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Associate Principal (Medicare Stars Consulting)

145 000 - 200 000$
Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
senior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Текст:
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TL;DR
Associate Principal (Medicare Stars Consulting) (Healthcare/Medicare Advantage): Leading complex Medicare Stars performance improvement engagements for health plan clients with an accent on HEDIS, CAHPS, HOS, medication adherence, regulatory strategy, and executive consulting. Focus on translating CMS regulations and Stars methodologies into actionable quality strategies, analyzing measure-level performance, developing client solutions, and driving business development.

Location: Remote, U.S.-Based; travel up to 75%

Salary: $145,000–$200,000 base salary annually, plus eligibility for a discretionary bonus or commission

Company

hirify.global provides experience measurement, data analytics, and insights to help organizations improve customer, employee, and patient experiences, with deep expertise in U.S. healthcare.

What you will do

  • Lead and personally deliver Medicare Stars consulting engagements covering CAHPS, HEDIS, HOS, medication adherence, and operational measures.
  • Translate CMS regulations, annual rate announcements, technical specifications, and Stars methodology updates into executable client strategies.
  • Analyze measure-level performance and develop recommendations, dashboards, roadmaps, reports, and improvement playbooks.
  • Advise health plan executives and operational leaders, facilitate alignment, and build long-term client relationships.
  • Develop proposals, pricing strategies, and solutions while identifying new consulting opportunities and representing the practice at industry events.
  • Mentor consultants, support methodology development, and strengthen consulting delivery capabilities across Stars performance domains.

Requirements

  • Must be based in the United States and able to travel up to 75%.
  • 10+ years of experience in government-sponsored healthcare, including Medicare Advantage and/or Medicaid.
  • Direct accountability for Medicare Star Ratings, quality improvement, population health, or regulatory performance initiatives.
  • Deep expertise in HEDIS, including NCQA specifications, claims and supplemental data, ECDS reporting, audits, and performance improvement.
  • Strong knowledge of Medicare Star Ratings methodology and proficiency with Excel, SQL, and/or other analytics tools.
  • Bachelor’s degree required, with exceptional executive communication, facilitation, presentation, consulting, analytical, and problem-solving skills.

Nice to have

  • Healthcare consulting experience in a national consulting firm, health plan, or healthcare services organization.
  • Experience with certified HEDIS engines and Stars analytics platforms.
  • Business development, proposal creation, and consulting practice growth experience.
  • Master’s degree in Healthcare Administration, Public Health, Business Administration, or a related field.

Culture & Benefits

  • Collaborative culture focused on client partnership, ownership, learning, innovation, and teamwork.
  • Remote work arrangement for U.S.-based employees with substantial client travel.
  • Competitive benefits package.
  • Eligibility for a discretionary bonus or commission tied to achieved results.
  • Commitment to reasonable accommodations and an inclusive workplace.

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