulations; mentor a team of data scientists and analysts; present findings to executive audiences
Seniority
Senior, hands-on IC with leadership responsibilities