Business Analyst
7 days ago
- Support the administration and management of the day to day operational activities needed to comply with CMS requirements and HMSA standards. Be knowledgeable on all CMS regulations and HMSA operational standards. This duty requires the analyst to:
- Ensure all HMSA‘s Medicare Program contractual obligations and requirements are met or exceeded in appropriate operational depts. Interpret CMS regulations and provide operational impact guidance to departments and HMSA‘s contracted vendors. Adjust existing systems, operations, and/or workflows to adapt to the ever-changing requirements of CMS and any identified deficiencies in current program quality and administration. Then monitor compliance via report and data validation.
- Monitor communications from CMS and determine if/how changes to operations are needed in applicable internal departments. Follow-up to ensure correct action was taken on a timely basis.
- Handle ad hoc questions, research issues, and provide assistance to departments to assess impact and determine best course of action.
- Complete administrative reports based on business needs, program compliance, plan performance, and as assigned. Advise the manager on significant matters pertaining to regulatory and reporting requirements, program compliance, or needed program changes.
- Resolve all member cases and ensure CMS timeliness and accuracy requirements are met. Conduct quality assurance and process improvement reviews to assess compliance and verify appropriate actions are taken. Monitor and track HMSA‘s compliance with CMS program standards, policies, and guidance through multiple sources, such as HMSA submitted reports to CMS, CMS generated performance metrics, and department self-reported issues.
- Coordinate, develop and help implement Medicare Program policies and procedures to operationalize CMS requirements affecting multiple departments. Maintain understanding of Medicare program operations as it relates to marketing, membership enrollment, claims processing, financial statements, customer service, provider contracting, quality improvement, utilization management, etc.
- Obtain policy clarifications/additional guidance, coordinate special administrative and operational requests, respond to CMS inquiries and requests for information, and coordinate CMS performance reviews. Participate in the development and implementation of required corrective action plans to address CMS audit and internal quality assurance review findings. Coordinate and monitor activities with appropriate department staff to ensure that corrective action plans are implemented timely and accurately.
- Performs all other miscellaneous responsibilities and duties as assigned or directed.
-
Business Operations Analyst
2 days ago
Honolulu, Hawaii, United States HMSA Full timeAbout the RoleWe are seeking an experienced Senior Business Analyst to join our team at HMSA. In this role, you will be responsible for providing leadership and guidance to other analysts, managing projects related to developing and improving our Medicare line of business, and collaborating closely with other teams and external partners.
-
Business Analyst
3 months ago
Honolulu, United States TEKsystems Full timeJob DescriptionJob Description6 month contract to hireSummary of Job Duties: - Develop and author procedures and workflows for Business Analysis group to standardize and document requirements processes- Work closely with business stakeholders to observe, elicit and define business requirements to support changes to process, procedures and use of software...
-
Senior Business Process Analyst
2 weeks ago
Honolulu, Hawaii, United States TEKsystems Full timeJob DescriptionWe are seeking a highly skilled Business Analyst to join our team at TEKsystems.Key Responsibilities:Develop and author procedures and workflows for Business Analysis to standardize and document requirements processes.Work closely with business stakeholders to observe, elicit and define business requirements to support changes to processes,...
-
Business Analyst, Mid
2 weeks ago
Honolulu, United States Booz Allen Hamilton Full timeJob Number: R0209466Business Analyst, Mid The Opportunity: You know that true progress is made at the intersection of business and tech, and as an IT Business Analyst, you can develop your skills in both. Here, you'll have the chance to work with an Agile team as they develop digital products to support your clients' most pressing missions. We're looking for...
-
Business Intelligence Analyst
3 weeks ago
Honolulu, Hawaii, United States Cayuse Holdings Full timeAbout Cayuse HoldingsCayuse Federal Services, a subsidiary of Cayuse Holdings, provides cutting-edge solutions to federal government clients, focusing on cost-effective excellence. Our capabilities, market-relevant service offerings, past performance credentials, and diverse status enable government clients to engage quickly and confidently with us. Core...
-
Senior Business Analyst | Project Manager
2 weeks ago
Honolulu, Hawaii, United States HMSA Full timeAbout the RoleWe are seeking a highly skilled Senior Business Analyst | Project Manager to join our team at HMSA. As a key member of our organization, you will play a crucial role in driving business solutions and project success.
-
Senior Business Intelligence Analyst
2 weeks ago
Honolulu, Hawaii, United States Bishop & Company Full timeBishop & Company is seeking a skilled Senior Business Intelligence Analyst to join their data team in Honolulu, HI.Job SummaryWe are looking for an experienced analyst to help us drive business decisions with data-driven insights. As a Senior Business Intelligence Analyst, you will be responsible for analyzing complex data sets, developing reports, and...
