Healthcare Utilization Analyst
1 week ago
The Healthcare Utilization Analyst plays a crucial role in optimizing medical review initiatives. This position involves the application of project management methodologies to effectively coordinate targeted medical review projects. The analyst will conduct thorough analyses to identify utilization patterns and trends, documenting findings and presenting actionable insights to management and relevant oversight committees.
Key Responsibilities- Project Coordination: Employ project management techniques to oversee focused medical review initiatives, ensuring alignment with corporate objectives.
- Data Reporting: Collaborate with subject matter experts to develop comprehensive reports and dashboards that illustrate the impact of Utilization Management programs, highlighting direct cost savings and shifts in provider behavior.
- Issue Resolution: Proactively identify, investigate, and resolve issues, making informed decisions in accordance with established policies and procedures. Serve as a liaison between Medical Management and internal departments, fostering professional relationships with stakeholders.
- Documentation and Training: Create and maintain essential policy, procedure, and instructional documentation. Provide education and training to HMSA staff and providers on Medical Management activities and initiatives, encouraging input for the development of new programs.
- Collaboration: Actively support and participate in departmental and corporate workgroups and projects as assigned.
- Additional Duties: Perform all other miscellaneous responsibilities and tasks as directed.
This role is essential in driving quality outcomes and managing healthcare cost trends, contributing to the overall success of HMSA's initiatives.
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Utilization Management Business Analyst
1 week ago
Honolulu, Hawaii, United States HMSA Full timeJob SummaryWe are seeking a highly skilled Utilization Management Business Analyst to join our team at HMSA. As a key member of our Medical Management department, you will play a critical role in coordinating focused medical review projects, analyzing utilization trends, and developing strategies to improve quality outcomes and control healthcare costs.Key...
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Business Analyst
3 weeks ago
Honolulu, Hawaii, United States HMSA Full timeJob SummaryWe are seeking a highly skilled Utilization Management Business Analyst to join our team at HMSA. As a key member of our Medical Management department, you will play a critical role in coordinating focused medical review projects and analyzing utilization trends to inform business decisions.Key ResponsibilitiesUtilize project management techniques...
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Healthcare Data Analyst for Financial Planning
1 month ago
Honolulu, Hawaii, United States HMSA Full timeJob SummaryAs a Senior Financial Healthcare Data Analyst III at HMSA, you will lead provider negotiations and projects that include the Clinical Integration Division, Health Management Operations, Finance Division, and Executive Leadership. Your comprehensive statistical analysis will support corporate strategies and initiatives for all Lines of Business.Key...
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Financial Data Analyst for Healthcare Operations
1 month ago
Honolulu, Hawaii, United States HMSA Full timeJob SummaryAs a Senior Financial Healthcare Data Analyst III at HMSA, you will lead provider negotiations and projects that include the Clinical Integration Division, Health Management Operations, Finance Division, and Executive Leadership. Your comprehensive statistical analysis will support corporate strategies and initiatives for all Lines of Business.Key...
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Senior Financial Healthcare Data Analyst III
6 days ago
Honolulu, Hawaii, United States HMSA Full timeJob SummaryAs a Senior Financial Healthcare Data Analyst III at HMSA, you will lead provider negotiations and projects that drive business growth and strategic initiatives. You will provide comprehensive statistical analysis from multiple sources to support corporate strategies and initiatives for all Lines of Business.Key ResponsibilitiesLead complex...
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Senior Financial Healthcare Data Analyst II
3 weeks ago
Honolulu, Hawaii, United States HMSA Full timeSenior Financial Analyst RoleHMSA is seeking a highly skilled Senior Financial Analyst to drive business growth and success.Financial ReportingDevelop and implement financial and operational reports to meet customer requirements and business needs.Lead and implement internal controls, define data and information requirements, and maintain adequate...
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Business Operations Analyst
3 weeks ago
Honolulu, Hawaii, United States HMSA Full timeJob SummaryWe are seeking a highly skilled Business Operations Analyst to join our team at HMSA. As a key member of our Medical Management department, you will play a critical role in coordinating focused medical review projects and analyzing utilization trends to inform business decisions.Key ResponsibilitiesUtilize project management techniques to...
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Senior Financial Healthcare Data Analyst III
2 weeks ago
Honolulu, Hawaii, United States HMSA Full timeJob SummaryAs a Senior Financial Healthcare Data Analyst III at HMSA, you will lead provider negotiations and projects that span multiple divisions, including Clinical Integration, Health Management Operations, Finance, and Executive Leadership. Your expertise in statistical analysis will drive corporate strategies and initiatives across all Lines of...
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Senior Financial Healthcare Data Analyst III
3 weeks ago
Honolulu, Hawaii, United States HMSA Full timeJob SummaryAs a Senior Financial Healthcare Data Analyst III at HMSA, you will lead provider negotiations and projects that drive business growth and improvement. You will analyze complex data from multiple sources to inform corporate strategies and initiatives, ensuring alignment with business objectives.Key ResponsibilitiesDevelop and implement data-driven...
