[Hiring] Medicare Advantage Stars Data Analyst @Medisolv Inc

Role Description

We are seeking a Medicare Advantage (MA) Stars Data Analyst with strong experience working with healthcare data and a deep understanding of the data underlying the CMS Medicare Advantage Star Ratings program. This individual will be responsible for ingesting, organizing, analyzing, validating, and reporting Medicare Advantage Stars data, and will work closely with product, technology, analytics, and health plan teams to turn complex Stars data into actionable insights.

The ideal candidate combines strong data analytics and data engineering knowledge with practical Medicare Advantage Stars expertise — a data analyst first and a Stars expert second, equally comfortable writing SQL, troubleshooting a data feed, building a Power BI dashboard, and explaining a Stars calculation to a health plan's quality team. This is not simply a reporting role: the successful candidate understands how MA quality data flows from source systems through ingestion, transformation, and data marts into analytical models, dashboards, and ultimately Stars performance insights — and can translate a CMS Stars specification into a working data model, validate the results, and build something a health plan can act on.

The position will play a key role in building and maintaining data products that enable Medicare Advantage health plans to understand their Stars performance, identify opportunities for improvement, and make better quality and operational decisions.

Qualifications

• Bachelor's degree in data analytics, computer science, health informatics, healthcare administration, mathematics, statistics, business, or a related field
• 5 plus years of healthcare data experience, including direct work with Medicare Advantage Stars data and a strong understanding of CMS Stars measures and methodology
• Experience with data ingestion, transformation, warehouses, marts, and analytical databases — including strong SQL skills and the ability to work from database schemas across multiple healthcare data sources
• Experience developing reports and dashboards using Power BI, Tableau, or comparable BI tools
• Strong data validation, reconciliation, and problem-solving skills
• Ability to work directly with health plan stakeholders, translating business questions into analytical requirements, with strong communication skills for both technical and non-technical audiences

Requirements

• Serve as the subject matter expert on CMS Stars measures, specifications, and methodology — including denominators, numerators, exclusions, benchmarks, and cut points
• Understand how data from claims, HEDIS, CAHPS, HOS, supplemental feeds, and other sources is transformed into measure-level Stars performance
• Track CMS methodology changes and help ensure analytical products stay aligned with them
• Define data ingestion requirements with technical teams and map source data into standardized structures, specs, and data dictionaries
• Identify and resolve data quality issues during ingestion, validating completeness, accuracy, and consistency
• Understand and help monitor how data moves through ETL/ELT into warehouses, marts, and reporting layers
• Design Stars data marts and analytical models, translating measure requirements into fact tables, dimensions, and calculated fields
• Work from database schemas to model relationships between members, providers, claims, and quality events
• Validate that data marts and models produce results consistent with CMS requirements and source data
• Analyze Stars performance by plan, contract, measure, and provider — identifying trends, gaps, and anomalies
• Perform year-over-year analysis of measure performance and Star Rating implications
• Build reporting specifications and dashboards that turn complex data into actionable insight for plan leaders
• Build and maintain dashboards using Power BI, Tableau, or similar platforms, ensuring they accurately reflect CMS methodology
• Develop reusable measures, calculations, and visualizations rather than one-off analyses
• Help define reporting standards and best practices for Stars analytics
• Work directly with MA health plans to understand their data, reporting needs, and Stars analytics questions
• Reconcile differences between internal plan reporting and external analytics, investigating discrepancies
• Present analytical findings directly to plan quality, analytics, and business teams
• Develop and execute data validation, reconciliation, and automated quality-check processes
• Compare source, transformed, and reported data to investigate discrepancies or unexpected changes
• Partner with engineering to resolve defects and validate new feeds or methodology changes
• Partner with product, engineering, data science, and Stars SMEs to translate requirements into data specs, user stories, and test cases
• Participate in product development from requirements through testing and deployment
• Help automate manual processes and contribute to new Stars data products

Benefits

• Medisolv is committed to creating a diverse and inclusive workplace.
• We believe that diversity drives innovation, and we are dedicated to fostering an environment where all employees feel valued and respected.