Sr. Director, Medicare Quality Analytics

Job Duties/Responsibilities: Translate complex CMS methodology into technical data requirements and support regulatory reporting and CMS audit readiness through rigorous data validation.**Other Duties as Assigned** Job Requirements:Experience: Significant experience in a leadership capacity, with demonstrated ability to set technical vision and manage teams. In-depth knowledge of the healthcare industry, specifically Medicare Advantage and the CMS Star Ratings System. Expert-level proficiency with modern data architecture principles, including cloud platforms (Azure), data warehousing, data lakes, and ETL/ELT processes. Demonstrated experience establishing and managing data governance and data quality programs. Strong understanding of data security and compliance requirements in a healthcare context. 10+ years’ experience in Medicare Advantage Plans10+ years’ experience in a technical leadership position in a healthcare environmentEducation: Specialized Skills: **Healthcare & Stars Domain Knowledge**: Required understanding of Medicare Advantage, the CMS Star Ratings Program, HEDIS measures, CAHPS/HOS surveys, and pharmacy data (PDE).

The ability to direct and apply sophisticated statistical and machine learning methods to solve critical business problems. This includes overseeing model selection, validation, and interpreting results to guide high-level strategic decisions. Expert-level proficiency in Python and advanced SQL, with the ability to set and enforce best practices for coding, analytical rigor, and reproducibility across the team and its projects. : The ability to distill highly complex data concepts, challenges, and technical jargon into clear, concise summaries. Must be able to articulate the business value and strategic implications of ‘technical’ decisions to non-technical executives and stakeholders. **Stakeholder Management & Influence**: Proven ability to build consensus and foster strong relationships with a diverse range of stakeholders, including clinical leaders, business executives, IT teams, and compliance officers. **Thought Leadership & Mentorship**: The ability to lead through influence, mentor technical staff, and champion best practices to elevate the data capabilities of the entire organization. 1.

While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.2. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. #J-18808-Ljbffr