Medicare STARS Reporting Analyst
About The Position
OptumRx is seeking a skilled Business Analyst to support our Star reporting strategy, with a focus on Part D measures. In this role, you will be responsible for delivering advanced analytics, reporting, and performance measurements that support Medicare Part D Star Ratings improvement initiatives. This role transforms complex healthcare data into actionable insights that help identify trends, evaluate program effectiveness, and drive data-informed strategies to improve Star Ratings outcomes. You will enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.
Requirements
- 5+ years relevant work experience in analytics, data science, statistics, or another related field
- 3+ years of Medicare, managed care, PBM or health plan experience
- 1+ years of experience presenting to internal and external stakeholders
- Advanced level of proficiency with Excel (formulas, VLOOKUP, Pivot Tables, Power Query etc.)
- Advanced level of proficiency with Power BI, Tableau, or other data visualization software
- Advanced level of proficiency in querying databases (SQL) for extracting and analyzing large datasets
Nice To Haves
- Experience in a client-facing role
- Experience working with the Part D Medicare Star Rating Program
- Innovative mindset to enhance the Stars reporting product
Responsibilities
- Support Stars reporting and analytics for Medicare clients, including recurring reporting deliverables and ad hoc data requests
- Collaborate with cross-functional teams to define business needs and document functional and/or technical requirements
- Perform detailed analysis of Stars performance data to identify trends, gaps, and key drivers to make informed data-driven decisions
- Identify opportunities to streamline, automate, and improve Stars reporting and analytics processes
- Translate raw data into clear, concise visualizations using BI tools for both technical and non-technical audiences
- Document reporting processes, data sources, and analytical methodologies to support scalability and knowledge transfer
- Analyze and interpret CMS technical manuals, regulatory guidance, and specification updates
Benefits
- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
