Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes.
Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients.
Joining the Huron team means you’ll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise.
Join our team as the expert you are now and create your future.
Healthcare payer organizations are under immense pressure to improve outcomes and reduce the cost of providing coverage for patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients.
Huron is seeking a Senior Product Engineer / Principal to join our HDTx Payer Services team, supporting healthcare payer clients in advancing data quality, regulatory reporting, and analytics capabilities. This role will operate at the intersection of business engagement, product engineering, and healthcare data strategy, with an initial focus on data quality and HEDIS reporting, evolving into predictive analytics and STARs performance optimization.
This individual will serve as a subject matter expert and trusted advisor, working closely with payer leadership, business stakeholders, and technical teams to deliver scalable, high-impact solutions.
Key Responsibilities
Data Quality & Reporting (Initial Focus)
- 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
- Translate complex regulatory requirements into functional and technical specifications
- Support measurement strategy, performance monitoring, and reporting optimization to improve STARs outcomes
- Provide advisory support to payer clients on CMS data submission and reporting best practices
- Lead design and optimization of solutions leveraging:
- Cognizant CMS Edge Server
- Claimsphere
- Core payer platforms (e.g., Facets)
- Drive integration and data flow across claims, encounter, and reporting systems
- Collaborate with engineering teams to deliver scalable reporting and analytics products
- Develop and implement predictive models and analytics frameworks to improve quality outcomes and STARs performance
- Enable advanced analytics capabilities using payer data to identify trends, risks, and opportunities
- Evolve reporting solutions into forward-looking, insights-driven platforms
- Engage directly with business and executive stakeholders, acting as a strategic advisor
- Translate business needs into technical roadmaps and product solutions
- Lead or contribute to client-facing discussions, workshops, and design sessions
- Collaborate across multi-disciplinary teams (data, IT, compliance, business operations)
Qualifications
Required
- 7–12+ years of healthcare payer experience, with strong domain expertise in:
- HEDIS reporting
- CMS STARs methodology
- 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
- Strong communication skills with ability to interface across technical and non-technical teams
Preferred
- Hands-on experience with:
- Hedis Reporting SME
- Cognizant CMS Edge Server
- Claimsphere
- Facets (TriZetto) or similar payer platforms
- Experience with predictive analytics / data science applications in healthcare
- Background in risk adjustment, quality improvement, or value-based care programs
- SQL, data modeling, or advanced analytics tool experience
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Position LevelConsultantCountryUnited States of AmericaSkills Required
- 7-12+ years healthcare payer experience with domain expertise in HEDIS reporting, CMS STARs methodology, and regulatory reporting and quality programs
- 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
- Strong communication skills with ability to interface across technical and non-technical teams
- Hands-on experience with HEDIS reporting and payer reporting tools (Cognizant CMS Edge Server, Claimsphere, Facets/Trizetto)
- Experience with predictive analytics or data science applications in healthcare
- Background in risk adjustment, quality improvement, or value-based care programs
- SQL, data modeling, or advanced analytics tool experience
Huron Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Huron and has not been reviewed or approved by Huron.
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Retirement Support — Retirement programs include a company 401(k) match positioned as a core element of total rewards, signaling strong long‑term savings support. Company materials and filings describe a competitive match structure with broad availability.
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Equity Value & Accessibility — An employee stock purchase plan provides company‑matched RSUs on purchased shares and is broadly accessible across the workforce, indicating meaningful equity participation. Company filings outline the plan’s match design and wide eligibility.
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Leave & Time Off Breadth — Policies emphasize flexible/unlimited PTO, paid holidays, and parental leave with caregiving resources, reflecting expansive time‑off options. Careers and benefits pages present flexibility and time away as core components of the package.
Huron Insights
What We Do
Huron is a global consultancy that collaborates with clients to drive strategic growth, ignite innovation and navigate constant change. Through a combination of strategy, expertise and creativity, we help clients accelerate operational, digital and cultural transformation, enabling the change they need to own their future. By embracing diverse perspectives, encouraging new ideas and challenging the status quo, we create sustainable results for the organizations we serve.
