HMSA
Senior Financial Healthcare Data Analyst II
HMSA, Honolulu, Hawaii, United States, 96814
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.Evaluate alternative solutions/decisions in light of the potential impact on internal/external resources; understand the resource implications of solutions and make 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 setups accurately reflect fully executed, signed agreements.
Respond to ad-hoc data requests from management, executive staff, and external departments.Perform all other miscellaneous responsibilities and duties as assigned or directed.
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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.Evaluate alternative solutions/decisions in light of the potential impact on internal/external resources; understand the resource implications of solutions and make 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 setups accurately reflect fully executed, signed agreements.
Respond to ad-hoc data requests from management, executive staff, and external departments.Perform all other miscellaneous responsibilities and duties as assigned or directed.
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