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Business Analyst

1 month ago

Honolulu, Hawaii, United States HMSA Full time
Key Responsibilities:

As a Utilization Management Business Analyst, you will play a critical role in coordinating focused medical review projects and analyzing utilization trends to inform data-driven recommendations to management and oversight committees. You will collaborate with reporting SMEs to create reports and dashboards that reflect the impact of UM programs on healthcare cost trends and provider behavior.

Key tasks include:
  • Documenting and presenting data and recommendations to management and oversight committees
  • Collaborating with internal departments to implement strategies to improve quality outcomes and control healthcare cost trends
  • Creating and maintaining requirements documents for reports and dashboards
  • Identifying, researching, and resolving issues in accordance with policies and procedures
  • Responding to inquiries from providers and internal customers
  • Building professional relations with stakeholders
  • Creating and maintaining policy, procedure, and desktop instruction documentation
  • Assisting with education and training for HMSA staff and providers
  • Supporting department and corporate workgroups and projects


This role requires strong analytical and communication skills, as well as the ability to work collaboratively with cross-functional teams. If you are a detail-oriented and organized individual with a passion for healthcare and data analysis, we encourage you to apply for this exciting opportunity.