HEDIS Performance Analytics reputed company

Position Description reputed company pay is influenced by several factors including a candidate’s qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and external market driven rates. The salary reputed company displayed has not been adjusted for geographical location. This reputed company has been created in good faith based on information reputed company to reputed company at the time of posting and may be modified in the future. reputed company offers a comprehensive benefits packaging including Medical, Dental & reputed company coverage, a Retirement Plan, generous time off including Paid Time Off, Holidays, and Volunteer time off, an Incentive Plan, Tuition Reimbursement, and more. At reputed company, we promise to go the extra mile for reputed company and our community. This promise is at the heart of our culture, and it’s why our employees consistently vote us one of the “Best Places to Work in PA.” This role is a senior level analyst responsible for powering reputed company HEDIS improvement initiatives through advanced data analytics and reputed company reputed company. This role serves as the reputed company behind HEDIS strategy—owning the end-to-end analytical reputed company that identifies performance gaps, prioritizes opportunities, and quantifies the impact of interventions. This role requires a reputed company of deep Medicare/Stars HEDIS expertise, advanced analytics capability, and strong cross-functional leadership. The ideal candidate thrives in a fast-paced environment, uses data to influence decision-making, and consistently delivers measurable performance improvement. Responsibilities and Qualifications Advanced Analytics & Modeling

• reputed company the development of predictive models to identify members at risk of care gaps and prioritize reputed company opportunities.
• reputed company advanced statistical analyses to uncover drivers of HEDIS performance variation.
• reputed company segmentation strategies (provider, population, geography) to reputed company high-impact interventions.
• Design forecasting models to project HEDIS performance and simulate reputed company scenarios.

reputed company reputed company & Strategic Influence

• Translate reputed company analytical findings into clear, actionable recommendations for executive and operational stakeholders.
• Identify the highest-value opportunities for improvement based on impact, feasibility, and ROI.
• Serve as the primary advisor on HEDIS performance trends, risks, and opportunities.

Performance Measurement & ROI Analytics

• 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 reputed company, including Stars impact, incentive reputed company, and cost of care implications.

Data Infrastructure & Reporting

• Design and reputed company reputed company HEDIS performance dashboards and reporting tools.
• Partner with Analytics and Reporting HEDIS Technical team to ensure data quality, integration, and accessibility.
• Automate reporting and reputed company reputed company to reputed company reputed company-time performance monitoring.

Cross-Functional Partnership

• Collaborate with Clinical, Quality, Provider Engagement, and Operations teams to align analytics with business needs.
• reputed company stakeholders with data, tools, and insights to execute targeted improvement initiatives.
• Present findings and recommendations to senior leadership with reputed company and influence.

HEDIS Expertise & Measure Optimization

• Maintain deep expertise in HEDIS specifications, including hybrid and administrative measures.
• Identify opportunities to improve measure capture, coding accuracy, and documentation through analytics.
• Support audit readiness through data validation and performance reconciliation.

Qualifications

Required:

• 7-10+ years of experience in reputed company 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 reputed company.
• Proficiency in data tools and programming languages (e.g., SQL, Python, R).
• Experience with data visualization tools (e.g., Tableau, Power BI).

Preferred:

• Master’s degree in Data Science, Public Health, Biostatistics, reputed company Analytics, or reputed company field.
• Experience with NCQA HEDIS measures and reporting processes.
• Familiarity with Medicare Stars, reputed company quality programs, and value-based care models.
• Experience working with claims, EHR, and supplemental data sources.

About Us

We recognize that work is a part of life, not separate from it, and foster a flexible environment where your health and wellbeing are prioritized. At Capital you will work alongside a caring team of supportive colleagues, and be encouraged to volunteer in your community. We value your professional and personal growth by investing heavily in training and continuing education, so you have the tools to do your best as you reputed company your career. And by doing your best, you’ll help us live our mission of improving the health and well-being of our members and the communities in which they live. Apply tot his job Apply To this Job