HMSA
Provider Operations Business Analyst II
HMSA, Honolulu, Hawaii, United States, 96814
Independently serve as Provider Operations subject matter expert on major corporate initiatives, projects, process improvement or any other major activity as assigned by management.
Independently identify operational issues that affect Provider Operations personnel and recommend options for a satisfactory resolution; must be able to clearly articulate business needs in such a way that the department is not negatively impacted.
Independently conduct data analysis related to critical projects and operational activities to encompass the following activities:
Review business processes and recommend solutions that reduce cost, improve efficiency, and improve the HMSA consumer experience for members and providers.
Analyze trending information in order to identify root causes and develop recommendations for resolution, prevention, and process improvement.
Construct documentation analysis, present materials, and recommendations to management/executives, and execute solutions as directed by management.
Work directly with providers both through writing and over the phone to resolve complex inquiries.
Mentor and train Provider Operations Business Specialists and Analysts in the skills necessary to represent the department on corporate projects with the goal of improving HMSA's consumer experience and ensuring servicing systems (Salesforce, HHIN, etc.) are not negatively affected.
Participate in the development and implementation of new services focused on earning members for life through building relationships with health and wellness providers.
Identify process improvement opportunities and independently recommend activities/projects to improve systems, applications, reports. Prepare and conduct presentations to the PO staff and/or management, including executives, on recommendations and analysis findings. Independently conduct data analysis to support business operations.
Perform all other miscellaneous responsibilities and duties as assigned or directed.
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Independently identify operational issues that affect Provider Operations personnel and recommend options for a satisfactory resolution; must be able to clearly articulate business needs in such a way that the department is not negatively impacted.
Independently conduct data analysis related to critical projects and operational activities to encompass the following activities:
Review business processes and recommend solutions that reduce cost, improve efficiency, and improve the HMSA consumer experience for members and providers.
Analyze trending information in order to identify root causes and develop recommendations for resolution, prevention, and process improvement.
Construct documentation analysis, present materials, and recommendations to management/executives, and execute solutions as directed by management.
Work directly with providers both through writing and over the phone to resolve complex inquiries.
Mentor and train Provider Operations Business Specialists and Analysts in the skills necessary to represent the department on corporate projects with the goal of improving HMSA's consumer experience and ensuring servicing systems (Salesforce, HHIN, etc.) are not negatively affected.
Participate in the development and implementation of new services focused on earning members for life through building relationships with health and wellness providers.
Identify process improvement opportunities and independently recommend activities/projects to improve systems, applications, reports. Prepare and conduct presentations to the PO staff and/or management, including executives, on recommendations and analysis findings. Independently conduct data analysis to support business operations.
Perform all other miscellaneous responsibilities and duties as assigned or directed.
#LI-Hybrid
#J-18808-Ljbffr