SCAN · 6 hours ago
Senior STARS Quality Analyst
United States
Full-time
Remote
Mid, Senior Level
$72K/yr - $104K/yrSCAN is a nonprofit health organization dedicated to improving care for older adults. The Senior Quality Analyst will contribute to the Medicare Advantage STAR Program by analyzing performance data, supporting quality improvement initiatives, and ensuring compliance with CMS STAR rating goals.
Elder CareHealth CareHome Health CareMedical
Responsibilities
Monitor, analyze, and develop insights on STAR measure performance for HEDIS, CAHPS, HOS, Pharmacy (PQA), and Operational measures
Perform root-cause analysis to identify drivers of performance gaps and recommend targeted interventions
Partner with Health Care Informatics and other internal analytics team to ensure dashboards, scorecards, and routine performance reports for leadership and operational partners
Model future projections and perform 'What-if' scenarios for STAR rating forecasts
Conduct routine process analysis for department’s operating procedures and validate compliance with regulatory requirements or develop details assessment outlining gaps/risks identified with proposed process redesigns to mitigate identified gaps and risks
Collaborate with internal teams (Clinical Operations, Pharmacy, Member Experience, Network, Provider Relations) to design and implement quality improvement strategies
Track performance of interventions and provide data-driven insights on progress and effectiveness
Conduct Star competitor analysis and develop insights for all SCAN markets, potential partnerships, or growth opportunities
Work with IT and data teams to enhance data infrastructure and ensure data quality for STAR reports, and troubleshoot data discrepancies
Support the design and evaluation of interventions aimed at improving provider performance, member satisfaction, and clinical outcomes
We seek Rebels who are curious about AI and its power to transform how we operate and serve our members
Actively support the achievement of SCAN’s Vision and Goals
Other duties as assigned
Qualification
Required
Experience as a Senior Quality Analyst within a health plan or healthcare organization working with a STAR program is highly desirable
Bachelor's Degree or equivalent experience required
Experience working within a health plan STAR team
Familiarity with claims, encounter, and EMR data
Experience supporting provider engagement or quality improvement initiatives
Strong knowledge of CMS STAR Ratings methodology, HEDIS measures, CAHPS, HOS, and Medicare Advantage quality programs
Advanced proficiency in data analysis tools (Excel, SQL, Python, SAS, R, Tableau, or Power BI)
Proficient with MS Office (Access, Word, Excel, PowerPoint) and e-mail
Ability to communicate complex analytical information to diverse audiences
Analytical Thinking and Problem-Solving - excel in breaking down complex information and deriving actionable insights
Strong organizational and project management skills
Ability to work independently and in a team environment. Strong team player
Ability to work under tight deadlines & manage multiple responsibilities independently
Preferred
Master's degree in a related field preferred
Benefits
An annual employee bonus program
Robust Wellness Program
Generous paid-time-off (PTO)
11 paid holidays per year, plus 1 floating holiday, plus 1 birthday holiday
Excellent 401(k) Retirement Saving Plan with employer match and contribution
Robust employee recognition program
Tuition reimbursement
Company
SCAN
About SCAN Keeping Seniors Healthy and Independent–that’s been our mission for more than 40 years.
Founded in 1977
1001-5000 employees
H1B Sponsorship
SCAN 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 (5)
2024 (3)
2023 (6)
2022 (6)
2021 (5)
2020 (6)
Funding
Current Stage
Late StageLeadership Team
Lyn Amor Macaraeg
CVP Chief of Staff & Strategic Advisor to the CEO
Sachin H. Jain, MD, MBA
President and CEO, Board Director
Recent News
2025-12-26
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