Sr. STARS Quality Analyst

About the role

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the “12 Angry Seniors.” Their mission continues to guide everything we do. Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults. Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity.

Responsibilities

• Monitor, analyze, and develop insights on STAR measure performance for HEDIS, CAHPS, HOS, Pharmacy (PQA), and Operational measures.
• Perform root-cause analysis to identify drivers of performance gaps and recommend targeted interventions.
• Partner with Health Care Informatics and other internal analytics team to ensure dashboards, scorecards, and routine performance reports for leadership and operational partners.
• Model future projections and perform “What-if” scenarios for STAR rating forecasts.
• Conduct routine process analysis for department’s operating procedures and validate compliance with regulatory requirements or develop details assessment outlining gaps/risks identified with proposed process redesigns to mitigate identified gaps and risks.
• Collaborate with internal teams (Clinical Operations, Pharmacy, Member Experience, Network, Provider Relations) to design and implement quality improvement strategies.
• Track performance of interventions and provide data-driven insights on progress and effectiveness.
• Conduct Star competitor analysis and develop insights for all SCAN markets, potential partnerships, or growth opportunities.
• Work with IT and data teams to enhance data infrastructure and ensure data quality for STAR reports, and troubleshoot data discrepancies.
• Support the design and evaluation of interventions aimed at improving provider performance, member satisfaction, and clinical outcomes.

Qualifications

• Experience as a Senior Quality Analyst within a health plan or healthcare organization working with a STAR program is highly desirable.
• Bachelor's Degree or equivalent experience required.
• Master’s degree in a related field preferred.
• Experience working within a health plan STAR team.
• Familiarity with claims, encounter, and EMR data.
• Experience supporting provider engagement or quality improvement initiatives.
• Strong knowledge of CMS STAR Ratings methodology, HEDIS measures, CAHPS, HOS, and Medicare Advantage quality programs.
• Advanced proficiency in data analysis tools (Excel, SQL, Python, SAS, R, Tableau, or Power BI).
• Proficient with MS Office (Access, Word, Excel, PowerPoint) and e-mail.
• Ability to communicate complex analytical information to diverse audiences.
• Analytical Thinking and Problem-Solving - excel in breaking down complex information and deriving actionable insights.
• Strong organizational and project management skills.
• Ability to work independently and in a team environment.
• Ability to work under tight deadlines & manage multiple responsibilities independently.