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 SME will lead data quality initiatives, drive improvements in reporting processes, and serve as a subject matter expert on HEDIS measures and CMS STARs methodologies.

Key Responsibilities

• Lead data quality initiatives impacting HEDIS and CMS submissions, ensuring compliance and performance accuracy
• Collaborate with stakeholders to define and implement data governance frameworks and standards
• Translate complex regulatory requirements into functional and technical specifications while driving integration across reporting systems

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, including validation and reconciliation processes
• Proven ability to engage business stakeholders and translate requirements into effective solutions
• Experience in client-facing consulting or product engineering environments