Consultant, Stars Consulting Center of Excellence

Press Ganey is the leading experience measurement, data analytics, and insights provider for complex industries. Our roots are in U.S. healthcare, and today we serve clients globally across industries to improve the human experiences at the heart of their business. We combine technology, data, and expertise to help clients pinpoint and prioritize opportunities, accelerate improvement efforts, and build lifetime loyalty among customers and employees.

About the role

We are seeking a Consultant to join our Stars Consulting Center of Excellence within the Consulting team. This role is ideal for a hands-on professional with prior health plan experience supporting Medicare Star Ratings performance. The Consultant will build analyses and deliverables that power Stars consulting engagements across CAHPS, HEDIS, HOS, medication adherence, and operational measures.

Responsibilities

• Utilize Press Ganey and client data assets to consult with stakeholders, responding to industry changes and opportunities for improvement in complex situations.
• Partner with health plans and medical groups to complete data analysis, interpretation, and process design to identify, recommend, and solve business problems.
• Construct and lead data analysis across Stars measure domains (CAHPS, HEDIS, HOS, medication adherence, and operational measures), including performance trending, cut point and gap analysis, and member experience drivers.
• Summarize conclusions and recommendations from data analyses.
• Train clients on Stars and member experience best practices, ensuring active engagement and effective knowledge transfer.
• Coordinate actions to efficiently complete work, including delegating and leveraging internal and client resources.
• Manage and deliver the defined scope of engagement plans, including timelines, deliverables, budget, and outcomes.
• Prepare client deliverables such as data analyses, assessments, quality reviews, training, and presentations.
• Build and manage successful client relationships, generating positive feedback on quality, value, innovation, delivery, and results.
• Serve as the direct point of contact with the client, proactively building strategic working relationships.
• Communicate effectively and influence various audiences, including project risks and recommendations.
• Plan, organize, and prioritize project activities using work plans and other project management tools.
• Monitor CMS guidance, rate announcements, and technical specification updates, summarizing implications for clients and the Stars team.
• Support integration of Stars consulting deliverables with Hyperlift analytics and CAHPS/HOS survey insights.

Requirements

• 2+ years of experience in health plan quality, Star Ratings, and/or experience management, with hands-on exposure to Medicare Advantage.
• Specific experience/background in one or more of the following:
  • HEDIS operations and rate improvement, including measure specifications, supplemental data, and medical record review.
  • CAHPS and member experience improvement across lines of business.
  • Medication adherence and Part D measures.
  • HOS and health outcomes measurement.
  • Knowledge of government programs driven by Medicare Stars and NCQA.
  • Proven track record of quality or experience improvement with health plan stakeholders.
• Exposure to Special Needs Plans (D-SNP, C-SNP, or I-SNP), including SNP-specific quality, compliance, and member experience considerations, strongly preferred.
• Demonstrated experience in driving performance improvement initiatives.
• Strong data analytic skills (Excel, Access, SQL, SAS, etc.).
• Advanced skills in MS Office Products (Word, PPT, Excel) to support document preparation.
• Ability to work under pressure, meet deadlines, and adapt to multiple priorities.
• Bachelor’s degree.

Press Ganey encourages candidates to apply even if they don’t meet every qualification. We are dedicated to building a diverse, inclusive, and authentic workplace.

Pay

The expected base salary for this position ranges from $90,000 to $125,000. Offers are typically made below the top of the range and are based on factors including relevant skills, training, experience, education, and market considerations. In addition to base salary, successful candidates are eligible for a discretionary bonus or commission tied to achieved results, as well as a competitive benefits package.

Schedule

This is a remote, US-based role with up to 50% travel required.