Utilization Management Data & Systems Analyst II – Hybrid Hawaii

HMSA; Honolulu (HI); Hybrid; USD 59,000 - 116,000; Full time

Job summary

HMSA in Hawaii is seeking a Business Solutions Analyst to support Utilization Management reporting and system analytics in a hybrid role requiring Hawaii residency. Pay range is $59k to $116k.

Responsibilities include documenting requirements, developing reporting tools, participating in system implementations, and providing user support across UM systems. Strong communication, organization, analytical skills, and MS Office proficiency are essential.

Qualifications

• Bachelor's degree and 2 years related work experience.
• Good verbal communication skills to present information before groups, departments, and management.
• Good written skills to compose business correspondence, policies & procedures, work plans, with high degree of accuracy.
• Good organization and time management skills.
• Good project management skills.
• Good business knowledge and experience.
• Strong analytical, organizational, and time-management skills.
• Strong analytical skills.
• Intermediate working knowledge of Microsoft applications including Word, Excel, Outlook and PowerPoint.

Responsibilities

• Support Medical Management (MM)'s business solution requirements for the department through data reporting from HMSA system applications and analytics.
• Solicit, document and/or clarify with business the reporting requirements and scope, including audience and summary requirements.
• Maintain knowledge of current regulatory reporting requirements and participate in internal calls and meetings.
• Maintain knowledge of current workflows for primary reporting requirements and attend meetings with business and user groups.
• Maintain knowledge of reporting software/applications used to support all reporting requirements.
• Participate in system implementation projects under the direction of the Senior Business Solutions Analyst and others.
• Solicit and document system and/or business requirements for a system solution, including participation in calls and workgroups.
• Develop tools to support Utilization Management activities (system configuration, test case development, testing).
• Provide feedback and escalate complex issues to the lead.
• Lead and coordinate activities to support department requirements; manage schedule, development, testing, and implementation.
• Provide system support to all users on the various utilization management systems.
• Resolve inquiries submitted to MM via email, calls and walk-ins; assist and escalate as needed.
• Organize and conduct training on how to utilize solutions.
• Coordinate and manage security and equipment requirements (access requests, purchase requisitions).
• Performs all other miscellaneous responsibilities and duties as assigned.

Skills

Verbal communication

Written communication

Organization

Time management

Project management

Business knowledge

Analytical skills

Microsoft Office proficiency

Education

Bachelor's degree and 2 years related experience

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Microsoft PowerPoint

Job description

HMSA in Hawaii is seeking a Business Solutions Analyst to support Utilization Management reporting and system analytics in a hybrid role requiring Hawaii residency. Pay range is $59k to $116k.

Responsibilities include documenting requirements, developing reporting tools, participating in system implementations, and providing user support across UM systems. Strong communication, organization, analytical skills, and MS Office proficiency are essential.