AVP, Medicare Quality Analytics

This is a fully remote position, open to applicants in United States.

📋 Description

• Lead the design, development, and ongoing enhancement of sophisticated statistical and machine learning models aimed at predicting and optimizing performance within the Star Ratings Program.

• Take ownership of the technical roadmap for the analytics platform, ensuring it meets both current and future analytical requirements.

• Convert model outputs and intricate datasets into actionable insights at the member, provider, and measure levels.

• Collaborate with cross-functional teams to integrate these insights into clinical outreach, population health, and member engagement workflows to inform targeted interventions.

• Manage the complete development process of forecasting models for the Star Ratings Program, including the creation of risk-adjusted simulations.

• Create and sustain performance monitoring tools and dashboards to oversee and evaluate performance across all organizational levels.

• Act as the organization's senior data science subject matter expert regarding all Star measures (e.g., HEDIS, CAHPS, HOS, Part D).

⛳️ Requirements

• A minimum of 10+ years in data science, data engineering, or a related discipline, with a proven history of designing and implementing large-scale, complex data solutions.

• Extensive experience in a leadership role, with a demonstrated ability to establish technical vision and lead teams effectively.

• Comprehensive knowledge of the healthcare sector, particularly regarding Medicare Advantage and the CMS Star Ratings System.

• Expert-level understanding of contemporary data architecture principles, including cloud platforms (Azure), data warehousing, data lakes, and ETL/ELT processes.

• Proven experience in establishing and managing data governance and data quality initiatives.

• Strong grasp of data security and compliance regulations within a healthcare framework.

• Bachelor's degree in Health Informatics, Computer Science, Data Science, Business Analytics, or a related quantitative field.

🏝️ Benefits

• Comprehensive health coverage plans.

• Opportunities for professional development and growth.

• Flexible work arrangements.

• Competitive salary and performance-based incentives.