HEDIS Performance Analytics Lead

Capital Blue Cross

Senior Analyst powering HEDIS improvement initiatives through advanced data analytics and insight generation. Leading development of predictive models and translating findings into actionable recommendations.

Posted 5/9/2026full-timeRemote • Pennsylvania • 🇺🇸 United StatesSenior💰 $83,800 - $157,890 per yearWebsite

Tech Stack

Tools & technologies

PythonSQLTableau

About the role

Key responsibilities & impact

Powering all HEDIS improvement initiatives through advanced data analytics and insight generation.
Lead the development of predictive models to identify members at risk of care gaps and prioritize outreach opportunities.
Translate complex analytical findings into clear, actionable recommendations for executive and operational stakeholders.
Conduct pre/post and longitudinal analyses to evaluate program impact.
Collaborate with Clinical, Quality, Provider Engagement, and Operations teams to align analytics with business needs.

Requirements

What you’ll need

7-10+ years of experience in healthcare analytics, HEDIS, or quality performance improvement.
Advanced analytical skills, including experience with predictive modeling, statistical analysis, and large datasets.
Demonstrated ability to translate data into actionable insights that drive measurable outcomes.
Proficiency in data tools and programming languages (e.g., SQL, Python, R).
Experience with data visualization tools (e.g., Tableau, Power BI).

Benefits

Comp & perks

Medical, Dental & Vision coverage
Retirement Plan
Generous time off including Paid Time Off
Holidays
Volunteer time off
Incentive Plan
Tuition Reimbursement

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

predictive modelingstatistical analysisdata analysislarge datasetsdata visualization

Soft Skills

analytical skillscommunicationcollaborationtranslating data into insights