HRSN Analyst

HMSA

Honolulu (HI)

On-site

USD 70,000 - 100,000

Full time

4 days ago
Be an early applicant

Get a reply from this employer

Your resume and cover letter, tailored to exactly what they’re hiring for.

Get past ATS filters

Job summary

HMSA in Honolulu, Hawaii, seeks a data- and reporting-focused professional to manage HRSN reporting, dashboards, and program monitoring. The role supports MQD reporting, program leadership, and cross-functional teams to improve implementation and outcomes for members.

Responsibilities include data analysis, dashboard maintenance, issue resolution, and collaboration across IT, claims, analytics, and operations to enable rapid cycle improvements and compliant program execution.

Qualifications

  • Proficient in analyzing data from multiple sources to identify trends and issues.
  • Experience creating and interpreting reports and dashboards for leadership.
  • Ability to work across departments to implement improvements.
  • Strong problem-solving and communication skills.

Responsibilities

  • Generates required HRSN reporting from available systems, including monthly, quarterly, and ad hoc reports for MQD and internal leadership.
  • Builds, maintains, and refines monitoring dashboards to track referrals, authorization status, utilization, provider capacity, service delivery trends, payment issues, and other implementation indicators.
  • Monitors benefit uptake and implementation performance across HRSN programs such as medical respite, nutrition supports, reentry services, housing supports, and CIS+ as applicable.
  • Researches data, claims, referrals, authorizations, and billing issues to support timely resolution and reduce barriers for members and providers.
  • Analyzes trends and root causes of HRSN implementation challenges, including workflow gaps and reporting inconsistencies.
  • Partners with leadership, claims, utilization management, IT, analytics, and provider operations to translate findings into fixes.
  • Uses data and qualitative feedback to support rapid-cycle improvement as HRSN benefits move from launch to sustainable operations.
  • Supports workflows, monitoring tools, data definitions, status tracking, and documentation standards to operationalize HRSN services.
  • Prepares summaries, issue logs, and implementation updates for decision-making and accountability.
  • Supports documentation to demonstrate alignment with MQD requirements, waiver expectations, reporting protocols, and internal compliance standards.
  • Maintains organized workpapers, data definitions, assumptions, and validation notes to support monitoring, review, and audit readiness.
  • Performs all other miscellaneous responsibilities and duties as assigned or directed.

Skills

Data analysis
Reporting
Dashboards
Cross-functional collaboration
Problem solving

Job description

  1. HRSN Reporting, Dashboards & Monitoring
    • Generates required HRSN reporting from available systems, including monthly, quarterly, and ad hoc reports for MQD and internal leadership.
    • Builds, maintains, and refines monitoring dashboards to track referrals, authorization status, utilization, provider capacity, service delivery trends, payment issues, and other implementation indicators.
    • Monitors benefit uptake and implementation performance across HRSN programs such as medical respite, nutrition supports, reentry services, housing supports, and CIS+ as applicable.
  2. Data Research & Issue Resolution
    • Researches data, claims, referral, authorization, billing, and operational issues to support timely resolution and reduce barriers for members, providers, and internal teams.
    • Analyzes trends and root causes related to HRSN implementation challenges, including workflow gaps, reporting inconsistencies, provider questions, and system configuration impacts.
    • Partners with HRSN Program leadership, external relations, claims, utilization management, IT, analytics, and provider operations to translate findings into practical fixes.
  3. Rapid-Cycle Improvement & Program Implementation Support
    • Uses data and qualitative feedback to support rapid-cycle improvement as HRSN benefits move from launch to sustainable operations.
    • Supports development and refinement of workflows, monitoring tools, data definitions, status tracking, and documentation standards needed to operationalize HRSN services.
    • Prepares concise summaries, issue logs, and implementation updates that inform decision-making, escalation, and cross-functional accountability.
  4. Compliance, Documentation & Audit Support
    • Supports documentation needed to demonstrate alignment with MQD requirements, waiver expectations, reporting protocols, and internal compliance standards.
    • Maintains organized workpapers, data definitions, assumptions, and validation notes to support monitoring, review, and audit readiness.
  5. Performs all other miscellaneous responsibilities and duties as assigned or directed.
Get your free, confidential resume review.

or drag and drop your file here.

Similar jobs

Similar jobs worth comparing

HRSN Community Partnerships Specialist
HRSN Community Partnerships Specialist

HMSA • Honolulu (HI)

On-site
USD 65,000 - 90,000
HRSN Analytics & Reporting Specialist
HRSN Analytics & Reporting Specialist

HMSA • Honolulu (HI)

On-site
USD 70,000 - 100,000
HRSN Analyst
HRSN Analyst

Hawaii Medical Service Association • Honolulu (HI)

Hybrid
USD 59,000 - 116,000
HRSN Authorization and Claims Analyst
HRSN Authorization and Claims Analyst

HMSA • Honolulu (HI)

Hybrid
USD 59,000 - 116,000
HRSN Community Partnerships Specialist
HRSN Community Partnerships Specialist

Hawaii Medical Service Association • Honolulu (HI)

Hybrid
USD 53,000 - 99,000
HRSN Analytics & Insights Specialist - Hybrid HI
HRSN Analytics & Insights Specialist - Hybrid HI

Hawaii Medical Service Association • Honolulu (HI)

Hybrid
USD 59,000 - 116,000
HRSN Authorization and Claims Analyst
HRSN Authorization and Claims Analyst

Hawaii Medical Service Association • Honolulu (HI)

Hybrid
USD 59,000 - 116,000
Hybrid work environment
Incentive bonus eligibility
Social Care Navigator
Social Care Navigator

Vanderheyden, Inc. • City of Troy (NY)

Hybrid
USD 55,000 - 75,000
CRO - Health Referral Nurse
CRO - Health Referral Nurse

St. Joseph's/Candler • Savannah (GA)

On-site
USD 52,000 - 76,000
Research Coordinator
Research Coordinator

HMSA • Honolulu (HI)

Hybrid
USD 60,000 - 90,000