Healthcare Business Analyst (HEDIS & STARS)

Job Title : Healthcare Business Analyst (HEDIS & STARS)

Location : Louisville, KY (Onsite)

Duration : Long-Term Contract

Job Summary :

We are seeking an experienced Healthcare Business Analyst with a strong background in HEDIS and STARS programs to support quality improvement initiatives, data analysis, and performance reporting within the healthcare domain. The ideal candidate will have in-depth knowledge of healthcare quality metrics, data sources, and regulatory requirements for Medicare and Medicaid programs.

Key Responsibilities :

• Serve as a liaison between business stakeholders, quality teams, and IT for HEDIS and STARS initiatives.
• Analyze healthcare data to identify trends, gaps, and opportunities for improving quality measures and member outcomes.
• Support the annual HEDIS data collection and validation process, ensuring compliance with NCQA guidelines.
• Assist in Stars program performance analysis , measure tracking, and improvement planning.
• Work closely with business users to gather and document requirements for reporting, dashboards, and process enhancements.
• Collaborate with data teams to ensure accuracy and completeness of healthcare quality data.
• Develop functional specifications and contribute to the testing and validation of HEDIS / Stars analytics solutions.
• Prepare performance reports, presentations, and executive summaries for leadership review.
• Stay current with CMS , NCQA , and other regulatory updates related to quality measurement.

Required Skills & Experience :

Preferred Qualifications :