Senior Product Engineer – HEDIS SME

🔥 0 minutes ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $85 - $100 / hour

⏰ Full Time

🟠 Senior

🧑‍💻 Full-stack Engineer

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Huron

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 2002

🏥 Healthcare

📦 Logistics

📣 Marketing

Healthcare • Logistics • Marketing

Huron Consulting Group is a global consultancy that provides a wide range of services including strategy, operations, advisory, digital, technology, and analytics solutions to various sectors such as healthcare, education, energy, and financial services. Huron helps organizations navigate complex challenges and drive growth through tailored solutions and innovative strategies. The company employs a team of experts dedicated to delivering high-impact solutions that address the unique needs of each client, focusing on areas such as managed services, outsourcing, and leadership development.

📋 Description

• Lead data quality initiatives impacting HEDIS, CMS submissions, and regulatory reporting accuracy • Assess, identify, and resolve data gaps, inconsistencies, and lineage issues across payer systems • Improve data validation, reconciliation, and reporting processes • Define and implement data governance frameworks and standards with stakeholders • Serve as SME for HEDIS measures and CMS STARs rating methodologies • Translate regulatory requirements into functional and technical specifications • Support measurement strategy, performance monitoring, and reporting optimization to improve STARs outcomes • Advise payer clients on CMS data submission and reporting best practices • Design and optimize solutions leveraging Cognizant CMS Edge Server, Claimsphere, and core payer platforms such as Facets • Drive integration and data flow across claims, encounter, and reporting systems • Collaborate with engineering teams to deliver scalable reporting and analytics products • Develop predictive models and analytics frameworks to improve quality outcomes and STARs performance • Enable advanced analytics using payer data to identify trends, risks, and opportunities • Evolve reporting solutions into forward-looking, insights-driven platforms • Engage business and executive stakeholders as a strategic advisor • Translate business needs into technical roadmaps and product solutions • Lead or contribute to client-facing discussions, workshops, and design sessions • Collaborate across data, IT, compliance, and business operations teams

🎯 Requirements

• 7–12+ years of healthcare payer experience • Strong domain expertise in HEDIS reporting • Strong domain expertise in CMS STARs methodology • Strong domain expertise in regulatory reporting and quality programs • Demonstrated experience in data quality management, reporting, and analytics within payer environments • Strong understanding of claims and encounter data • Strong understanding of data lifecycle, validation, and reconciliation processes • Ability to engage business stakeholders and translate requirements into solutions • Experience in client-facing consulting or product engineering environments • Strong communication skills with ability to interface across technical and non-technical teams • U.S. Citizenship required • Must be able to work as a W2 hourly contract employee; H-1B, C2C, and 1099 candidates are not considered

🏖️ Benefits

• Medical, dental, and vision coverage for employees and dependents • 401(k) plan with a generous employer match • Employee stock purchase plan • Generous Paid Time Off policy • Paid parental leave • Adoption assistance • Wellness Program with free annual health screenings and coaching • Bank at work • On-site workshops • Ongoing programs recognizing major events in employees’ lives