Job Closed
This listing is no longer active.
Principal Quality Analytics Lead
Location
United States
Posted
53 days ago
Salary
$133.2K - $180.9K / year
Seniority
Senior
Job Description
Principal Quality Analytics Lead
Lumeris
• Design, build, and maintain CMS-aligned Stars/HEDIS analytic assets, including dashboards, data extracts, recurring performance views, and executive-ready reporting products. • Translate measure specifications (numerator, denominator, exclusions) into auditable analytic logic and develop member-, provider-, and measure-level views to guide Quality Improvement actions. • Analyze multi-source data (quality, medical, pharmacy, clinical) to establish baselines, detect trends, uncover root causes of performance gaps, and distinguish data issues from operational issues. • Partner with Quality Improvement, Clinical, Pharmacy, and Operations stakeholders to prioritize high-impact opportunities and convert analytic insights into intervention targeting, workflow integration, and measurable gap closure. • Automate and scale recurring quality reporting to reduce manual effort through scalable dashboards, reusable SQL, documented logic, and repeatable processes. • Create and manage validation routines, QA checks, and reconciliation processes to ensure quality reporting is accurate, trusted, reproducible, and audit-ready. • Translate complex technical and measure logic into clear, decision-ready performance narratives for non-technical stakeholders and health plan leadership. • Serve as a senior subject matter expert on Stars, HEDIS, quality measure reporting, and health plan operations, advising on the workflow integration of analytic insights.
Job Requirements
- 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.
Benefits
- 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...
Related Guides
Related Categories
Related Job Pages
More Data Scientist Jobs
• Serve as the technical authority on experimentation methodology across Consumer, setting standards for design, analysis, and interpretation of experiments in a complex, networked environment • Tackle the hardest experimentation problems at Reddit, including spillover and network effects, interference between treatment and control, two-sided experimentation, and long-run effect estimation • Develop and advance methods for causal inference in settings where standard randomization assumptions are violated, such as cluster-randomized designs, switchback experiments, and synthetic control approaches • Design experimentation frameworks and guardrail metrics that account for ecosystem-level effects, ensuring product teams can measure true causal impact rather than biased local estimates • Identify opportunities where improved experimentation methodology can unlock product insights that were previously unmeasurable or ambiguous • Build and scale self-serve experimentation tools, platforms, and best-practice documentation that increase experimentation velocity and literacy across product, engineering, and design teams • Influence the long-term product strategy by driving learning through well-designed experiments and translating experimental results into clear, actionable recommendations for senior leadership • Mentor and elevate other data scientists across the organization on experimentation best practices, causal reasoning, and statistical rigor • Publish and share methodological advances internally and, where appropriate, externally to contribute to the broader experimentation and causal inference community
• Serve as the technical authority on relevance metrics and evaluation methodology across Consumer, setting standards for how we measure the quality of feeds, search results, and recommendations in a complex, community-driven environment • Develop metrics frameworks and offline evaluation approaches for ranking and recommendation systems, including proxy metrics that reliably predict long-term outcomes like retention, community health, and user satisfaction • Design and analyze experiments for relevance features, accounting for challenges unique to networked platforms such as spillover effects between communities, interference between contributors and consumers, and long-run impacts of ranking changes on content supply • Identify opportunities where improved measurement and analysis can unlock product insights that were previously unmeasurable or ambiguous, particularly around content quality, search intent understanding, and personalization effectiveness • Partner deeply with ML engineers and product teams to translate model performance metrics into user-facing impact • Influence the long-term product strategy for Feeds and Search by synthesizing insights from experimentation, observational analysis, and metric deep-dives into clear, actionable recommendations for senior leadership • Mentor and elevate other data scientists across the organization on relevance evaluation, experimentation best practices for ranking systems, causal reasoning, and statistical rigor • Publish and share methodological advances internally and, where appropriate, externally to contribute to the broader relevance, recommendation systems, and experimentation community
• Serve as the technical authority on relevance metrics and evaluation methodology across Consumer, setting standards for how we measure the quality of feeds, search results, and recommendations in a complex, community-driven environment • Develop metrics frameworks and offline evaluation approaches for ranking and recommendation systems, including proxy metrics that reliably predict long-term outcomes like retention, community health, and user satisfaction • Design and analyze experiments for relevance features, accounting for challenges unique to networked platforms such as spillover effects between communities, interference between contributors and consumers, and long-run impacts of ranking changes on content supply • Identify opportunities where improved measurement and analysis can unlock product insights that were previously unmeasurable or ambiguous, particularly around content quality, search intent understanding, and personalization effectiveness • Partner deeply with ML engineers and product teams to translate model performance metrics into user-facing impact • Influence the long-term product strategy for Feeds and Search by synthesizing insights from experimentation, observational analysis, and metric deep-dives into clear, actionable recommendations for senior leadership • Mentor and elevate other data scientists across the organization on relevance evaluation, experimentation best practices for ranking systems, causal reasoning, and statistical rigor • Publish and share methodological advances internally and, where appropriate, externally to contribute to the broader relevance, recommendation systems, and experimentation community
Senior Manager, Data Science & Analytics
Zeta GlobalWe deliver better experiences for consumers and better results for your brand.
• Define and drive a clear analytics vision aligned to client engagement, media performance, and marketing measurement priorities. • Champion a data-driven culture by embedding analytics into strategic planning, campaign optimization, and decision-making processes. • Lead the development and execution of measurement frameworks tailored to each client’s objectives, ensuring alignment with business goals. • Translate data into actionable insights by identifying performance drivers, resolving anomalies, and crafting compelling narratives that demonstrate media impact. • Establish and maintain robust testing frameworks that are statistically valid and operationally scalable. • Drive confidence and alignment by delivering actionable insights rooted in analytics, business strategy, and persuasive communication. • Provide business feedback as a key stakeholder in the development of standardized dashboards and advanced analytics to measure the effectiveness of campaigns. • Leverage predictive and prescriptive analytics to identify trends, opportunities, and risks related to client behavior and retention. • Utilize advanced analytics to quantify marketing impact and ROI, and partner cross-functionally to diagnose and address performance irregularities. • Implement robust A/B and multivariate testing and experimentation protocols to optimize campaigns and maximize impact.


