Financial Analyst II

Hawaii Medical Service Association; Honolulu (HI); Hybrid; USD 59,000 - 116,000; Full time

Job summary

Hawaii Medical Service Association (HMSA) is seeking a Government Programs Finance analyst in Hawaii. The role focuses on Medicare, Medicaid, and ACA revenue analysis, modeling, and regulatory impact assessments. The analyst will collaborate with actuarial and finance teams to ensure accurate revenue recognition and reporting.

Hybrid work environment with residency in Hawaii. Minimum qualifications include a Bachelor's degree with four years of related experience and strong communication skills.

Qualifications

• Bachelor's degree and four years of related experience.
• Strong oral and written communication skills.
• Working knowledge of techniques to present financial or statistical data.
• Working knowledge of claims, health plan financial data, and health industry structure.
• Intermediate working knowledge of Microsoft Office applications (Word, Excel, Outlook, PowerPoint).

Responsibilities

• Reporting, Research & Analysis of premium revenue, risk adjustment payments, and other revenue streams.
• Gathers, validates, and interprets financial and enrollment data from internal and external sources.
• Supports RAF and financial data needs to optimize revenue from evaluation of information.
• Runs and maintains financial models to assess impact of regulatory changes and enrollment trends.
• Performs variance analysis between actual and projected revenue.
• Collaborates with actuarial, finance, compliance and operations teams on revenue recognition and reporting.
• Develops documentation for reconciliation and audit needs.

Skills

Communication

Financial data analysis

Excel

Statistical data interpretation

Education

Bachelor's degree

Tools

Microsoft Office

Job description

**Hybrid Work Environment - Must reside in Hawaii**

Pay Range: $59,000 - $116,000

Note: Individuals typically begin between the minimum to middle of the pay range

Focused on HMSA's Government Programs plans (Medicare, Medicaid, ACA), extracts data from multiple internal and external sources, provides statistical, financial, and business research and analysis to help HMSA manage the MA, QI, and ACA lines of business financial revenue performance. Responsible for analysis and research that ensures the long-term business objective and goals are met within the Medicare Programs Finance department.

Functions independently and serve as a subject matter expert for HMSA's Government Program Finance. Executes projects and represents the department on organizational projects.

Minimum Qualifications

• Bachelor's degree and four years of related experience; or an equivalent combination of education and related work experience.
• Strong oral and written communication skills for presenting complex information.
• Working knowledge of the techniques used to present financial or statistical data.
• Working knowledge of claims, health plan financial data, and health industry structure.
• Intermediate working knowledge of Microsoft Office applications, including but not limited to Word, Excel, Outlook, and PowerPoint.

Duties and Responsibilities

• Reporting, Research & Analysis
  
  • Analyzes and forecasts premium revenue, risk adjustment payments, and other revenue streams related to lines of business using prescribed guidelines or policies.
  • Gathers, validates, and interprets financial and enrollment data from internal and external sources.
  • Supports RAF and financial data needs of program driving accurate coding and documentation to optimize revenue from evaluation and interpretation of the information.
  • Runs and maintains financial models to assess the impact of regulatory changes, enrollment trends, and market dynamics on revenue.
  • Variance analysis: identify and explain variances between actual and projected revenue.
  • Collaborates with actuarial, finance, compliance and operations teams to ensure accurate revenue recognition and reporting.
• Compliance & Documentation
  
  • Ensure all revenue analysis and reporting adhere to internal policies and regulatory guidelines.
  • Develops and maintains appropriate documentation of desktop procedures for reconciliation and audit needs.
  • Maintains working level knowledge of revenue structures and regulations.
• Identify gaps and assist in implementing process enhancements to improve the accuracy and efficiency of revenue analysis.
  Provide informal guidance to new team members.
• Performs all other miscellaneous responsibilities and duties as assigned or directed.

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