Senior Analytics Consultant – Medicare Stars

• Responsible for leading the analytics strategy for evaluating internal and external program initiatives within the Medicare Stars program.
• Provide operational and analytical support to internal and external partners to improve HCSC's Medicare Star Ratings.
• Lead development of data analyses utilizing pharmacy claims, clinical outcomes, and Stars quality measures to make recommendations based on relevant findings.
• 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.
• Use advanced analytics techniques to dive into root causes of issues.
• 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.

Requirements

• 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

Core Competencies

Demonstrates expertise in leading analytics strategies within the Medicare Stars program, utilizing advanced analytical techniques and data visualization tools to drive performance improvements and support critical business decisions. Proficient in statistical analysis and querying diverse data sources to extract meaningful insights for operational excellence.

Highest-signal resume keywords

• SQL Proficiency
• Data Visualization with Tableau
• Analytical Skills
• Experience in Health Care Services
• Leadership in Analytic Initiatives

ATS Optimization Keywords

Hard Skills

• Statistical Analysis
• Data Querying
• Python Proficiency
• R Proficiency
• Dashboard Development
• Advanced Analytics Techniques
• Performance Analysis
• Business Intelligence
• Data Analysis
• Root Cause Analysis

Soft Skills

• Excellent Communication
• Team Collaboration
• Ability to Work Independently
• Performance Excellence
• Ability to Work Under Pressure

Industry Keywords

• Medicare Stars Program
• Health Care Services
• Insurance Industry Economics
• Pharmacy Claims
• Clinical Outcomes
• Quality Measures

Tools & Technologies

• Tableau
• Power BI
• GitHub