Medicare Data Analyst — Stars & Risk Adjustment (Hybrid)

Hawaii Medical Service Association; Honolulu (HI); Hybrid; USD 68,000 - 133,000; Full time

Benefits offered by this job

Hybrid work environment

Must reside in Hawaii

Job summary

Hawaii Medical Service Association is seeking a Medicare business data analyst to leverage data, performance metrics, and reporting to inform performance initiatives for Stars and Risk Adjustment. The role interfaces with internal and external partners to provide actionable data, while developing automation to streamline workflows.

The analyst will work independently in a hybrid Hawaii-based environment, applying data management, analysis, and visualization techniques to improve performance and

Qualifications

• Bachelor's degree in information systems, data analytics, mathematics or statistics and four years of related work experience or equivalent.
• Demonstrated knowledge in identifying issues, collecting data, and analyzing and interpreting data.
• Knowledge of managed care/health care business processes, systems and applications for claims, encounters, provider data, or patient data.
• Intermediate MS Office skills including Word, PowerPoint and Outlook.
• Advanced Excel knowledge.
• Intermediate knowledge of MicroStrategy, SQL, SAS, Access, R or other BI tools.

Responsibilities

• Develop and present reports to support Stars and Risk Adjustment performance improvement initiatives.
• Translate data into actionable visualizations using tables, graphs, charts, and presentations.
• Extract complex data sets from HMSA data repositories, HEDIS software, and external sources.
• Apply knowledge of quality measures (HEDIS, CAHPS, HOS) to identify improvement levers.
• Understand RAF and HCC to identify strategic improvements for Risk Adjustment.
• Create and publish Stars and Risk Adjustment dashboards monthly; support data source expansion.
• Support ad hoc reporting requests for Stars and Risk Adjustment.
• Design and develop data automation to streamline disparate systems via APIs/ETLs.

Skills

Data analysis

Issue identification

MS Office

Excel

BI tools

SQL / BI languages

Education

Bachelor's degree in information systems, data analytics, mathematics or statistics and four years of related experience

Tools

MicroStrategy

SQL

SAS

Access

R

Tableau

Job description

Hawaii Medical Service Association is seeking a Medicare business data analyst to leverage data, performance metrics, and reporting to inform performance initiatives for Stars and Risk Adjustment. The role interfaces with internal and external partners to provide actionable data, while developing automation to streamline workflows.

The analyst will work independently in a hybrid Hawaii-based environment, applying data management, analysis, and visualization techniques to improve performance and