Blue Cross and Blue Shield of Louisiana

Lead STAR Rating Improvement Analyst

Blue Cross and Blue Shield of Louisiana

full-time

Posted on:

Location Type: Remote

Location: Louisiana • New Hampshire • United States

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Job Level

Senior

About the role

  • Oversee, plan, and implement new and existing healthcare quality improvement initiatives and educational programs that enhance CMS Part C and Part D Star Ratings.
  • Manage enterprise‑wide Stars projects from design through completion, ensuring timely delivery and measurable outcomes.
  • Serve as a key liaison supporting collaboration across multiple internal departments.
  • Lead, plan, and execute Stars performance improvement initiatives across multiple business units.
  • Manage and standardize Stars projects, ensuring effectiveness, compliance, and alignment with regulatory and accreditation standards.
  • Analyze and interpret complex data sets to identify trends, evaluate program effectiveness, and develop improvement strategies.
  • Serve as a subject matter expert, providing thought leadership on measure‑level improvement opportunities.
  • Collaborate closely with cross‑functional teams to track KPIs, escalate barriers, and implement innovative quality improvement workflows.
  • Build strong internal partnerships, particularly with Health Services and analytics teams, to support clinical workflow enhancements, reporting, and targeting strategies.

Requirements

  • Bachelor’s degree in business, nursing, analytics, public health, health sciences, health promotion, or related field required.
  • 7 years’ experience in government programs, value‑based programs, quality improvement, or a similar role.
  • Experience with Medicare Advantage, HEDIS, analytics, quality, or value‑based programs required.
  • Strong organizational relationship management skills.
  • Ability to thrive in ambiguity and operate independently.
  • Critical thinking, problem‑solving, and conflict resolution skills.
  • Excellent time management and attention to detail.
  • Strong verbal and written communication skills; comfortable presenting to leadership.
  • Ability to navigate multiple systems including Microsoft Outlook, Teams, Word, Excel, Visio, and other corporate applications.
  • Ability to apply analytical and statistical knowledge to support quality improvement projects.
  • Ability to work collaboratively in a matrix environment and engage effectively with all levels of staff.
  • Knowledge of healthcare industry operations, payer business models, and quality programs.
  • Lean Six Sigma certification preferred.
Benefits
  • health insurance
  • retirement plans
  • paid time off
  • flexible work arrangements
  • professional development
  • bonuses
  • stock options
  • equipment allowances
  • wellness programs
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
data analysisprogram evaluationquality improvementstatistical knowledgeproject managementKPI trackingmeasure-level improvementhealthcare quality standardsregulatory compliancevalue-based programs
Soft Skills
organizational relationship managementcritical thinkingproblem-solvingconflict resolutiontime managementattention to detailverbal communicationwritten communicationcollaborationindependence
Certifications
Lean Six Sigma