Revenue Analyst I

HMSA; Honolulu (HI); On-site; USD 48,000 - 88,000; Full time

Job summary

HMSA in Hawaii is seeking a Financial Analyst focused on Government Programs to support Medicare, Medicaid, and ACA revenue analysis. This hybrid role requires residence in Hawaii and offers exposure to regulatory finance work within the Medicare Programs Finance department.

Responsibilities include reporting, data gathering, RAF and financial data support, model runs for regulatory changes, and maintaining audit-ready documentation. Collaboration with management is essential.

Qualifications

• Bachelor's degree and three years of related experience or equivalent.
• Effective verbal and written communication skills.
• Intermediate knowledge of Microsoft Office applications (Word, Excel, Outlook, PowerPoint).

Responsibilities

• Reporting, Research & Analysis: runs reports, validates revenue data, and analyzes premium revenue and related streams.
• Gathers and validates financial and enrollment data from internal and external sources.
• Supports RAF and financial data needs of the program through data collection and organization.
• Runs data for models to assess the impact of regulatory changes, enrollment trends and market dynamics on revenue.
• Variance analysis: identifies variances between actual and projected revenue and pursues follow-up research.
• Compliance & Documentation: ensures reporting adheres to policies and regulatory guidelines; maintains documentation for audits.
• Performs all other miscellaneous responsibilities and duties as assigned.

Skills

Verbal communication

Written communication

MS Office

Education

Bachelor's degree

Tools

Microsoft Word

Microsoft Excel

Outlook

PowerPoint

Job description

• Hybrid Work Environment - Must reside in Hawaii**

Employment Type

Full-time

Exempt or Non-Exempt

Exempt

Job Summary

• Hybrid Work Environment - Must reside in Hawaii**

Pay Range:

$47,500 - $88,000

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. Completes analysis and research that ensures the long-term business objective and goals are met within the Medicare Programs Finance department.

Under guidance from Manager or Sr BAs completes reporting and research for HMSA's Government Program Finance. Completes documentation and shadows on department projects.

Minimum Qualifications

• Bachelor's degree and three years of related experience; or an equivalent combination of education and related work experience.
• Effective verbal and written communication skills.
• Intermediate working knowledge of Microsoft Office applications, including but not limited to Word, Excel, Outlook, and PowerPoint.

Duties And Responsibilities

• Reporting, Research & Analysis
  • Runs reports assisting analysis of premium revenue, risk adjustment payments, and other revenue streams related to lines of business.
  • Gathers and validates financial and enrollment data from internal and external sources.
  • Supports RAF and financial data needs of program through data collection and organization.
  • Runs data for models to assess the impact of regulatory changes, enrollment trends, and market dynamics on revenue.
  • Variance analysis: identify variances between actual and projected revenue, providing follow up opportunities for further research.
• Compliance & Documentation
  • Reconciles that reporting adheres to internal policies and regulatory guidelines.
  • Builds and maintains conceptual level knowledge of revenue structures and regulations.
  • Follows appropriate documentation of desktop procedures for reconciliation and audit needs.
• Performs all other miscellaneous responsibilities and duties as assigned or directed.