Strategic Analyst, Medicaid Financial Performance

HMSA; Honolulu (HI); On-site; USD 85,000 - 110,000; Full time

Job summary

HMSA in Honolulu, Hawaii, seeks an Initiative Driven Financial & Performance Analysis professional to lead deep dive analyses supporting Medicaid financial performance initiatives, including utilization management, community investments, and benefit or operational changes.

You will develop baselines, scenarios and outcome measures, partner with the Strategic Program Manager to refine questions and translate findings into actionable recommendations, design cross-functional initiatives to improve

Responsibilities

• Conducts deep dive analyses in direct support of Medicaid financial performance initiatives (e.g., utilization management strategies, community program investments, benefit or operational changes).
• Evaluates financial impact, cost drivers, efficiency opportunities, and unintended consequences associated with initiatives led by the Strategic Program Manager.
• Develops initiative specific baselines, scenarios, and outcome measures to assess effectiveness over time.
• Partners with the Strategic Program Manager to refine analytical questions and translate findings into actionable recommendations.
• Designs and manages cross-functional initiatives that improve affordability, efficiency, and performance outcomes.
• Applies continuous improvement methods to streamline workflows, reduce administrative burden, and enhance program effectiveness
• Ensures initiatives and investments align with CMS/DHS/MQD requirements and QUEST priorities; supports documentation for audits/reviews as needed.
• Mentors analysts/PM resources, reinforcing standards for documentation, analysis quality, and accountability.

Job description

Initiative Driven Financial & Performance Analysis

• Conducts deep dive analyses in direct support of specific Medicaid financial performance initiatives (e.g., utilization management strategies, community program investments, benefit or operational changes).
• Evaluates financial impact, cost drivers, efficiency opportunities, and unintended consequences associated with initiatives led by the Strategic Program Manager.
• Develops initiative specific baselines, scenarios, and outcome measures to assess effectiveness over time.
• Partners with the Strategic Program Manager to refine analytical questions and translate findings into actionable recommendations.

Performance Optimization Initiatives

• Designs and manages cross-functional initiatives that improve affordability, efficiency, and performance outcomes.
• Applies continuous improvement methods to streamline workflows, reduce administrative burden, and enhance program effectiveness

External / Contract Alignment Support

• Ensures initiatives and investments align with CMS/DHS/MQD requirements and QUEST priorities; supports documentation for audits/reviews as needed.

Mentorship & Capability Building

• Mentors analysts/PM resources, reinforcing standards for documentation, analysis quality, and accountability.

Performs all other miscellaneous responsibilities and duties as assigned or directed.