Business Analyst
11 hours ago
We 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 Responsibilities- Utilize project management techniques to coordinate medical review projects and ensure timely completion.
- Conduct in-depth analysis of utilization trends to identify areas for improvement and develop data-driven recommendations.
- Collaborate with stakeholders to implement strategies that improve quality outcomes and control healthcare costs.
- Develop and maintain reports and dashboards to track the impact of utilization management programs.
- Identify and resolve issues through sound decision-making and adherence to policies and procedures.
- Provide exceptional customer service to providers and internal customers through timely and effective communication.
- Act as a liaison between Medical Management and internal departments to ensure seamless collaboration and information sharing.
- Create and maintain policy, procedure, and desktop instruction documentation to support business operations.
- Assist with education and training initiatives to promote Medical Management activities and projects.
- Support department and corporate workgroups and projects as assigned.
To be successful in this role, you will need:
- Strong analytical and problem-solving skills.
- Excellent communication and interpersonal skills.
- Ability to work effectively in a fast-paced environment.
- Proficiency in project management tools and techniques.
- Strong business acumen and understanding of healthcare industry trends.
HMSA offers a competitive salary and benefits package, as well as opportunities for professional growth and development. If you are a motivated and detail-oriented individual with a passion for healthcare and business analysis, we encourage you to apply for this exciting opportunity.
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