Consultant

Press Ganey

Medicare Stars Consultant helping health plans improve quality, member experience, and performance. Analyzing CAHPS, HEDIS, HOS, medication adherence, and operational measures for Press Ganey clients.

Posted 8/5/2026full-timeRemote • Tennessee • 🇺🇸 United StatesJuniorMid-Level💰 $90,000 - $125,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in health plan quality improvement, particularly in Star Ratings and experience management, with strong analytical skills in data interpretation and process design. Proven ability to manage client relationships and deliver impactful recommendations based on data analysis.

Highest-signal resume keywords

Health Plan Quality ImprovementStar Ratings ExpertiseData Analysis Using Excel, Access, SQL, SASMedicare Advantage ExperienceClient Relationship Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisProcess DesignPerformance Improvement InitiativesHEDIS OperationsCAHPS ImprovementMedication AdherenceHealth Outcomes MeasurementQuality ReviewsProject ManagementStatistical Analysis

Soft Skills

CommunicationAdaptabilityOrganizational SkillsTeam CoordinationInfluencing Skills

Tools & Technologies

ExcelAccessSQLSASMS Office

Industry Keywords

Medicare AdvantageStars ConsultingNCQA Government ProgramsSpecial Needs PlansD-SNPC-SNPI-SNPCMS GuidanceMember ExperienceOperational Measures

Tech Stack

Tools & technologies

SQL

About the role

Key responsibilities & impact

Consult with client stakeholders using Press Ganey and client data assets to respond to industry changes and identify improvement and growth opportunities
Partner with health plans and medical groups to complete data analysis, data interpretation, and process design
Lead analysis across Stars measure domains, including CAHPS, HEDIS, HOS, medication adherence, and operational measures
Conduct performance trending, cut point and gap analysis, and analyze member experience drivers
Summarize conclusions and recommendations
Train clients on Stars and member experience best practices and process improvement
Coordinate actions, delegate work, and leverage internal and client resources
Manage engagement scope, timelines, deliverables, budget, and outcomes
Lead preparation of client deliverables, including data analyses, assessments, quality reviews, training, and presentations
Build and manage successful client relationships
Serve as direct client point of contact and establish strategic working relationships
Communicate risks and recommendations to project management and influence client audiences
Plan, organize, and prioritize project activities using work plans and project management tools
Monitor CMS guidance, rate announcements, and technical specification updates and summarize implications
Support integration of Stars consulting deliverables with Hyperlift analytics and CAHPS/HOS survey insights

Requirements

What you’ll need

2+ years of previous work experience in health plan quality, Star Ratings, and/or experience management
Hands-on exposure to Medicare Advantage
Experience in one or more of: HEDIS operations and rate improvement; CAHPS and member experience improvement; medication adherence and Part D measures; HOS and health outcomes measurement; Medicare Stars and NCQA government programs
Proven track record of quality or experience improvement with health plan stakeholders
Exposure to Special Needs Plans, including D-SNP, C-SNP, or I-SNP, strongly preferred
Demonstrated experience driving performance improvement initiatives
Strong data analytic skills using Excel, Access, SQL, SAS, or similar tools
Advanced MS Office skills, including Word, PowerPoint, and Excel
Ability to work under pressure, meet deadlines, and adapt quickly to multiple priorities
Bachelor’s degree

Benefits

Comp & perks

Competitive benefits package
Discretionary bonus or commission tied to achieved results
Remote work arrangement
Up to 50% travel
Reasonable accommodations for qualified individuals with disabilities or disabled veterans
Diverse, inclusive and authentic workplace