Our client is seeking a Senior Data Analyst to support enterprise analytics initiatives focused on Medicare Advantage Stars and Risk Adjustment programs within a healthcare payor environment. This role will partner closely with business leaders, policy teams, and technology stakeholders to drive provider data accuracy, reporting, and strategic decision-making.
Key Responsibilities:
Support enterprise CMS Stars and Risk Adjustment strategies through advanced healthcare analytics
Analyze provider and claims data to identify trends, gaps, and improvement opportunities
Develop dashboards, reports, and visualizations for business and executive leadership
Partner with business teams, IT, and product owners to support data-driven initiatives
Monitor application and reporting performance and recommend process improvements
Support ongoing compliance with Medicare and Medicaid program requirements
Collaborate with external vendors and government agencies as needed
Required Qualifications:
10+ years of experience as a Data Analyst within a healthcare payor environment
Strong expertise with CMS Federal Healthcare programs, specifically CMS Stars
Experience working with provider data, claims platforms, and provider-to-claims processes
Prior experience advising senior leadership on healthcare data strategy and improvement initiatives
Hands-on experience extracting and analyzing data from MS Azure