Consultant, Stars Consulting Center of Excellence

Company Description

Press Ganey is the leading experience measurement, data analytics, and insights provider for complex industries—a status we earned over decades of deep partnership with clients to help them understand and meet the needs of their key stakeholders. Our earliest roots are in U.S. healthcare –perhaps the most complex of all industries. Today we serve clients around the globe in every industry to help them improve the Human Experiences at the heart of their business. We serve our clients through an unparalleled offering that combines technology, data, and expertise to enable them to pinpoint and prioritize opportunities, accelerate improvement efforts and build lifetime loyalty among their customers and employees.

Like all great companies, our success is a function of our people and our culture. Our employees have world-class talent, a collaborative work ethic, and a passion for the work that have earned us trusted advisor status among the world’s most recognized brands. As a member of the team, you will help us create value for our clients, you will make us better through your contribution to the work and your voice in the process. Ours is a path of learning and continuous improvement; team efforts chart the course for corporate success.

Our Mission:

We empower organizations to deliver the best experiences. With industry expertise and technology, we turn data into insights that drive innovation and action. 

Our Values:

To put Human Experience at the heart of organizations so every person can be seen and understood. 

• Energize the customer relationship: Our clients are our partners. We make their goals our own, working side by side to turn challenges into solutions. 

• Success starts with me: Personal ownership fuels collective success. We each play our part and empower our teammates to do the same. 

• Commit to learning: Every win is a springboard. Every hurdle is a lesson. We use each experience as an opportunity to grow. 

• Dare to innovate: We challenge the status quo with creativity and innovation as our true north. 

• Better together: We check our egos at the door. We work together, so we win together. 

Press Ganey is committed to providing reasonable accommodations to qualified individuals with disabilities or disabled veterans in the hiring process. If you need assistance or an accommodation to apply for a position online or for your interviews or assessments, please contact us at acommodations@pressganey.com Please provide your contact information and the details of your request so we can best assist you.

Remote US Based

Up to 50% Travel

Lead the Future of Healthcare Transformation

At Press Ganey, we don’t just consult—we partner with healthcare organizations to solve their most complex challenges. From patient and member experience to employee engagement and safety, our experts leverage data-driven insights to create actionable strategies that deliver measurable impact.

We currently have an exciting opportunity for a Consultant to join our Stars Consulting Center of Excellence within the Consulting team. This Consultant will be a hands-on doer with prior health plan experience supporting Medicare Star Ratings performance and will build the analyses and deliverables that power Stars consulting engagements across CAHPS, HEDIS, HOS, medication adherence, and operational measures.  

Responsibilities include:

• Utilizing Press Ganey and client data assets and resources to consult with client stakeholders to respond to industry change and opportunities for improvement and growth in complex situations while being able to adapt to changing circumstances and new requirements 

• Partnering with health plan and medical groups to complete data analysis, data interpretation, and process design to identify, recommend, and solve business problems.

• Constructing and leading data analysis across Stars measure domains (CAHPS, HEDIS, HOS, medication adherence, and operational measures), including measure-level performance trending, cut point and gap analysis, and member experience drivers, and summarizing conclusions and recommendations.

• Being an effective trainer ensuring active engagement and effective knowledge transfer for Stars and member experience best practices and process improvement. 

• Coordinating actions to get work completed efficiently which includes delegating and leveraging appropriate internal and client resources 

• Managing and delivering defined scope of engagement plan including timelines, deliverables, budget and outcomes for engagements  

• Leading preparation of client deliverables including data analyses, assessments, quality reviews, training, and presentations 

• Building and managing successful client relationships generating positive client feedback on quality, value, innovation, delivery, and results 

• Serving as the direct point of contact with the client and quickly establish credibility for the respective project work stream by proactively building strategic working relationships 

• Communicating effectively and appropriately influencing various audiences and levels of client management including risks and recommendations to project management 

• Planning, organizing and prioritizing project activities using work plans and other project management tools 

• Monitoring CMS guidance, rate announcements, and technical specification updates and summarizing implications for clients and the Stars team
• Supporting integration of Stars consulting deliverables with Hyperlift analytics and CAHPS/HOS survey insights

Qualifications

• 2+ years of previous work experience in health plan quality, Star Ratings, and/or experience management, with hands-on exposure to Medicare Advantage.
• Quality experience
• Specific experience/background in one or more of the following: HEDIS operations and rate improvement, including measure specifications, supplemental data, and medical record review; CAHPS and member experience improvement across lines of business; medication adherence and Part D measures; HOS and health outcomes measurement; knowledge and understanding of government programs driven by Medicare Stars and NCQA; proven track record of quality or experience improvement with health plan stakeholders
• Exposure to Special Needs Plans (D-SNP, C-SNP, or I-SNP), including SNP-specific quality, compliance, and member experience considerations, strongly preferred.
• Demonstrated experience in driving performance improvement initiatives. 
• Requires strong data analytic skills (Excel, Access, SQL, SAS, etc.).
• Advanced skills in MS Office Products (Word, PPT, Excel) to support document preparation.
• Ability to work under pressure to meet deadlines and to quickly adapt to multiple priorities.
• Bachelor’s degree

Don’t meet every single requirement? Studies have shown that women and people of color are less likely to apply to jobs unless they meet every single qualification. At Press Ganey we are dedicated to building a diverse, inclusive and authentic workplace, so if you’re excited about this role but your past experience doesn’t align perfectly with every qualification in the job description, we encourage you to apply anyways. You may be just the right candidate for this or other roles.

Additional Information for US based jobs:

Press Ganey Associates LLC is an Equal Employment Opportunity/Affirmative Action employer and well committed to a diverse workforce. We do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, veteran status, and basis of disability or any other federal, state, or local protected class. 

Pay Transparency Non-Discrimination Notice – Press Ganey will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 

The expected base salary for this position ranges from $90,000 to $125,000.  It is not typical for offers to be made at or near the top of the range. Salary offers are based on a wide range of factors including relevant skills, training, experience, education, and, where applicable, licensure or certifications obtained. Market and organizational factors are also considered. In addition to base salary and a competitive benefits package, successful candidates are eligible to receive a discretionary bonus or commission tied to achieved results. 

All your information will be kept confidential according to EEO guidelines.

Our privacy policy can be found here: https://www.pressganey.com/legal-privacy/