[Remote] Lead Quality Analyst – HEDIS, Stars, and Clinical Performance

Note: The job is a remote job and is open to candidates in USA. Ascension is a leading non-profit, faith-based national health system. They are seeking a Lead Analyst on the Value-Based Care Quality team to support national Population Health strategy through analytics and reporting efforts that drive improved performance in CMS and payer quality programs. Responsibilities • Lead analytics and reporting for VBC Quality programs, including Stars and HEDIS measures, payer scorecards, improvement points, and performance forecasting. • Develop and maintain advanced SQL queries, Python scripts, and dashboards (Tableau, Google Sheets) to measure quality performance and identify improvement opportunities. • Translate complex business needs into actionable insights and deliverables, including reporting tools, forecasting models, and payer-aligned scorecards. • Collaborate with national, regional, and market leaders (clinical, operational, actuarial, and payer partners) to drive improvement strategies across Medicare Advantage, Medicaid, ACA, and commercial quality programs. • Monitor industry and regulatory updates (e.g., CMSv26 Stars specifications, HEDIS changes) and communicate impacts to stakeholders. • Coordinate across functional and technical teams to ensure accuracy, consistency, and optimization of reporting processes. Recommend process improvements for efficiency and data quality. • Support payer performance reviews and audits, ensuring analytics align with contractual obligations and national quality strategies. • Mentor analysts and serve as subject matter expert in Stars/HEDIS measurement, forecasting, and payer-aligned quality performance analytics. • Translate business requests into actionable reports. Skills • Minimum of 4 years of healthcare analytics experience • At least 2 years of experience with payer quality programs (Stars, HEDIS, Medicaid MCO, ACA QRS, or commercial quality) • Proficiency in SQL and Python • Strong ability to extract, transform, and interpret healthcare data from multiple sources (claims, EHR, payer reports) • Proficiency with data extraction, manipulation, and interpretation using multiple data sources (EMR, claims, payer data) • High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Bachelor's degree with 1 year of experience OR 5 years of applicable cumulative job specific experience • Leadership or mentoring experience • Experience with Google Cloud Platform (GCP), Tableau, and Excel/Google Sheets • Experience with HEDIS/STARs/Quality and Risk Adjustment initiatives • 2 years of leadership or management experience Benefits • Paid time off (PTO) • Various health insurance options & wellness plans • Retirement benefits including employer match plans • Long-term & short-term disability • Employee assistance programs (EAP) • Parental leave & adoption assistance • Tuition reimbursement • Ways to give back to your community Company Overview • Answering God's call to bring health, healing and hope to all. It was founded in 1999, and is headquartered in St Louis, Missouri, USA, with a workforce of 10001+ employees. Its website is https://healthcare.ascension.org. Company H1B Sponsorship • Ascension has a track record of offering H1B sponsorships, with 9 in 2025, 7 in 2024, 1 in 2023, 3 in 2022. Please note that this does not guarantee sponsorship for this specific role. Apply tot his job Apply To this Job