Back to Jobs

Data Analyst – Medicare Advantage Stars REMOTE or HYBRID

Remote, USA Full-time Posted 2025-05-22

The primary focus of this role is to support Star Ratings projection modeling and analytics for Medicare Advantage. The Data Analyst will work with large datasets to generate insights, perform ad-hoc analyses, and assist in monitoring key performance indicators related to CMS Star Ratings.

    RESPONSIBILITIES/TASKS:
  • Supports Stars projections through data analysis, modeling scenarios & ensuring accurate Star Ratings forecasts
  • Monitors CMS regulations & incorporates policy updates, ensuring accurate Stars projection model maintenance.
  • Utilizes software tools and programming to query & manipulate Star metrics data for accurate reporting & analytics.
  • Develops and improves workflows and business processes within area(s) to improve customer service, decrease operational costs, and improve overall quality.
  • Identifies and/or analyzes business problems and devise procedures for solutions to the problems.
  • Effectively leads projects in order to produce desired results.
  • Responsible for corporate communication of project results.
  • Recommends and assists with implementing standard policies and procedures.
  • Assures that corporate compliance is communicated, implemented, and monitored on an ongoing basis.
  • Participates in systems testing, develops procedures/controls, and provides recommendations for the ongoing improvement of the updated process.
  • Assists personnel (both internal and external) by answering questions, supplying information, and training.
  • Develops and maintains an effective working relationship with customers.
  • Participates in group or committee discussions.

This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.

EDUCATION:

Bachelor’s degree in a related field. Continuous learning, as defined by the Company’s learning philosophy, is required. Certification or progress toward certification is highly preferred and encouraged. Experience may be accepted in lieu of degree.

EXPERIENCE:

Two (2) to four (4) years experience in related field. Analyst experience required with proven experience in operational analysis, data analysis, and problem resolution type activities.

    SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED:
  • Analytical, organizational, planning and problem solving skills
  • Proficiency in Excel, VBA, SQL, SAS and Python required
  • Experience with Tableau /PowerBi or similar data visualization tools
  • Healthcare industry experience, particularly Medicare Advantage or CMS Star Ratings, strongly preferred
  • Understanding and knowledge of the business, products, programs, corporate organizational structure (including functional responsibilities), and basic research principles/methodologies
  • Ability to plan, organize, direct, and control projects.
  • Excellent written and verbal communication skills.
  • Ability to lead and contribute to process improvement projects.
  • Ability to read and interpret documents such as data flows, process flows, technical diagrams, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.
  • Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
  • Administer and adhere to corporate and departmental policies, practices and procedures.

WORKING CONDITIONS:

Work is performed in an office setting with no unusual hazards.

PAY RANGE:

Actual compensation decision relies on the consideration of internal equity, candidate’s skills and professional experience, geographic location, market and other potential factors. It is not standard practice for an offer to be at or near the top of the range, and therefore a reasonable estimate for this role is between $62,000 and $103,700

Apply Job!

 

Similar Jobs

Looking for Product Reviewers/Agency for Ayurvedic Tea Brand on Amazon (US Marketplace) - Contract to Hire

Remote, USA Full-time

Brand Research Amazon FBA - Contract to Hire

Remote, USA Full-time

Amazon Product Testers (Work At-Home Positions)

Remote, USA Full-time

Amazon Product Reviewer Jobs (Work From Home) $27/H

Remote, USA Full-time

Become an Amazon Product Tester and Reviewer - Work Remotely!

Remote, USA Full-time

Consumer Products Licensing Coordinator, Consumer Products & Interactive Licensing

Remote, USA Full-time

Senior Product Manager - Tech, Amazon Marketing Cloud

Remote, USA Full-time

Online Data Entry Jobs/ Work-From Home/ Part Time Data Entry Jobs/ Home-Based Data Entry/Typing Jobs

Remote, USA Full-time

Fresher Experience E- BOOK Typing Job

Remote, USA Full-time

Exciting Typing Jobs from Home – Flexible Hours and Competitive Pay

Remote, USA Full-time

Non Phone Work from Home Job Customer Support via Chat and Email

Remote, USA Full-time

Amazon Delivery Driver

Remote, USA Full-time

Amazon Delivery Driver

Remote, USA Full-time

Customer Service Representative

Remote, USA Full-time

Part Time Cleaner

Remote, USA Full-time

Fedex Customer Service Work From Home $20/Hour - Apply Now

Remote, USA Full-time

No Experience Necessary | Remote Chat Support Agent - No...

Remote, USA Full-time

Associate Detection and Response Analyst (Associate SOC Analyst)

Remote, USA Full-time

Netflix Remote Careers From Home - VacancyGlobal

Remote, USA Full-time

Accounting Manager (Supervisor, Accounting)

Remote, USA Full-time