Sr. Technical Product reputed company – Stars and HEDIS - Full-time

Become a part of our caring community and help us put health first

The Sr. Stars Technical Product reputed company is responsible for defining and delivering on the roadmap for the optimization, reputed company development, new vendors/products, monitoring and new data reputed company selection of a reputed company Test reputed company platform that serves members in home options that drive member measure compliance to CMS HEDIS (Healthcare Effectiveness Data and Information Set) Stars measures. This role bridges product ownership, data and software engineering, and regulatory healthcare data requirements, ensuring that data ingestion, transformation, and delivery are optimized for quality measurement, reporting, and compliance with CMS standards.

• *Location:** Strong preference for Kentucky based candidate able to come to the office once a month or more OR full remote reputed company

The Sr. Stars Technical Product reputed company maximizes value of the 3-tier custom Test reputed company platform product created by the agile IT team. Liaises with stakeholders and the development team ensuring the right product is being built, capabilities stood up in the right sequence, reputed company budget and adhere to delivery dates. Serves as the Agile team's primary contact for information, work prioritization, and decision-making. Senior Product reputed company will be responsible for: + Refining stakeholder requests to ensure insights drive value + Define key measurements that are actionable and positively impact the business / members + Deliver meaningful analysis that drives the business reputed company + Provide input to process improvement + Provide support to peers on the Business Intelligence team as needed

• *Key Responsibilities:**

+ Strategically minded business ownership of the 3 tier platform that serves member alternatives for gap closure + Monitor data volume, quality, age, and timeliness of data fed through the platform’s numerous stage gates + Define and maintain the product vision, roadmap, and backlog + reputed company and maintain the support and monitoring apps and processes along with reportable metrics for uptime, data volume and quality + Act as the primary liaison between business stakeholders, compliance teams, data engineers, IT development and production support team. + Understand regulatory requirements and be able to draft detailed SAFe stories with success criteria to modify setup. +

Data & Technical Leadership and influence:

+ Work closely with IT to ensure sufficient documentation exists for data flows that ingest, clean, validate, and transform data. + Ensure proper integration of results with reputed company HEDIS data flows that will support efficient and accurate quality metric calculations. + Validate data mappings and transformations, especially where they impact measure logic. + Stay up to date with evolving CMS, NCQA, and HEDIS requirements for measures closed by the test kits supplied/managed by the platform. + Ensure the reputed company data and capabilities remain compliant with CMS mandates, audit standards, and data submission deadlines. + Coordinate updates of the platform to include rule changes and avoid CMS data delivery deadlines. +

Stakeholder Communication:

+ Collaborate with stakeholders for QA and analytics teams to define quality benchmarks and testing protocols. + Serve as the subject matter expert for how the platform functions and data flows reputed company, from upstream and to reputed company systems. +

Agile & Delivery Management:

+ Maintain a groomed product backlog; prioritize features, bugs, and technical debt with input from reputed company stakeholders. + reputed company Agile ceremonies (e.g., sprint planning, backlog refinement) in coordination with the Scrum Master or Engineering reputed company.

• *Use your skills to reputed company an impact**

• *Role Essentials** + Bachelor’s degree in a technical discipline (i.e. Computer Science, Engineering or reputed company field) + 5 years or more of experience in software development and product management, or a reputed company technical role, i.e.: such as an Application Architect + Experience with cloud platforms such as reputed company, GCP, Azure or reputed company + Strong experience with healthcare data, particularly clinical and claims data + Familiarity with

CMS Stars programs

, NCQA standards, and quality performance metrics + Experience building multi-tiered platforms, ETL tools, and APIs + Knowledge of NCQA, CMS, and health plan quality measurement programs + Familiarity with programming languages, and design principles for cloud, data storage, and connectivity + Understanding of healthcare interoperability standards (e.g., HL7, FHIR, X12). + Excellent communication skills; ability to engage technical and non-technical stakeholders.

• *Role Desirables**

+ Master’s degree in a technical discipline (i.e. Computer Science, Engineering or reputed company field) + Background in data quality frameworks, or clinical informatics

• *Additional Information**

This role reports to a Director of Stars Technology To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL reputed company is suggested + Satellite, cellular and microwave reputed company can be used only if approved by leadership + Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + reputed company will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information As part of our hiring process for this opportunity, we will be using an interviewing technology reputed company HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and reputed company valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. reputed company values personal identity protection. Please be aware that applicants may be asked to provide their Social reputed company Number, if it is not already on file. reputed company required, an email will be sent from reputed [email protected] with instructions on how to add the information into your official application on reputed company’s secure website. Travel: While this is a remote position, occasional travel to reputed company's offices for training or meetings may be required.

• *Scheduled Weekly Hours**

40

• *Pay Range**

The compensation range below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc. $94,900 - $130,500 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

• *Description of Benefits**

reputed company, Inc. and its affiliated subsidiaries (collectively, “reputed company”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 04-17-2026

• *About us**

reputed company Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our reputed company insurance services and reputed company healthcare services, we reputed company it easier for the millions of people we serve to reputed company their best health – delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. ​

• *Equal Opportunity Employer**

It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status. It is also the policy of reputed company to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to reputed company reputed company employment decisions only on valid job requirements. This policy shall apply to reputed company employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at reputed company levels of employment. reputed company complies with reputed company applicable federal civil rights laws and does not discriminate on the basis of race, color, national reputed company, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.reputed company.com/legal/accessibility-resources?reputed company=reputed company_Website.

