Senior Financial Healthcare Data Analyst II
4 months ago
- 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
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Senior Financial Healthcare Data Analyst II
4 weeks ago
Honolulu, Hawaii, United States HMSA Full timeJob SummaryWe are seeking a highly skilled Senior Financial Healthcare Data Analyst II to join our team at HMSA. This role will be responsible for designing, developing, and implementing standard plan or provider financial and operational reports in response to customer requirements and business needs.Key ResponsibilitiesLead and implement internal controls...
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Senior Financial Healthcare Data Analyst II
3 weeks ago
Honolulu, Hawaii, United States HMSA Full timeJob SummaryWe are seeking a highly skilled Senior Financial Healthcare Data Analyst II to join our team at HMSA. The ideal candidate will have a strong background in financial analysis and data interpretation, with the ability to communicate complex findings to senior management.Key Responsibilities:Design, develop, and implement standard plan or provider...
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Senior Financial Healthcare Data Analyst II
3 weeks ago
Honolulu, Hawaii, United States Hawaii Medical Service Association Full timeJob SummaryWe are seeking a highly skilled Senior Financial Healthcare Data Analyst II to join our team at Hawaii Medical Service Association. This role will be responsible for designing, developing, and implementing standard plan or provider financial and operational reports in response to customer requirements and business needs.Key Responsibilities:Lead...
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Senior Financial Healthcare Data Analyst III
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Senior Financial Healthcare Data Analyst III
7 months ago
Honolulu, United States HMSA Full timeJob Summary Works independently to lead provider negotiations and projects that include the Clinical Integration Division, Health Management Operations, Finance Division, and Executive Leadership and management. Provide comprehensive statistical analysis from multiple sources that support corporate strategies and initiatives for all Lines of Business. ...
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