Qualifications:  

• Bachelor's degree in Mathematics, Computer Science, Epidemiology, Public Health, Healthcare Administration, Data Analytics, or a related field; equivalent experience may be considered.

• 7+ years of healthcare analytics experience, with direct experience in Medicare Advantage Stars, HEDIS, quality measures, and health plan performance analytics.

• Hands-on experience writing complex SQL and extracting data from large, multi-layered health plan data environments.

• Experience building dashboards, recurring reports, or automated reporting processes using Tableau, Power BI, or similar business intelligence tools.

• Experience with Stars cut points, HEDIS specifications, CAHPS, medication adherence, clinical quality workflows, or care gap closure.

• Ability to translate Stars/HEDIS measure logic into analytic rules, including numerators, denominators, exclusions, and opportunity sizing.

• Experience working with healthcare datasets such as claims, eligibility, provider, pharmacy, or clinical data.

• Demonstrated ability to self-direct analyses, manage ambiguity, structure complex problems, and deliver actionable insights with limited direction.

• Experience using AI-enabled analytics, automation, or natural language tools to accelerate insight generation.

• Strong communication skills with the ability to explain technical concepts and recommended actions to non-technical stakeholders.

• Advanced degree in Public Health, Epidemiology, Analytics, Computer Science, Healthcare Administration, or a related field.

Working Conditions

• While performing the duties of this job, the employee works in normal office working conditions.

#LI-REMOTE

Pay Transparency:

Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role. In addition to the base salary, certain roles may qualify for a performance-based incentive and/or equity, with eligibility depending on the position. These rewards are based on a combination of company performance and individual achievements.

The hiring range for this position is:

$133,200.00-$180,900.00

Benefits of working at Lumeris

• Medical, Vision and Dental Plans

• Tax-Advantage Savings Accounts (FSA & HSA)

• Life Insurance and Disability Insurance

• Paid Time Off (PTO, Sick Time, Paid Leave, Volunteer & Wellness Days)

• Employee Assistance Program

• 401k with company match

• Employee Resource Groups

• Employee Discount Program

• Learning and Development Opportunities

• And much more...

Be part of a team that is changing healthcare!

Member Facing Position:

No- Not Member or Patient Facing Position

Location:

Remote, USA

Time Type:

Full time

Lumeris and its partners are committed to protecting our high-risk members & prospects when conducting business in-person. All personnel who interact with at-risk members or prospects are required to have completed, at a minimum, the initial series of an approved COVID-19 vaccine. If this role has been identified as member-facing, proof of vaccination will be required as a condition of employment.

Disclaimer:

• The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required. The physical activities, demands and working conditions represent those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individual with disabilities to perform the essential job duties and responsibilities.

Lumeris is an EEO/AA employer M/F/V/D.