Principal, Medicare Stars Strategy

Company Description

PG Forsta 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.

The Principal, Medicare Stars Strategies will lead end-to-end strategy and implementation for Medicare Advantage Star Ratings within Press Ganey's Strategic Consulting division. This role will serve as a cross-functional expert and execution leader across CAHPS, HEDIS, HOS, medication adherence, operational measures, and predictive analytics, ensuring comprehensive and adaptable support for client success.

This individual will integrate Press Ganey's Hyperlift analytics platform and other resources to inform prioritization, execution, and performance tracking. The role includes a dotted-line relationship to Product, contributing insight to inform Stars-related product and feature development.

• Lead consulting engagements focused on Star Ratings improvement for Medicare Advantage contracts across the country.
• Design and deploy strategies aligned to CMS methodology and weighted performance domains (e.g., CAHPS, HEDIS, HOS, medication adherence and health plan operations).
• Collaborate with Hyperlift to align consulting insights with predictive data and client dashboard functionality.
• Analyze regulatory guidance and rate announcements to inform consulting recommendations and Stars-related product evolution.
• Serve as a subject matter expert across domains of Medicare Stars, integrating clinical, actuarial, analytics, and operations insights.
• Present findings to C-suite audiences and support client decision-making and implementation.
• Identify cross-sell or upsell opportunities and support strategic growth of the Stars consulting practice.
  

• Bachelor's degree or equivalent experience required; actuarial or economics background preferred.
• 5+ years' experience in Medicare Advantage, with deep expertise in Star Ratings strategy, operations, and performance management.
• Demonstrated leadership across Stars domains and executive-level commun cation and influence skills.
• Experience with CMS policy engagement or regulatory feedback strongly preferred.
• Strong comfort with data, analytics, dashboard tools, and cross-functional strategy development.
• Proven success leading governance or enterprise-wide improvement initiatives a plus.
  

Up to 75%, remote-based.

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.

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

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