Sr. STARS Quality Analyst

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 teams 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 detailed assessment outlining gaps/risks and 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. Qualifications 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; Master’s degree in a related field preferred. 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 and manage multiple responsibilities independently. Equal Employment Opportunity Statement SCAN is proud to be an Equal Employment Opportunity and affirmative action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, marital status, disability, protected veteran status or any other status protected by law. A background check is required. #J-18808-Ljbffr SHPCA SCAN Health Plan