Financial Analyst II

HMSA; Honolulu (HI); Hybrid; USD 90,000 - 120,000; Full time

Job summary

HMSA in Honolulu, Hawaii, seeks a Finance Analyst specializing in Reporting, Research & Analysis to forecast premium revenue, risk adjustment payments, and other revenue streams across lines of business.

You will gather and validate financial and enrollment data, support RAF and financial data needs, run models to assess regulatory and market impacts, perform variance analysis, and collaborate with actuarial, finance, compliance and operations to ensure accurate revenue recognition and reporting.

Qualifications

• Experience in financial modeling and revenue analysis.
• Strong data interpretation and cross-functional collaboration.

Responsibilities

• Analyzes and forecasts premium revenue, risk adjustment payments, and related revenue streams.
• Gathers, validates, and interprets financial and enrollment data from internal and external sources.
• Supports RAF and financial data needs to optimize revenue through accurate coding and interpretation.
• Runs and maintains financial models to assess impact of regulatory changes and market trends.
• Variance analysis: explain variances between actual and projected revenue.
• Collaborates with actuarial, finance, compliance and operations for accurate revenue reporting.

Job description

1. 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.
2. 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.
3. Leadership & Continuous Improvement
   • Identify gaps and assist in implementing process enhancements to improve the accuracy and efficiency of revenue analysis.
     Provide informal guidance to new team members.
4. Performs all other miscellaneous responsibilities and duties as assigned or directed.

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