HEDIS Performance Analytics Lead

🕒 Maio 29

🔔 Pennsylvania – Remoto

🔔 Pennsylvania – Remote

💵 $83.800 - $157.890 / ano

⏰ Tempo Integral

🟠 Sênior

📊 Cientista de Dados

🦅 Patrocina Visto H1B

Esta empresa já patrocinou vistos H1B no passado.

Candidatar-se

Encontrar Vagas Remotas Similares

Receber Emails de Vagas Remotas

📊 Verifique sua pontuação de currículo para esta vaga

Melhore suas chances de conseguir uma entrevista verificando sua pontuação de currículo antes de se candidatar.

Enviar Currículo

Capital Blue Cross

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 1938

⚕️ Seguro de Saúde

💸 Finanças

👥 B2C

Healthcare Insurance • Finance • B2C

A Capital Blue Cross é uma companhia de seguros de saúde que oferece uma gama de planos de saúde para indivíduos, famílias e empregadores. Eles atendem clientes na região central da Pensilvânia e no Vale de Lehigh, com foco em fornecer serviços de cobertura de saúde, como planos Medicare, planos de saúde estudantil e recursos para gerenciar cuidados médicos. A Capital Blue Cross se posiciona como uma parceira na saúde, enfatizando o apoio ao bem-estar geral dos membros e medidas de saúde preventiva.

Descrição

• 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

🎯 Requisitos

• 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)

🏖️ Benefícios

• Medical, Dental & Vision coverage • Retirement Plan • Generous time off including Paid Time Off • Holidays • Volunteer time off • Incentive Plan • Tuition Reimbursement