Huron

1 month ago

Senior Product Manager / Engineer - HEDIS SME

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI

Last checked: 8 hours 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

Glassdoor: 3.8

Website LinkedIn

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Huron

1 month ago

Senior Product Manager / Engineer - HEDIS SME

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI

Last checked: 8 hours agoStatus: Live

Job Summary

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

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

Glassdoor: 3.8

Website LinkedIn