Senior Product Engineer - HEDIS

Job Summary

To support healthcare payer clients in advancing data quality and regulatory reporting, the full-time remote Senior Product Engineer - HEDIS will lead initiatives focused on HEDIS reporting, data governance, and analytics capabilities while acting as a subject matter expert and trusted advisor.

Key Responsibilities

• Lead data quality initiatives impacting HEDIS and regulatory reporting accuracy
• Collaborate with stakeholders to define and implement data governance frameworks and standards
• Develop and implement predictive models and analytics frameworks to improve quality outcomes and STARs performance

Required Qualifications

• 7-12+ years of healthcare payer experience with expertise in HEDIS reporting and CMS STARs methodology
• Demonstrated experience in data quality management and analytics within payer environments
• Strong understanding of claims and encounter data and data lifecycle processes
• Proven ability to engage business stakeholders and translate requirements into solutions
• Experience in client-facing consulting or product engineering environments