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MASINT Analyst
3 weeks ago
Honolulu, Hawaii, United States Booz Allen Hamilton Full timeJob Title: MASINT AnalystWe are seeking a highly skilled MASINT Analyst to join our team at Booz Allen Hamilton. As a MASINT Analyst, you will play a critical role in developing reports, intelligence products, and analytic assessments to support our warfighters.About the Role:This is a challenging and rewarding opportunity for a skilled analyst to utilize...
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Senior Financial Healthcare Data Analyst III
4 weeks ago
Honolulu, Hawaii, United States HMSA Full timeJob SummaryWe are seeking a highly skilled Financial Data Analyst to join our team at HMSA. As a key member of our Clinical Integration Division, you will play a critical role in leading provider negotiations and projects that drive business growth and improvement.Key ResponsibilitiesDevelop and analyze complex data sets to inform business strategies and...
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Financial Analyst
3 weeks ago
Honolulu, Hawaii, United States Rin Chon Consulting Full timeFinancial & Regulatory AnalystWe are seeking a highly skilled Financial & Regulatory Analyst to play a critical role in shaping our company's strategy and ensuring compliance with regulatory standards. This position involves developing financial and regulatory models, interpreting tariffs, and providing technical advice on regulatory matters.Key...
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Intelligence Analyst
3 weeks ago
Honolulu, Hawaii, United States Streamline Defense Full timeJob Title: All-Source Intelligence AnalystStreamline Defense is seeking a highly skilled All-Source Intelligence Analyst to support the USINDOPACOM J2 in Honolulu, HI.Responsibilities:Conduct all-source research and analysis to produce intelligence products, position papers, and graphic presentations supporting INDOPACOM requirements.Provide all-source...
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Board Certified Behavior Analyst
2 weeks ago
Honolulu, Hawaii, United States Invo Healthcare Full timeJob Title: Board Certified Behavior AnalystInvo Healthcare is seeking a talented Board Certified Behavior Analyst (BCBA) to join our school-based services team throughout Hawaii. As a BCBA, you will play a crucial role in providing behavioral therapy services to children in schools, helping them overcome behavioral challenges and achieve their full...
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Board Certified Behavior Analyst
3 weeks ago
Honolulu, Hawaii, United States Invo Healthcare Full timeJob Title: Board Certified Behavior AnalystInvo Healthcare is seeking a talented Board Certified Behavior Analyst (BCBA) to join our school-based services team throughout Hawaii. As a BCBA, you will play a crucial role in providing behavioral therapy services to children in schools, helping them overcome behavioral challenges and achieve their full...
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Cyber Threat Intelligence Analyst
2 weeks ago
Honolulu, Hawaii, United States Alaka`ina Foundation Family of Companies Full timeCyber Threat Analyst Job DescriptionWe are seeking a highly skilled Cyber Threat Analyst to join our team at the Alaka`ina Foundation Family of Companies. As a Cyber Threat Analyst, you will play a critical role in supporting our government customer located in Honolulu, Hawai'i.Key Responsibilities:Develop and distribute content provided by security...
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Senior Intelligence Analyst
2 weeks ago
Honolulu, Hawaii, United States Streamline Defense Full timeJob Title: All-Source Intelligence AnalystStreamline Defense is seeking a highly skilled All-Source Intelligence Analyst to support the USINDOPACOM J2 in Honolulu, HI.Responsibilities:Conduct all-source research and analysis to produce intelligence products, position papers, and graphic presentations supporting INDOPACOM requirements.Provide all-source...
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Linguist and Cultural Analyst
3 weeks ago
Honolulu, Hawaii, United States JMark Services Inc. Full timeJob Title: Linguist and Cultural AnalystJMark Services Inc. is seeking a highly skilled Linguist and Cultural Analyst to join our team. As a successful small business, we recognize that our employees are our most valuable resource. We offer a comprehensive benefits package along with support and commitment to the success and welfare of each employee who...
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Travel Healthcare Specialist
1 month ago
Honolulu, Hawaii, United States Host Healthcare Full timeJob Opportunity: Medical Technologist Position with Host HealthcareAbout Host Healthcare: As a leading travel healthcare company, we offer a unique blend of career opportunities and benefits that cater to the needs of medical professionals like you.Job Summary: We are seeking a skilled Medical Technologist to join our team in a Medical Laboratory setting. As...
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Clinical Utilization Specialist
1 week ago
Honolulu, Hawaii, United States Centene Corporation Full timeJob Title: Clinical Utilization SpecialistJoin Centene Corporation, a leading healthcare company, as a Clinical Utilization Specialist. In this role, you will play a critical part in ensuring the quality and appropriateness of mental health and substance abuse services for our 28 million members.Key Responsibilities:Perform clinical reviews to assess the...