Senior Product Manager / Engineer - HEDIS SME

Huron
Chicago
Workplace: RemoteFull timeFunction: Product ManagementSkills: ["Communication","Leadership","Problem-solving"]

Senior Product Engineer / Principal for HEDIS SME leading data quality initiatives, regulatory reporting accuracy, and analytics for payer programs. Owns data governance, data lineage, and reporting standards, partnering with stakeholders to translate regulatory requirements into technical roadmaps. Focus initially on HEDIS reporting and CMS STARs, expanding to predictive analytics and quality improvement across payer systems.

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FursaFursa
Huron
Huron
3 months ago

Senior Product Manager / Engineer - HEDIS SME

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Source: Company careers pageValidated by: Fursa AI
Last checked: 31 days agoStatus: Live

Job Summary

Senior Product Engineer / Principal for HEDIS SME leading data quality initiatives, regulatory reporting accuracy, and analytics for payer programs. Owns data governance, data lineage, and reporting standards, partnering with stakeholders to translate regulatory requirements into technical roadmaps. Focus initially on HEDIS reporting and CMS STARs, expanding to predictive analytics and quality improvement across payer systems.
Location: Chicago
Workplace: Remote
Employment Type: Full time
Job Function: Product Management

Key Responsibilities

  • •Lead data quality initiatives impacting HEDIS CMS submissions and regulatory reporting accuracy
  • •Assess, identify, and resolve data gaps, inconsistencies, and lineage issues across payer systems
  • •Drive improvements in data validation, reconciliation, and reporting processes to ensure compliance and performance accuracy
  • •Partner with stakeholders to define and implement data governance frameworks and standards
  • •Serve as SME for HEDIS measures and CMS STARs rating methodologies, ensuring alignment of reporting and performance strategies

Key Requirements

  • •7–12+ years of healthcare payer experience with strong domain expertise in HEDIS reporting, CMS STARs, regulatory reporting and quality programs
  • •Demonstrated experience in data quality management, reporting, and analytics within payer environments
  • •Strong understanding of claims and encounter data, data lifecycle, validation and reconciliation processes
  • •Proven ability to engage business stakeholders and translate requirements into solutions
  • •Experience working in client-facing consulting or product engineering environments
Experience:Healthcare
Skills:CommunicationLeadershipProblem-solving
Tech Stack:SQLData modelingAdvanced analytics tool experienceCognizant CMS Edge ServerClaimsphereFacetsCMS

Company Brief

Huron
Huron is a global professional services firm providing consulting and advisory services across healthcare, higher education, life sciences, and commercial sectors, focusing on strategy, operations, technology, and financial transformation.
Industry: Consulting
Company Size: Enterprise (1,001+ employees)
Growth: Established Company
Valuation: Public Company (Market Cap in USD)
Funding: IPO / Publicly Listed
Headquarters: Chicago, United States
Founded: 2002
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Glassdoor: 3.8
WebsiteLinkedIn