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About the Role

Press Ganey is seeking a Consultant to join our Stars Consulting Center of Excellence. This role is ideal for a Medicare Advantage professional who combines strong analytical capabilities with deep knowledge of Stars performance and regulatory quality programs. You will work directly with health plan leaders to identify opportunities, solve complex challenges, and deliver strategies that improve performance across the most critical quality measures.

Responsibilities

Lead consulting engagements focused on Medicare Stars and regulatory performance improvement.
Analyze and interpret data across HEDIS, CAHPS, HOS, Part D, operational measures, and Special Needs Plans (SNPs).
Conduct performance assessments, measure trending, gap analyses, cut-point modeling, and root cause analyses.
Develop executive-level recommendations and actionable improvement strategies based on data insights.
Partner with health plan and medical group stakeholders to identify opportunities for quality, experience, and operational improvement.
Design and facilitate workshops, training sessions, and process improvement initiatives.
Manage project plans, timelines, deliverables, budgets, and engagement outcomes.
Build strong client relationships and serve as a primary point of contact throughout engagements.
Monitor CMS guidance, regulatory requirements, and technical specification updates, translating changes into meaningful client recommendations.
Collaborate with cross-functional teams to integrate Stars consulting strategies with analytics, CAHPS, HOS, and member experience solutions.

Requirements

2+ years of experience in health plan quality, Medicare Stars, healthcare consulting, experience management, or performance improvement.
Hands-on experience supporting Dual/SNP and MA Star Ratings performance.
Knowledge of one or more quality domains, including HEDIS, CAHPS, HOS, Part D, medication adherence, or quality operations.
Strong analytical and problem-solving skills with experience using Excel, Access, SQL, SAS, or similar tools.
Demonstrated success driving measurable quality or performance improvement initiatives.
Exceptional written, verbal, and presentation skills.
Ability to influence stakeholders and communicate effectively with executive audiences.
Advanced proficiency in Microsoft Office Suite, particularly Excel and PowerPoint.
Strong project management and organizational skills.

Skills

Excel
Access
SQL
SAS
Microsoft Office Suite
PowerPoint

Location

Remote (U.S.-Based)

Work Type

Remote
Full-time

Experience Level

2+ years of experience

Education Level

Bachelor's degree

Salary/Compensations

$90,000 to $125,000

Benefits

Competitive benefits package
Discretionary bonus or commission tied to achieved results

About the Company

Press Ganey is the leading experience measurement, data analytics, and insights provider for complex industries.
Our Mission: We empower organizations to deliver the best experiences. With industry expertise and technology, we turn data into insights that drive innovation and action.
Our Values: To put Human Experience at the heart of organizations so every person can be seen and understood. Energize the customer relationship: Our clients are our partners. We make their goals our own, working side by side to turn challenges into solutions. Success starts with me: Personal ownership fuels collective success. We each play our part and empower our teammates to do the same. Commit to learning: Every win is a springboard. Every hurdle is a lesson. We use each experience as an opportunity to grow. Dare to innovate: We challenge the status quo with creativity and innovation as our true north. Better together: We check our egos at the door. We work together, so we win together.

Equal Opportunity

Press Ganey is committed to providing reasonable accommodations to qualified individuals with disabilities or disabled veterans in the hiring process.
Press Ganey Associates LLC is an Equal Employment Opportunity/Affirmative Action employer and well committed to a diverse workforce.
We do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, veteran status, and basis of disability or any other federal, state, or local protected class.
Pay Transparency Non-Discrimination Notice – Press Ganey will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant.