Health Care Service Corporation

Medicare Stars Senior Analytics Consultant

Health Care Service Corporation • $84K — $152K *
Richardson, TX 75080Hybrid
Healthcare
5 - 7 years of experience
Today
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Job Overview by Ladders

Qualifications

  • Bachelor's degree with 6 years of experience in healthcare services, statistical analysis, or related field; Master’s with 4 years; PhD with 2 years; or 10 years of related experience.
  • Proficient in querying diverse internal and external data sources for insights.
  • Strong analytical skills with proficiency in SQL, Python, and R.
  • Skilled in creating visually engaging dashboards using Tableau or Power BI.
  • Ability to drive a business case from inception to execution with high business intelligence.
  • Experience leading successful analytic initiatives.

Responsibilities

  • Lead analytics strategy within the Medicare Stars program to evaluate initiatives.
  • Develop data analyses using pharmacy claims and clinical outcomes to drive recommendations.
  • Build a framework to analyze performance of internal and external partners.
  • Create ongoing reports and dashboards to monitor performance metrics.
  • Interface with multiple business areas to inform key business decisions around program enhancements.
  • Utilize advanced analytics techniques to identify root causes of program issues.

Benefits

  • Health and wellness benefits.
  • 401(k) savings plan and pension plan.
  • Paid time off and parental leave.
  • Disability insurance and supplemental life insurance.
  • Employee assistance program and paid holidays.
  • Tuition reimbursement and incentives.
Full Job Description
Job Summary


The Medicare Stars Senior Analytics Consultant will be responsible for leading the analytics strategy for evaluating internal and external program initiatives within the Medicare Stars program. This position is located within the Medicare Stars Analytics team, whose function is to provide operational and analytical support to internal and external partners to improve HCSC’s Medicare Star Ratings. The Senior Analytics Consultant will be part of the Advanced Analytics team and will lead development of data analyses utilizing pharmacy claims, clinical outcomes, and Stars quality measures to make recommendations based on relevant findings.

The Senior Analytics Consultant will be responsible for building a framework to analyze performance of external vendors and internal groups and building out reports and dashboards to monitor such performance on an ongoing basis. This individual will use advanced analytics techniques to dive into root causes of issues.

The Senior Analytics Consultant will interface across multiple business areas, including, but not limited to pharmacy, clinical, customer experience, product development and operations as needed. Reports and dashboards created will be utilized by business partners and Stars leadership in making critical business decisions related to enhancements to existing programs, development of new pilots and initiatives, and other opportunities to maximize Stars affordability and enterprise value. The ideal candidate will have a passion for healthcare analytics and a creative mindset for approaching data in innovative ways.

Required Job Qualifications:

  • Bachelor's degree and 6 years of experience in health care services, statistical analysis, or insurance industry economics or related field OR Master’s degree with 4 years of experience in health care services, statistical analysis, or insurance industry economics or related field OR PhD with 2 years of experience in health care services, statistical analysis, or insurance industry economics or related field OR 10 years of experience in health care services, statistical analysis, or insurance industry economics or related field 

  • Understanding, and being highly proficient at querying a wide variety of internal and external data sources to get meaningful insights. 

  • Strong analytical skills and proficiency in computer languages, such as SQL, Python, R, etc. 

  • Ability to create a dynamic and visually engaging dashboard leveraging data visualization tools such as Tableau or Power BI 

  • High degree of business intelligence and understanding how to take a business case from inception to customer or partner execution. 

  • Experience leading an analytic initiative to success. 

  • Excellent communication and presentation skills.

  • Ability to work independently and as part of a team.

  • Performance excellence in championing initiatives and collaborating with multiple stakeholders to bring the initiative to life.

  • Ability to work under pressure and delivery high quality output to senior leadership to decision making within short timeline.

  • Experience with version control/collaborative tools, such as GitHub

Preferred Job Qualifications: 

  • Experience with project management methodologies. 
  • Experience of Healthcare industry - payor, provider, pharmacy, public health, epidemiology, etc. 
  • Knowledge of the CMS Star Rating System, including HEDIS, Pharmacy, Administrative, and CAHPS Measures. 
  • Extensive knowledge of and experience working with medical claims data, pharmacy claims data, customer eligibility data, and customer experience/self-report data.
  • Ability to understand business operations requirements and translate them into technical applications.
  • Excellent interpersonal and customer service skills and proven ability to perform in a matrix environment.
  • Strong leadership and project management skills.
  • Ability to work autonomously and deal with ambiguity.
  • Experience with automation tools, such as Alteryx or Airflow 

This is a Flex (Hybrid) role: 3 days in office, 2 days work from home.

#LI-Hybrid 

 #LI-TE1


Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!


Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees.  Learn more about our benefit offerings by visiting .

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.


Base Pay Range
$84,400.00 - $152,300.00

Exact compensation may vary based on skills, experience, and location.

About Health Care Service Corporation

Health Care Service Corporation (HCSC) is the largest customer-owned health insurer in the United States. HCSC offers a wide variety of health insurance products and related services, through its operating divisions and subsidiaries in Illinois, Montana, New Mexico, Oklahoma and Texas. HCSC's headquarters is located in Chicago, Illinois.
Learn more about Health Care Service Corporation
Size
24,000 employees
Industry
Healthcare
Founded
1936
* Ladders Estimates

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