Senior Revenue Analytics & Compliance Lead

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

Job summary

HMSA in Honolulu is seeking a Reporting, Research & Analysis professional to analyze premium revenue, risk adjustment payments, and other revenue streams across lines of business with minimal guidance.

You will interpret financial and enrollment data, develop and maintain financial models, and collaborate with actuarial, finance, compliance, and operations teams to ensure accurate revenue recognition and reporting.

Responsibilities

• Analyzes and forecasts premium revenue, risk adjustment payments, and other revenue streams related to lines of business with minimal guidance.
• Interprets financial and enrollment data from internal and external sources, identifying opportunities and problems compared to anticipated outcomes.
• Evaluates financial data needs and identifies and implements solutions for program driving accurate coding and documentation to optimize revenue.
• Develops 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, providing actionable insights to leadership.
• Collaborates with actuarial, finance, compliance and operations teams to ensure accurate revenue recognition and reporting.
• Ensure all revenue analysis and reporting adhere to internal policies and regulatory guidelines, and recommends strategic alternatives.
• Develops, maintains, and analyzes appropriate documentation of desktop procedures for reconciliation and audit needs.
• Builds and maintains in-depth knowledge of revenue structures and regulations and conceptual knowledge of related activities.
• Recommends and implements process enhancements to improve the accuracy and efficiency of revenue analysis.
• Mentors junior analysts and may be assigned project lead requiring some resource planning assignments.

Job description

HMSA in Honolulu is seeking a Reporting, Research & Analysis professional to analyze premium revenue, risk adjustment payments, and other revenue streams across lines of business with minimal guidance.

You will interpret financial and enrollment data, develop and maintain financial models, and collaborate with actuarial, finance, compliance, and operations teams to ensure accurate revenue recognition and reporting.