Senior Product Manager – HEDIS SME

Huron

Senior Product Engineer on HDTx Payer Services team improving data quality and analytics for healthcare payers. Leading initiatives on HEDIS reporting, CMS and regulatory reporting accuracy, and engagement with stakeholders.

Posted 6/19/2026full-timeRemote • Illinois • 🇺🇸 United StatesSeniorWebsite

About the role

Key responsibilities & impact

Lead data quality initiatives impacting HEDIS, CMS submissions, and regulatory reporting accuracy
Assess, identify, and resolve data gaps, inconsistencies, and lineage issues across payer systems
Drive improvements in data validation, reconciliation, and reporting processes to ensure compliance and performance accuracy
Partner with stakeholders to define and implement data governance frameworks and standards
Serve as SME for HEDIS measures and CMS STARs rating methodologies, ensuring alignment of reporting and performance strategies
Translate complex regulatory requirements into functional and technical specifications
Support measurement strategy, performance monitoring, and reporting optimization to improve STARs outcomes
Provide advisory support to payer clients on CMS data submission and reporting best practices
Lead design and optimization of solutions leveraging Cognizant CMS Edge Server, Claimsphere, Core payer platforms (e.g., Facets)
Drive integration and data flow across claims, encounter, and reporting systems
Collaborate with engineering teams to deliver scalable reporting and analytics products
Develop and implement predictive models and analytics frameworks to improve quality outcomes and STARs performance
Enable advanced analytics capabilities using payer data to identify trends, risks, and opportunities
Evolve reporting solutions into forward-looking, insights-driven platforms
Engage directly with business and executive stakeholders, acting as a strategic advisor
Translate business needs into technical roadmaps and product solutions
Lead or contribute to client-facing discussions, workshops, and design sessions
Collaborate across multi-disciplinary teams (data, IT, compliance, business operations)

Requirements

What you’ll need

7–12+ years of healthcare payer experience
strong domain expertise in HEDIS reporting
CMS STARs methodology
regulatory reporting and quality programs
demonstrated experience in data quality management, reporting, and analytics within payer environments
strong understanding of Claims and encounter data
data lifecycle, validation, and reconciliation processes
proven ability to engage business stakeholders and translate requirements into solutions
experience working in client-facing consulting or product engineering environments
strong communication skills with ability to interface across technical and non-technical teams

Benefits

Comp & perks

medical, dental, and vision coverage to employees and dependents
401(k) plan with a generous employer match
employee stock purchase plan
generous Paid Time Off policy
paid parental leave and adoption assistance
Wellness Program supports employee total well-being by providing free annual health screenings and coaching, bank at work, and on-site workshops

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

data quality managementdata validationdata reconciliationpredictive modelinganalytics frameworksreporting optimizationdata governancedata integrationHEDIS reportingCMS STARs methodology

Soft Skills

stakeholder engagementcommunication skillsstrategic advisorycollaborationproblem-solvingclient-facing experiencetranslating requirementsleadershipinterpersonal skillsorganizational skills