Medicare Advantage Stars Data Analyst

Medisolv, Inc.

. Serve as subject matter expert on CMS Stars measures, specifications, and methodology, including denominators, numerators, exclusions, benchmarks, and cut points .

Posted 9/22/2026full-timeRemote • Maryland • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in CMS Stars measures and methodology, with strong capabilities in data ingestion, transformation, and validation. Proficient in developing analytical models and dashboards using Power BI and Tableau, while effectively communicating insights to stakeholders.

Highest-signal resume keywords

CMS Stars Measures ExpertiseSQL ProficiencyData Ingestion and TransformationPower BI Dashboard DevelopmentHealthcare Data Analysis

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data ValidationData ReconciliationETL/ELT ProcessesAnalytical ModelingData WarehousingHEDISCAHPSClaims AnalysisStatistical AnalysisData Specifications

Soft Skills

Strong Communication SkillsProblem-Solving SkillsCollaboration with Stakeholders

Tools & Technologies

Power BITableauSnowflakeDatabricksAzureAWS

Industry Keywords

Medicare AdvantageHealthcare AnalyticsData StandardsAgile Product DevelopmentHealthcare Technology

Tech Stack

Tools & technologies

AWSAzureCloudETLSQLTableau

About the role

Key responsibilities & impact

Serve as subject matter expert on CMS Stars measures, specifications, and methodology, including denominators, numerators, exclusions, benchmarks, and cut points
Understand and analyze transformation of claims, HEDIS, CAHPS, HOS, supplemental feeds, and other data into measure-level Stars performance
Track CMS methodology changes and keep analytical products aligned
Define data ingestion requirements and map source data into standardized structures, specifications, and data dictionaries
Identify and resolve ingestion data-quality issues by validating completeness, accuracy, and consistency
Monitor data movement through ETL/ELT into warehouses, marts, and reporting layers
Design Stars data marts and analytical models, including fact tables, dimensions, and calculated fields
Model relationships between members, providers, claims, and quality events
Validate data marts and models against CMS requirements and source data
Analyze Stars performance by plan, contract, measure, and provider, identifying trends, gaps, and anomalies
Perform year-over-year analysis of measure performance and Star Rating implications
Build reporting specifications and dashboards for plan leaders
Build and maintain Power BI, Tableau, or similar dashboards with reusable measures, calculations, and visualizations
Define reporting standards and best practices for Stars analytics
Work with Medicare Advantage health plans to understand data, reporting needs, and analytics questions
Reconcile internal plan reporting with external analytics and investigate discrepancies
Present findings to plan quality, analytics, and business teams
Develop data validation, reconciliation, and automated quality-check processes
Compare source, transformed, and reported data to investigate discrepancies or unexpected changes
Partner with engineering to resolve defects and validate new feeds or methodology changes
Translate requirements into data specifications, user stories, and test cases
Participate in product development from requirements through testing and deployment
Automate manual processes and contribute to new Stars data products
Independently own a Stars data product or reporting deliverable end-to-end and work directly with health plan stakeholders

Requirements

What you’ll need

Bachelor's degree in data analytics, computer science, health informatics, healthcare administration, mathematics, statistics, business, or a related field
5+ years of healthcare data experience, including direct work with Medicare Advantage Stars data and strong understanding of CMS Stars measures and methodology
Experience with data ingestion, transformation, warehouses, marts, and analytical databases
Strong SQL skills and ability to work from database schemas across multiple healthcare data sources
Experience developing reports and dashboards using Power BI, Tableau, or comparable BI tools
Strong data validation, reconciliation, and problem-solving skills
Ability to work directly with health plan stakeholders and translate business questions into analytical requirements
Strong communication skills for technical and non-technical audiences
Experience with Medicare Advantage health plans, healthcare technology companies, consulting organizations, or Stars analytics vendors preferred
Experience with Stars-specific data marts, CMS Stars data submissions, reports, technical specifications, or methodology preferred
Experience with HEDIS, CAHPS, HOS, claims, encounters, pharmacy, enrollment, provider, supplemental, and other MA data sources preferred
Experience with ETL/ELT pipelines and cloud data platforms such as Snowflake, Databricks, Azure, or AWS preferred
Experience with data visualization and dashboard development in Power BI or Tableau preferred
Familiarity with healthcare data standards and common MA data structures preferred
Experience working in Agile product environments with software engineers and data engineering teams preferred
Must successfully pass a pre-employment background check
Must be legally authorized to work in the United States; sponsorship is not available

Benefits

Comp & perks

Fully remote work arrangement
Diverse and inclusive workplace
Pre-employment background check
Healthcare quality and analytics-focused work environment