Business Analyst, Medicare Star Rating Quality Program

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.

Learn more about who we are at Point
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Health.

Under the general direction of the Senior Manager, Star Analytics and Policy of the Medicare Star Program, the Business Analyst is primarily responsible for producing and enhancing insightful and actionable reports, performance dashboards, and member-level analytics to support Medicare Advantage Star Ratings performance. The Business Analyst will also be responsible for conducting analyses at the provider organization level to identify opportunities for improvement and support performance monitoring activities.

This position offers exposure to various stakeholders and leaders within the Senior Products Division. A successful candidate in this role will demonstrate a strong analytical mindset, exceptional attention to detail, critical and organized thinking skills, a commitment to data accuracy, and a collaborative attitude.

• Conduct detailed analyses of business processes and requirements.
• Translate business requirements into actionable specifications for technical teams.
• Develop and implement strategies to achieve business goals.
• Collaborate with stakeholders to understand their needs and gather requirements.
• Evaluate current business processes and systems to propose improvements.
• Perform data analysis to support decision‑making processes.
• Create clear and concise documentation including business requirements, functional specifications, and test plans.
• Assist in project management activities such as planning, scheduling, and coordination.
• Conduct user acceptance testing and provide post‑implementation support.
• Stay updated with industry trends and best practices in business analysis.

Certification and Licensure: N/A

Education Required (minimum):
Bachelor’s degree in business administration, Finance, Computer Science, or related field.

Experience Required (minimum): 1-3 years of professional experience

Preferred: 1-3 years of professional experience in business development

Skill Requirements:
Proven experience as a Business Analyst or similar role. Strong analytical skills with the ability to collect, organize, analyze, and disseminate significant amounts of information with attention to detail and accuracy. Excellent communication and interpersonal skills to effectively collaborate with stakeholders at all levels. Ability to prioritize and manage multiple tasks simultaneously. Experience with business analysis tools and methodologies. Familiarity with project management principles and practices.

Proficiency in Microsoft Office Suite, especially Excel and PowerPoint. Certification in Business Analysis (e.g., CBAP) is a plus.

Working Conditions and

Additional Requirements:

Must be able to work under normal office conditions and work from home as required. Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations. May be required to work additional hours beyond standard work schedule.

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to…