Job Description

Title: Senior Quality Analyst
Contract : Fulltime
Location: Remote

We are seeking a detail-oriented and results-driven Senior Quality Analyst with strong expertise in both project management and analytics to join our quality team. This role will focus on supporting HEDIS/Stars programs by developing performance reports, analyzing data trends, and driving strategic quality improvement initiatives. The ideal candidate will combine healthcare quality knowledge, technical skills, and a proactive mindset to support enterprise-wide quality strategies.

Key Responsibilities

• Provide project management leadership for quality initiatives, ensuring timely execution of deliverables.
• Develop, enhance, and maintain dashboards and performance reports to monitor HEDIS/Stars measures.
• Analyze clinical quality data to identify trends, gaps, and improvement opportunities.
• Deliver actionable insights and recommendations to support strategic decision-making.
• Collaborate cross-functionally with regional quality teams, payor contracting, and health plan strategy groups to align reporting with organizational goals.
• Stay up to date with CMS and NCQA measure specifications to ensure compliance and accuracy in reporting.
• Support HEDIS/Stars submissions, audits, and quality improvement projects.
• Conduct ad hoc analyses and reporting for leadership and operational teams.
• Ensure data integrity, accuracy, and consistency across reporting platforms.

Required Qualifications

• Bachelor's degree in Health Information Management, Public Health, Data Analytics, Business, or a related field.
• 5+ years of data analytics experience, with at least 2 years in healthcare quality programs (HEDIS, Stars, Medicare Advantage, or equivalent).
• Strong proficiency in Microsoft Excel (advanced formulas, pivot tables, lookups).
• Experience with reporting/visualization tools such as Power BI, Tableau, or similar.
• Solid knowledge of HEDIS/Stars programs, healthcare quality measures, and regulatory requirements.
• Excellent analytical, critical thinking, and problem-solving skills.
• Strong project management skills with the ability to manage multiple priorities.
• Effective communicator, able to present findings clearly to both technical and non-technical audiences.

Preferred Qualifications

• PMP certification or formal project management training.
• Familiarity with provider relations and customer service processes.

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