FEP Program Analyst — Hybrid Hawaii, Process & Compliance

Hawaii Medical Service Association; Honolulu (HI); Hybrid; USD 53,000 - 59,000; Full time

Benefits offered by this job

Hybrid work model

Job summary

Hawaii Medical Service Association in Hawaii (Honolulu) is seeking a Program Analyst for the Federal Employee Program. This full-time exempt role supports administration of FEHB program initiatives, with a hybrid work arrangement requiring Hawaii residence.

Responsibilities include coordinating cross-functional teams, monitoring program requirements across UM, CM, MM, and DM, and ensuring compliance with federal and state guidelines.

Qualifications

• Bachelor's degree and 3 years of related work experience, or equivalent combination of education and related work experience.
• Proficient in Word, Excel, PowerPoint and Outlook.
• Must have valid driver's license and access to an insured vehicle for travel.
• Requires safely operating an insured automobile for travel to off-site locations.

Responsibilities

• Monitor, evaluate, educate, and implement FEP program requirements related to utilization management, case management, medical management, and disease management.
• Coordinate cross-functional teams to collect, communicate and analyze data for program action.
• Develop methods to improve daily customer service and claims processing operations.
• Support day-to-day business operations and reporting on daily activities.
• Assist in compliance reviews and audits to ensure adherence to federal/state regulations and internal policies.

Skills

MS Office

Driving

Education

Bachelor's degree

Tools

Microsoft Office

Job description

Hawaii Medical Service Association in Hawaii (Honolulu) is seeking a Program Analyst for the Federal Employee Program. This full-time exempt role supports administration of FEHB program initiatives, with a hybrid work arrangement requiring Hawaii residence.

Responsibilities include coordinating cross-functional teams, monitoring program requirements across UM, CM, MM, and DM, and ensuring compliance with federal and state guidelines.