9 Senior Financial Healthcare Data Analyst II Jobs in Honolulu, HI
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Senior Financial Healthcare Data Analyst II
$90k-116k (estimate)
Full Time | Ambulatory Healthcare Services
6 Months Ago
HMSA is Hiring a Senior Financial Healthcare Data Analyst II Near Honolulu, HI
Job Summary
Note: Individuals typically begin between the minimum to middle of the pay range
Provide subject matter expertise to the Clinical Integration Division, Finance Division, Leadership, and management. Provide statistical data analysis from multiple sources that supports Clinical Integrations strategies as well as Corporate HealthCare Cost initiatives. Support provider negotiations. Perform duties with minimal management direction and oversight.
Minimum Qualifications
- Hybrid Work Environment - Must reside on Oahu**
Note: Individuals typically begin between the minimum to middle of the pay range
Provide subject matter expertise to the Clinical Integration Division, Finance Division, Leadership, and management. Provide statistical data analysis from multiple sources that supports Clinical Integrations strategies as well as Corporate HealthCare Cost initiatives. Support provider negotiations. Perform duties with minimal management direction and oversight.
Minimum Qualifications
- Bachelor's degree and four years of related work experience; or an equivalent combination of education and related work experience.
- Demonstrated budgeting, forecasting, and variance analysis skills
- Demonstrated working knowledge of managed care/health care business processes, systems and application for claims payment, network, and provider contract administration.
- Demonstration project management skills
- Basic knowledge of Microsoft Office applications. Including but not limited to Word, Outlook, and Power Point.
- Advanced working knowledge of Microsoft Excel.
- Design, develop and implement 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.
- Interpret data and develop reports to communicate findings to senior management.
- Participate in project workgroups; facilitate definition of project requirements and deliverables; influence the progress of team activities and the successful implementation of the project.
- Document and share project activities, analyses, and decisions.
- Develop, analyze, recommend, and enhance workflow processes related to project deliverables.
- Evaluates alternative solutions/decision in light of the potential impact on internal/external resources; understand the resource implications of solutions and makes other recommendations; communicate status and recommendations to management.
- Gather data post-implementation to measure outcomes and impacts.
- 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 various websites for reimbursement and policy changes, focusing on Government entities; make recommendations for implementation of changes.
- Communicate with various stakeholders, including physicians, hospital admin staff, other healthcare insurers, auditors, and other departments within the company.
- Annual review of compliance workflows, such as, SSAE, MAR.
- Actively participate in current audits; be able to respond comprehensively to auditor inquiries.
- Review provider contracts and ensure that claims system set ups accurately reflect fully executed, signed agreements.
- Respond to ad-hoc data requests from management, executive staff, and external departments.
- Performs all other miscellaneous responsibilities and duties as assigned or directed
Job Summary
JOB TYPE
Full Time
INDUSTRY
Ambulatory Healthcare Services
SALARY
$90k-116k (estimate)
POST DATE
01/21/2024
EXPIRATION DATE
08/02/2024
WEBSITE
hmsa.com
HEADQUARTERS
LIHUE, HI
SIZE
1,000 - 3,000
FOUNDED
1938
TYPE
NGO/NPO/NFP/Organization/Association
CEO
BENNETT JACOBY
REVENUE
$1B - $3B
INDUSTRY
Ambulatory Healthcare Services
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About HMSA
Hawaii Medical Service is a health insurer service provider.
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