Quality & Regulatory Data Analyst - St. Luke's Health Plan

At St. Luke’s, we pride ourselves on fostering a workplace culture that values diversity, promotes collaboration, and prioritizes employee well-being. Our commitment to excellence in patient care extends to creating an environment where our team can thrive both personally and professionally. With opportunities for growth, competitive benefits, and a supportive community of colleagues, St. Luke’s is truly a great place to work.

The Quality \& Regulatory Data Analyst focuses on HEDIS/Stars metrics and partners across business segments within the St. Luke’s Health Plan to support the development of business processes and delivery of insights and health insurance data analysis that are in alignment with identified strategies and tactics, while working with cross-functional stakeholders. The work you do will directly support healthcare quality improvement efforts, regulatory performance, operational excellence, and better outcomes for members. You'll have the opportunity to influence decisions, solve complex challenges, and help drive measurable results across the organization. WHILE THIS OPPORTUNITY IS FULLY REMOTE, YOU MUST LIVE IN IDAHO, OREGON, ARIZONA, OR UTAH TO BE CONSIDERED FOR THE POSITION. What You Can Expect* Transform healthcare data into actionable insights, analyzing medical, pharmacy, eligibility, quality, and operational data to identify trends, solve problems, and support key business decisions.

• Become a subject matter expert in Medicare Advantage Star Ratings, HEDIS, CAHPS, HOS, Part D, risk adjustment, and other healthcare quality and regulatory programs.
• Drive quality improvement efforts by identifying care gaps, measuring intervention effectiveness, and helping improve member outcomes and plan performance.
• Partner with clinical, operational, and business leaders to turn complex questions into meaningful analysis and recommendations.
• Ensure confidence in data through validation, reconciliation, and collaboration with internal teams and external partners.
• Contribute to data governance, data quality, and analytics best practices while helping shape trusted, high-value reporting and insights.
• Leverage SQL, Excel, and other analytical tools to uncover opportunities and communicate findings that make an impact.
• Participate in strategic projects that influence healthcare quality, operational performance, and member experience.

Qualifications* Education: Bachelor’s degree or experience in lieu of degree

• Experience: Three (3) years of relevant experience

Preferred Qualifications* Experience working with healthcare analytics in a payer and/or provider environment.

• Knowledge of Medicare Advantage Star Ratings, CMS Quality Programs, HEDIS, CAHPS, HOS, Part D, or related quality measures.
• Strong analytical, data validation, and problem-solving skills.
• Ability to communicate insights effectively and collaborate across technical and business teams.
• Advanced SQL and Excel skills; Python experience is a plus.
• Curiosity, initiative, and a passion for using data to improve healthcare outcomes.