-
Business Analyst
3 weeks ago
Honolulu County, United States Booz Allen Hamilton Full timeJob Number: R0209466Business Analyst, MidThe Opportunity:You know that true progress is made at the intersection of business and tech, and as an IT Business Analyst, you can develop your skills in both. Here, you‘ll have the chance to work with an Agile team as they develop digital products to support your clients‘ most pressing missions. We‘re looking...
-
Strategic Business Solutions Analyst
3 weeks ago
Honolulu, Hawaii, United States Hawaii Medical Service Association Full timeJob Overview:Hawaii Medical Service Association is seeking a highly skilled Strategic Business Solutions Analyst to join our team. As a key member of our organization, you will play a critical role in implementing solutions that meet business needs and ensuring requirements are met through testing and monitoring.Key Responsibilities:We are looking for a...
-
Business Analyst
2 weeks ago
Honolulu, HI, United States Cymertek Corporation Full timeBusiness Analyst (IT) KEY SUMMARY We are seeking a proactive and analytical Business Analyst (IT) to bridge the gap between technology and business objectives. In this role, you will work closely with stakeholders to gather, document, and translate business requirements into actionable technical solutions. Your expertise in analyzing processes and...
-
Business Analyst Intern
3 weeks ago
Honolulu, Hawaii, United States KMH LLP Full timeWe are seeking a talented Business Analyst Intern to join our Solutions division at KMH LLP. The ideal candidate will have strong work ethic, excellent teamwork skills, and a desire to learn and grow as a professional.Key ResponsibilitiesAssist in the completion of client service work by performing assigned tasks in technical areas.Contribute to engagement...
-
Business Analyst
1 month ago
Honolulu, Hawaii, United States Hawaiian Electric Full timeJob Summary:We are seeking a highly skilled Business Analyst to join our team at Hawaiian Electric. The ideal candidate will have experience in billing and rate design, as well as strong analytical and problem-solving skills.Key Responsibilities:Coordinate and monitor utility and non-utility billing functions, ensuring policies are in accordance with the...
-
Business Development Financial Analyst
2 weeks ago
Honolulu, Hawaii, United States Central Pacific Bank Full timeJob OverviewAt Central Pacific Bank, we're committed to delivering exceptional service and creating value for our customers, employees, community, and shareholders. As a Business Development Financial Analyst, you'll play a key role in growing our business while upholding our Core Values.About the RoleThis position is an excellent opportunity to utilize your...
-
Senior Business Analyst
3 weeks ago
Honolulu, United States HMSA Full timeAs the senior level subject matter expert on Medicare plans, works closely with HMSA management, operational departments, Medicare Compliance Officers, business partners and contracted vendors to provide analysis and consulting services. Responsible to carry out the following key activities independently and with a high degree of professional competence and...
-
Senior Business Analyst
1 month ago
honolulu, United States HMSA Full timeJob DescriptionBusiness Solution Development: Develop, maintain and coordinate department user requirements, data reporting and application requirements for projects that affect Medicaid Programs.Assist with solution design and development.Participate in and lead teams involved in projects that affect Medicaid programs and collaborate with project leads and...
-
Business Analyst, Mid
2 weeks ago
Honolulu, United States Booz Allen Hamilton Full timeBusiness Analyst, MidThe Opportunity: You know that true progress is made at the intersection of business and tech, and as an IT Business Analyst, you can develop your skills in both. Here, you’ll have the chance to work with an Agile team as they develop digital products to support your clients’ most pressing missions. We’re looking for someone like...
-
Business Analyst I
6 days ago
Honolulu, United States Hawaii Medical Service Association Full time $59,000 - $116,000**Hybrid Work Environment - Must reside in Hawaii** Pay Range: $59,000 - $116,000 Note: Individuals typically begin between the minimum to middle of the pay range Support the development and implementation of required activities to ensure compliance with Centers for Medicare and Medicaid Services (CMS) requirements and mandates that ensures...
-
Business Analyst I
6 days ago
Honolulu, United States Hawaii Medical Service Association Full time $59,000 - $116,000**Hybrid Work Environment - Must reside in Hawaii** Pay Range: $59,000 - $116,000 Note: Individuals typically begin between the minimum to middle of the pay range Support the development and implementation of required activities to ensure compliance with Centers for Medicare and Medicaid Services (CMS) requirements and mandates that ensures...
-
Business Project Coordinator
2 days ago
Honolulu, Hawaii, United States HMSA Full timeJob OverviewThis role plays a vital part in driving business solutions and project management for Medicaid Programs at HMSA. As a Senior Business Analyst, you will lead teams and collaborate with stakeholders to develop, implement, and evaluate projects that enhance the delivery of solutions to meet business requirements.
-
Business Analyst
2 weeks ago
Honolulu, HI, United States TEKsystems Full timeAloha! One of our local companies in Hawaii is seeking an experienced IT Business Analyst with 3-5 years of experience. This is a great opportunity to learn and grow within the Business Analytics space as it allows you to work cross functionally with multiple teams on implementation and migration projects surrounding enterprise applications. Having the...