HEDIS Performance Analytics Lead
Job Description:
- Lead the development of predictive models to identify members at risk of care gaps and prioritize outreach opportunities
- Perform advanced statistical analyses to uncover drivers of HEDIS performance variation
- Develop segmentation strategies (provider, population, geography) to target high-impact interventions
- Design forecasting models to project HEDIS performance and simulate intervention scenarios
- Translate complex analytical findings into clear, actionable recommendations for executive and operational stakeholders
- Identify the highest-value opportunities for improvement based on impact, feasibility, and ROI
- Establish frameworks to measure the effectiveness of HEDIS interventions and initiatives
- Conduct pre/post and longitudinal analyses to evaluate program impact
- Quantify financial and quality outcomes, including Stars impact, incentive revenue, and cost of care implications
- Design and oversee enterprise HEDIS performance dashboards and reporting tools
- Collaborate with Clinical, Quality, Provider Engagement, and Operations teams to align analytics with business needs
Requirements:
- 7-10+ years of experience in healthcare analytics, HEDIS, or quality performance improvement
- Advanced analytical skills, including experience with predictive modeling, statistical analysis, and large datasets
- Demonstrated ability to translate data into actionable insights that drive measurable outcomes
- Proficiency in data tools and programming languages (e.g., SQL, Python, R)
- Experience with data visualization tools (e.g., Tableau, Power BI)
Benefits:
- Medical, Dental & Vision coverage
- Retirement Plan
- Generous time off including Paid Time Off
- Holidays
- Volunteer time off
- Incentive Plan
- Tuition Reimbursement
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