HEDIS Performance Analytics Lead

100% remote Flexible hours Hiring now

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)

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