Stars Analyst

Stars Analyst

The Stars Analyst works across the Cotiviti clientele to define, assign, and oversee best-in-class activities and Stars performance for all assigned Medicare Advantage plans. This individual is accountable for driving greater value and success for our customers by focusing on data, next best actions and maximizing member and provider outreach. They will also support identification of enhancements or improvements in the Cotiviti solutions to better support our clients. The Stars Analyst will directly own and manage a small number of clients and is responsible to oversee all aspects of our engagement for our Stars, as well as HEDIS / Quality solution set. They will leverage their healthcare and project management knowledge in an effort to deliver the highest quality of services to Cotiviti clients.

Responsibilities :

• Support the end-to-end Stars strategy, execution, and results across the assigned book of business.
• Collaborates with regional and local health plan business leaders to improve overall Star ratings for their Medicare products.
• Perform data and program management, included, but not limited to end-to-end data assessment to ensure accuracy in Stars measures.
• Leads the organization to drive innovative initiatives that address low-performing measures.
• Monitors historical and current data trends in order to make recommendations and predictions.
• Inform and implement member centric health activation and provider network strategies to close gaps, improve outcomes and achieve results across Stars measures.
• Ensures program compliance and identifies opportunities to improve service and quality outcomes.
• Act as the Cotiviti Stars program expert for both internal and external stakeholders.
• Supports Stars-related quality initiatives and activities across multiple business lines.
• Responsible for executing both national and market-specific strategies to ensure Stars success.
• Aggregates Stars results and ongoing performance measures to senior and executive leadership.
• Remains current and provides expertise around CMS Star measures, CAHPS, HOS guidelines.
• Educates, advocates, and influences regulatory and policy organizations on behalf of Cotiviti.
• Supports thought leadership publications around Stars and Medicare Advantage market.
• Produces and manages documents related to client projects, calls, meetings, product specifications, special initiatives and follow up.
• Interacts directly with customers to drive client satisfaction and product adoption.
• Fully accountable for ensuring that open issues are managed in a timely manner and that no key milestones are missed.
• Responsible to track and report on client contractual SLA's.
• Identify issues and obstacles that may hinder success and ensure the appropriate Cotiviti resources are working to address these issues.
• Complete all special projects and other duties as assigned.

Qualifications :

Equal Opportunity Employer / Protected Veterans / Individuals with Disabilities