Senior Product Manager / Engineer - HEDIS SME

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes.Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients.Joining the Huron team means you’ll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise.Join our team as the expert you are now and create your future.Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes.Healthcare payer organizations are under immense pressure to improve outcomes and reduce the cost of providing coverage for patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients.Huron is seeking a Senior Product Engineer / Principal to join our HDTx Payer Services team, supporting healthcare payer clients in advancing data quality, regulatory reporting, and analytics capabilities. This role will operate at the intersection of business engagement, product engineering, and healthcare data strategy, with an initial focus on data quality and HEDIS reporting, evolving into predictive analytics and STARs performance optimization.This individual will serve as a subject matter expert and trusted advisor, working closely with payer leadership, business stakeholders, and technical teams to deliver scalable, high-impact solutions.Key ResponsibilitiesData Quality & Reporting (Initial Focus)Lead data quality initiatives impacting HEDIS, CMS submissions, and regulatory reporting accuracyAssess, identify, and resolve data gaps, inconsistencies, and lineage issues across payer systemsDrive improvements in data validation, reconciliation, and reporting processes to ensure compliance and performance accuracyPartner with stakeholders to define and implement data governance frameworks and standardsServe as SME for HEDIS measures and CMS STARs rating methodologies, ensuring alignment of reporting and performance strategiesTranslate complex regulatory requirements into functional and technical specificationsSupport measurement strategy, performance monitoring, and reporting optimization to improve STARs outcomesProvide advisory support to payer clients on CMS data submission and reporting best practicesLead design and optimization of solutions leveraging: Cognizant CMS Edge ServerClaimsphereCore payer platforms (e.g., Facets)Drive integration and data flow across claims, encounter, and reporting systemsCollaborate with engineering teams to deliver scalable reporting and analytics productsDevelop and implement predictive models and analytics frameworks to improve quality outcomes and STARs performanceEnable advanced analytics capabilities using payer data to identify trends, risks, and opportunitiesEvolve reporting solutions into forward-looking, insights-driven platformsEngage directly with business and executive stakeholders, acting as a strategic advisorTranslate business needs into technical roadmaps and product solutionsLead or contribute to client-facing discussions, workshops, and design sessionsCollaborate across multi-disciplinary teams (data, IT, compliance, business operations)QualificationsRequired7–12+ years of healthcare payer experience, with strong domain expertise in: HEDIS reportingCMS STARs methodologyRegulatory reporting and quality programsDemonstrated experience in data quality management, reporting, and analytics within payer environmentsStrong understanding of: Claims and encounter dataData lifecycle, validation, and reconciliation processes Proven ability to engage business stakeholders and translate requirements into solutionsExperience working in client-facing consulting or product engineering environmentsStrong communication skills with ability to interface across technical and non-technical teams PreferredHands-on experience with: Hedis Reporting SMECognizant CMS Edge ServerClaimsphereFacets (TriZetto) or similar payer platformsExperience with predictive analytics / data science applications in healthcareBackground in risk adjustment, quality improvement, or value-based care programsSQL, data modeling, or advanced analytics tool experience#LI-DT1#LI-RemotePosition LevelConsultantCountryUnited States of AmericaSummaryLocation: Chicago - 550 Van BurenType: Full time