AmeriHealth Caritas · 3 days ago
Senior Data Analyst HEDIS Reporting
United States
Full-time
Remote
Senior Level
5+ years expAmeriHealth Caritas is a mission-driven organization dedicated to providing comprehensive healthcare solutions. The Senior Data Analyst – HEDIS Reporting will manage and analyze healthcare data to support HEDIS reporting and quality improvement initiatives, collaborating with various teams to ensure accurate submissions and improve healthcare outcomes.
Health CareInformation Technology
Responsibilities
Lead HEDIS lifecycle validation and submission process
Develop, maintain, and automate HEDIS measure reporting using SQL, Python, Data Bricks, or other analytical tools
Analyze medical, pharmacy, and enrollment data as needed to validate HEDIS results
Collaborate with internal and external customers to ensure data accuracy and completeness
Support supplemental data integration and hybrid review process
Perform root cause analysis on data quality issues and recommend process improvements
Design dashboards and reports to track and trend HEDIS performance using Tableau and/or Power BI
Provide analytical support for interventions aimed at improving HEDIS and STAR ratings performance
Create visualizations and presentations to communicate findings to leadership and stakeholders
Mentor analysts and provide technical and analytic guidance
Lead and contribute data-driven projects that enhance quality reporting capabilities
Stay current on NCQA specifications, CMS guidance, and healthcare analytics best practices
Qualification
Required
Bachelor's Degree in data science, data analytics, or technology related field is required
Minimum of 5 years of experience in healthcare data analytics, with at least 2 years focused on HEDIS or quality measurement reporting is required
Strong understanding of healthcare data structures (claims, eligibility, etc.)
Excellent problem solving, analytical, and critical thinking skills
Strong communication and presentation abilities-able to translate complex data into actionable insights
Preferred
Experience with NCQA-certified HEDIS software is preferred
Experience with HEDIS data submissions is preferred
Proficiency in SQL and or more analytics tools are preferred (e.g. Data Bricks, Python)
Familiarity with CMS STARs, CAHPS, HealthPlan Accreditation is preferred
Benefits
Flexible work solutions including remote options
Hybrid work schedules
Competitive pay
Paid time off including holidays and volunteer events
Health insurance coverage for you and your dependents on Day 1
401(k)
Tuition reimbursement
And more.
Company
AmeriHealth Caritas
AmeriHealth Caritas is the health care solutions provider for those in most need and the chronically ill.
10001+ employees
H1B Sponsorship
AmeriHealth Caritas has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (18)
2024 (17)
2023 (12)
2022 (14)
2021 (4)
2020 (11)
Funding
Current Stage
Late StageLeadership Team
Kathleen Giblin
SVP Clinical Operations
Ash Hanson
Executive Vice President & Chief Human Resources Officer
Recent News
2025-11-06
The Philadelphia Inquirer
2025-10-02
2025-10-01
Company data provided by crunchbase