[Remote] Lead Quality Analyst – HEDIS, Stars, and Clinical Performance

Remote Full-time
Note: The job is a remote job and is open to candidates in USA. Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates. They are hiring a Lead Analyst on the Value-Based Care (VBC) Quality team to support analytics and reporting efforts that drive improved performance in quality programs such as Medicare Advantage Stars and HEDIS. The role involves developing advanced analytics solutions, creating dashboards, and delivering insights to leadership.Responsibilities• Lead analytics and reporting for VBC Quality programs, including Stars and HEDIS measures, payer scorecards, improvement points, and performance forecasting.• Develop and maintain advanced SQL queries, Python scripts, and dashboards (Tableau, Google Sheets) to measure quality performance and identify improvement opportunities.• Translate complex business needs into actionable insights and deliverables, including reporting tools, forecasting models, and payer-aligned scorecards.• Collaborate with national, regional, and market leaders (clinical, operational, actuarial, and payer partners) to drive improvement strategies across Medicare Advantage, Medicaid, ACA, and commercial quality programs.• Monitor industry and regulatory updates (e.g., CMSv26 Stars specifications, HEDIS changes) and communicate impacts to stakeholders.• Coordinate across functional and technical teams to ensure accuracy, consistency, and optimization of reporting processes. Recommend process improvements for efficiency and data quality.• Support payer performance reviews and audits, ensuring analytics align with contractual obligations and national quality strategies.• Mentor analysts and serve as subject matter expert in Stars/HEDIS measurement, forecasting, and payer-aligned quality performance analytics.• Translate business requests into actionable reports.Skills• Minimum of 4 years of healthcare analytics experience• At least 2 years of experience with payer quality programs (Stars, HEDIS, Medicaid MCO, ACA QRS, or commercial quality)• Proficiency in SQL and Python• Strong ability to extract, transform, and interpret healthcare data from multiple sources (claims, EHR, payer reports)• Proficiency with data extraction, manipulation, and interpretation using multiple data sources (EMR, claims, payer data)• High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Bachelor's degree with 1 year of experience OR 5 years of applicable cumulative job specific experience• Leadership or mentoring experience• Experience with Google Cloud Platform (GCP), Tableau, and Excel/Google Sheets• Experience with HEDIS/STARs/Quality and Risk Adjustment initiatives• 2 years of leadership or management experienceBenefits• Paid time off (PTO)• Various health insurance options & wellness plans• Retirement benefits including employer match plans• Long-term & short-term disability• Employee assistance programs (EAP)• Parental leave & adoption assistance• Tuition reimbursement• Ways to give back to your communityCompany Overview• Answering God's call to bring health, healing and hope to all. It was founded in 1999, and is headquartered in St Louis, Missouri, USA, with a workforce of 10001+ employees. Its website isCompany H1B Sponsorship• Ascension has a track record of offering H1B sponsorships, with 9 in 2025, 7 in 2024, 1 in 2023, 3 in 2022. Please note that this does not guarantee sponsorship for this specific role. Apply tot his job
Apply Now →

Similar Jobs

Broker Service Concierge Representative

Remote Full-time

Work From Home Entry Level Sales Position

Remote Full-time

Advice Nurse, Remote CA

Remote Full-time

Wellness Educator (Work From Home)

Remote Full-time

Staff RN-Virtual Nursing

Remote Full-time

Registered Nurse Trainer ( Remote + Travel )

Remote Full-time

RN / WEO plus 2 Weekdays / Evenings / Telehealth Nursing

Remote Full-time

Airbnb host (communication) Job at Project Management Institute in Germany

Remote Full-time

Growth Marketing Lead, Guest Engagement

Remote Full-time

Wisconsin Psychiatric Association Inc is hiring: Airbnb host (communication) in

Remote Full-time

Apple Remote Job Careers (Work At Home) ID-1435 – USA Remote Jobs

Remote Full-time

Experienced Customer Service Associate - Temporary - Delivering Exceptional Customer Experiences at blithequark

Remote Full-time

**Experienced Customer Service Representative (Work from Home) at arenaflex**

Remote Full-time

Legal Practice Area Consultant- SF Bay Area

Remote Full-time

Delivery Insights & Knowledge Manager

Remote Full-time

Tableau Developer

Remote Full-time

Experienced Certified Pharmacy Clerk for Remote Data Entry and Central Fill Operations at arenaflex

Remote Full-time

Oracle E-Business Suite (EBS) Functional Consultant

Remote Full-time

Part Time Merchandiser

Remote Full-time

Part Time Remote Data Entry Clerk – No Experience Required, Entry Level Position in the United States with Opportunities for Growth and Professional Development at blithequark

Remote Full-time
← Back to Home