Senior Financial Health Data Analyst I

hmsacareers; Honolulu (HI); Hybrid; USD 70,000 - 95,000; Full time

Job summary

HMSA Careers in Honolulu, HI is seeking an analyst to develop, analyze, recommend, and monitor reimbursement and provider strategies, preparing reports that measure their impact on program costs and utilization.

The role requires budgeting, forecasting, variance analysis, and solid Excel skills; you will monitor market trends and policy changes, and ensure data quality across financial and operational reports.

Qualifications

• Bachelor's degree and three years of related work experience, or an equivalent combination.
• Demonstrated budgeting, forecasting, and variance analysis skills.
• Basic knowledge of Microsoft Office applications, including Word, Outlook, and Power Point.
• Intermediate working knowledge of Excel.

Responsibilities

• Develop, analyze, and monitor reimbursement and provider strategies; prepare reports measuring impact on costs and utilization.
• Analyze data to identify trends and cost-reduction opportunities.
• Monitor market trends and policy changes; implement recommendations.
• Review and consolidate internal financial and operational reports for management.
• Maintain data quality and resolve data issues; propose resolutions to improve value.
• Ensure contracts and claims setups reflect executed agreements.
• Lead and participate in team activities, providing guidance and feedback.
• Perform additional duties as assigned.

Skills

Budgeting

Forecasting

Variance analysis

Excel

Data analysis

Education

Bachelor's degree

Tools

Word

Outlook

PowerPoint

Job description

1. Develop, analyze, recommend, and monitor reimbursement and provider strategies; prepare reports that measure the effectiveness of reimbursement and contracting terms and the influence they may have on overall program/plan cost and utilization.
   
   • Analyze data and identify trends, patterns, or other notable issues with an eye for cost reduction opportunities.
   • Monitor market trends to identify emerging opportunities or risks in business environments.
   • Monitor websites for reimbursement and policy changes for both private and government entities; make recommendations for implementation of these changes.
2. Analyze standard plan or provider financial and operational reports in response to customer requirements and business needs
   
   • Lead and implement internal controls; Facilitate definition of data and other information requirements; Define efficient data assembly methods; and maintain adequate documentation for general reference and audit purposes.
   • Create functional summary reports for presentation to management
3. Validate and maintain quality and consistency of data and reporting
   
   • On a proactive basis identify and isolate potential problems and work with staff within and outside of the department to develop and implement resolutions; develop and communicate data adjustments and workarounds.
   • Propose resolutions to management to clearly define the increase in value and productivity associated with the changes.
4. Annual review of compliance workflows, such as, SSAE, MAR.
   
   • Review provider contracts and ensure that claims system set ups accurately reflect fully executed, signed agreements.
5. Participates and promotes team activities by providing leadership, consultation, managing other projects, sharing accountability and expertise, communicating, and improving integrity of workflows, and providing constructive feedback on other team members' performance.
6. Perform all other miscellaneous responsibilities and duties as assigned or directed.

#LI-Hybrid

1. Bachelor's degree and three years of related work experience, or an equivalent combination of education and related work experience.
2. Demonstrated budgeting, forecasting, and variance analysis skills
3. Basic knowledge of Microsoft Office applications. Including but not limited to Word, Outlook, and Power Point.
4. Intermediate working knowledge of Excel