What are the responsibilities and job description for the Program Analyst position at Hawaii Medical Service Association?
Employment Type
Exempt or Non-Exempt
Job Summary
Pay Range: $68,000 to $133,000
Note: Individuals typically begin between the minimum to middle of the pay range
Under the general guidance of the Senior Program Manager, the Program Analyst for the Blue Cross Blue Shield Association (BCBSA) Licensure Governance Oversight Program is responsible for developing and executing the functional aspects of managing HMSA's adherence with BCBSA licensure requirements. The Program Analyst will focus on intake and analysis, tracking, monitoring, policy development, and post-implementation measurement to ensure adherence with license obligations. The role requires close collaboration with internal departments, including Legal, Enterprise Risk Management, Compliance, and the Programs Office.
Minimum Qualifications
- Bachelor's degree and three years of related work experience; or equivalent combination of education and work experience
- Strong communication and organizational skills, with the ability to collaborate across multiple departments.
- Project and time management skills.
- Intermediate working knowledge in Microsoft Office applications including but not limited to Word, Excel, Outlook, and PowerPoint.
- Intermediate working knowledge and experience using data management tools and tracking systems.
Duties and Responsibilities
- Requirement Intake and Analysis
- Conduct impact assessments of new and revised BCBSA licensure requirements.
- Collaborate with operational owners, Legal, Enterprise Risk Management, Compliance, and the Program's Office to assess the implications of licensure changes on HMSA's operations.
- Provide data analysis and insights to support decision-making processes.
- Tracking and Monitoring
- Maintain and update the centralized adherence tracking system, ensuring that licensure deadlines are tracked and met.
- Monitor the implementation of requirements by operational owners and identify potential licensure risks.
- Policy and Procedure Development
- Provide consultation and support to business owners in developing and revising policies and procedural documents in response to new licensure requirements.
- Ensure that all documentation aligns with BCBSA licensure standards and HMSA's internal program framework.
- Post-Implementation Measurement
- Work with business areas to develop appropriate measurement and process to conduct scoring and assessment of post-implementation outcomes.
- Measure and score the effectiveness of implemented licensure requirements, using HMSA's enterprise risk framework.
- Identify residual risks and provide recommendations for continuous improvement.
- Assist with the management of audits related to the BCBSA license.
- Steering Committee and Reporting
- Contribute to the preparation of reports for the Steering Committee and enterprise risk committee, including insights on adherence status and risk mitigation strategies.
- Participate in Steering Committee meetings, providing analytical support and presenting findings.
- Performs all other miscellaneous responsibilities and duties as assigned or directed.
Salary : $68,000 - $133,000
