Medicare Star Strategy Consultant

Who We Are Point
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Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point
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Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We’ve had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it’s at the core of who we are.

We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work.

We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at Point
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Health .

Job Summary Point
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Health is elevating the way it drives Medicare Star Ratings, moving from reporting on performance to strategically shaping it. Reporting to the Director, Medicare Star Strategy and partnering closely with Enterprise Clinical Strategy and Stars & Quality leadership, the Stars Strategy Consultant is a strategic doer who can turn Star performance data into insight, sizes and pressure-tests improvement opportunities, and builds the analytics, models, and materials that move the most promising ideas from insight to action across all Medicare Advantage contracts.

This role blends rigorous Stars analytics with a strategy consulting toolkit and is ideal for a high-performing analyst or associate from a top-tier strategy consulting firm who wants to apply structured problem-solving to one of the most important quality and affordability challenges in health care.

Job Description

Key Responsibilities /Duties – what you will be doing:

Stars analytics & reporting:
Execute timely and accurate data sourcing, validation, analytics, and reporting across Medicare Advantage contracts, including monthly Star performance and member-level data, annual survey data, and CMS data, producing insightful and actionable reports, dashboards, and member-level views.

Performance monitoring & root-cause analysis:
Monitor and evaluate current and anticipated Part C and Part D measure trends and conduct structured root-cause analysis for measures trending low, cutting across geographies, markets, and provider groups to pinpoint the drivers behind performance gaps.

Problem framing & opportunity sizing:
Break down ambiguous performance questions into structured, solvable problems; develop hypotheses and issue trees, and build quantitative models to size and pressure-test improvement opportunities, clearly stating assumptions, sensitivities, and confidence behind each estimate.

Solution development & benchmarking:
Research and compare potential interventions, benchmark external approaches, and assemble the analytic and business case that helps leadership prioritize the highest-value paths to sustainable 4+ Star achievement, including the rising weight of pharmacy and CAHPS-driven measures.

Data correlation & insight:
Identify and analyze correlations across data sources, including Member and Provider Satisfaction data, HEDIS, CAHPS, HOS, and operational metrics, to enable comprehensive, well-supported business decisions.

Initiative execution support:
Help drive prioritized opportunities from concept toward well-formed initiatives that create measurable value in Star ratings and total cost of care, tracking milestones, dependencies, and impact.

Executive-ready communication:
Translate complex analysis into clear, compelling…