Senior Analyst, Medicare Stars (Healthcare)

TL;DR

Senior Analyst, Medicare Stars (Healthcare): Owning end-to-end analytics for Medicare Part D Stars performance and pharmacy programs with an accent on data infrastructure, KPI tracking, and clinical strategy. Focus on designing SQL-based pipelines, evaluating program effectiveness via test-and-learn frameworks, and translating complex data into actionable operational insights.

Location: Remote (USA)

Salary: $115,000 - $133,000 USD

Company

A health insurance company reinventing the industry by combining data with human empathy to provide personalized care through custom software and analytics.

What you will do

• Own end-to-end Part D Stars analytics, tracking KPIs and ROI to directly inform interventions and business decisions.
• Design, optimize, and QA SQL-based pipelines and datasets across claims, pharmacy, and vendor sources.
• Analyze Stars measures to identify trends, gaps, and early warning signals, translating them into clear recommendations.
• Design test-and-learn frameworks to assess the effectiveness of Stars campaigns, pharmacy interventions, and vendor programs.
• Act as the primary analytics partner for Pharmacy Stars Operations and collaborate with Product and Engineering teams.
• Establish standardized analytics workflows, SOPs, and intake processes to support scalable performance management.

Requirements

• 4–6+ years of experience in healthcare analytics.
• Direct exposure to Medicare Advantage Part D measures, PQA specifications, and pharmacy data.
• Proficiency in SQL for building, validating, and QA-ing complex datasets.
• Experience with BI tools such as Tableau, Looker, Power BI, or Mode.
• Familiarity with CMS Stars, HEDIS, CAHPS, and regulatory requirements.
• Must be based in the USA.

Culture & Benefits

• Competitive base salary, equity opportunities, and performance-based bonus program.
• Comprehensive medical, dental, and vision coverage.
• Remote-first culture with reimbursement for office setup and monthly cell phone & internet stipends.
• Mental health support including No-Meeting Fridays and monthly company holidays.
• 401k matching, generous flexible time-off policy, and paid parental leave.
• Professional development funding, mentorship, and structured learning programs.