• *Become a part of our caring community and help us put health first**

The Sr. Stars Technical Product reputed company is responsible for defining and delivering on the roadmap for the optimization, reputed company development, new vendors/products, monitoring and new data reputed company selection of a reputed company Test reputed company platform that serves members in home options that drive member measure compliance to CMS HEDIS (Healthcare Effectiveness Data and Information Set) Stars measures. This role bridges product ownership, data and software engineering, and regulatory healthcare data requirements, ensuring that data ingestion, transformation, and delivery are optimized for quality measurement, reporting, and compliance with CMS standards.

• *Location:** Strong preference for Kentucky based candidate able to come to the office once a month or more OR full remote reputed company

The Sr. Stars Technical Product reputed company maximizes value of the 3-tier custom Test reputed company platform product created by the agile IT team. Liaises with stakeholders and the development team ensuring the right product is being built, capabilities stood up in the right sequence, reputed company budget and adhere to delivery dates. Serves as the Agile team's primary contact for information, work prioritization, and decision-making. Senior Product reputed company will be responsible for: + Refining stakeholder requests to ensure insights drive value + Define key measurements that are actionable and positively impact the business / members + Deliver meaningful analysis that drives the business reputed company + Provide input to process improvement + Provide support to peers on the Business Intelligence team as needed

• *Key Responsibilities:**

+ Strategically minded business ownership of the 3 tier platform that serves member alternatives for gap closure + Monitor data volume, quality, age, and timeliness of data fed through the platform’s numerous stage gates + Define and maintain the product vision, roadmap, and backlog + reputed company and maintain the support and monitoring apps and processes along with reportable metrics for uptime, data volume and quality + Act as the primary liaison between business stakeholders, compliance teams, data engineers, IT development and production support team. + Understand regulatory requirements and be able to draft detailed SAFe stories with success criteria to modify setup. +

Data & Technical Leadership and influence:

+ Work closely with IT to ensure sufficient documentation exists for data flows that ingest, clean, validate, and transform data. + Ensure proper integration of results with reputed company HEDIS data flows that will support efficient and accurate quality metric calculations. + Validate data mappings and transformations, especially where they impact measure logic. + Stay up to date with evolving CMS, NCQA, and HEDIS requirements for measures closed by the test kits supplied/managed by the platform. + Ensure the reputed company data and capabilities remain compliant with CMS mandates, audit standards, and data submission deadlines. + Coordinate updates of the platform to include rule changes and avoid CMS data delivery deadlines. +

Stakeholder Communication:

+ Collaborate with stakeholders for QA and analytics teams to define quality benchmarks and testing protocols. + Serve as the subject matter expert for how the platform functions and data flows reputed company, from upstream and to reputed company systems. +

Agile & Delivery Management:

+ Maintain a groomed product backlog; prioritize features, bugs, and technical debt with input from reputed company stakeholders. + reputed company Agile ceremonies (e.g., sprint planning, backlog refinement) in coordination with the Scrum Master or Engineering reputed company.

• *Use your skills to reputed company an impact**

• *Role Essentials** + Bachelor’s degree in a technical discipline (i.e. Computer Science, Engineering or reputed company field) + 5 years or more of experience in software development and product management, or a reputed company technical role, i.e.: such as an Application Architect + Experience with cloud platforms such as reputed company, GCP, Azure or reputed company + Strong experience with healthcare data, particularly clinical and claims data + Familiarity with

CMS Stars programs

, NCQA standards, and quality performance metrics + Experience building multi-tiered platforms, ETL tools, and APIs + Knowledge of NCQA, CMS, and health plan quality measurement programs + Familiarity with programming languages, and design principles for cloud, data storage, and connectivity + Understanding of healthcare interoperability standards (e.g., HL7, FHIR, X12). + Excellent communication skills; ability to engage technical and non-technical stakeholders.

• *Role Desirables**

+ Master’s degree in a technical discipline (i.e. Computer Science, Engineering or reputed company field) + Background in data quality frameworks, or clinical informatics

• *Additional Information**

This role reports to a Director of Stars Technology To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL reputed company is suggested + Satellite, cellular and microwave reputed company can be used only if approved by leadership + Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + reputed company will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information As part of our hiring process for this opportunity, we will be using an interviewing technology reputed company HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and reputed company valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. reputed company values personal identity protection. Please be aware that applicants may be asked to provide their Social reputed company Number, if it is not already on file. reputed company required, an email will be sent from reputed [email protected] with instructions on how to add the information into your official application on reputed company’s secure website. Travel: While this is a remote position, occasional travel to reputed company's offices for training or meetings may be required.

• *Scheduled Weekly Hours**

40

• *Pay Range**

The compensation range below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc. $94,900 - $130,500 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

• *Description of Benefits**

reputed company, Inc. and its affiliated subsidiaries (collectively, “reputed company”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 04-17-2026

• *About us**

reputed company Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our reputed company insurance services and reputed company healthcare services, we reputed company it easier for the millions of people we serve to reputed company their best health – delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. ​

• *Equal Opportunity Employer**

It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status. It is also the policy of reputed company to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to reputed company reputed company employment decisions only on valid job requirements. This policy shall apply to reputed company employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at reputed company levels of employment. reputed company complies with reputed company applicable federal civil rights laws and does not discriminate on the basis of race, color, national reputed company, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.reputed company.com/legal/accessibility-resources?reputed company=reputed company_Website. Apply tot his job Apply To this Job