Business Analyst

5 days ago


Honolulu, Hawaii, United States HMSA Full time
Job Summary

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, analyzing utilization trends, and developing strategies to improve quality outcomes and control healthcare costs.

Key Responsibilities
  • Collaborate with reporting SMEs to create reports and dashboards that reflect the impact of UM programs on healthcare costs and provider behavior.
  • Develop and maintain requirements documents for each report or dashboard.
  • Identify, research, and resolve issues by making sound decisions in accordance with policies and procedures.
  • Act as a liaison between Medical Management and internal departments, building professional relationships with various stakeholders.
  • Create and maintain policy, procedure, and desktop instruction documentation.
  • Assist with education and training to HMSA staff and providers regarding Medical Management activities and projects.
  • Support and participate in department and corporate workgroups and projects, as assigned.
Requirements

To be successful in this role, you will need:

  • Strong analytical and problem-solving skills.
  • Excellent communication and collaboration skills.
  • Ability to work in a fast-paced environment and prioritize multiple tasks.
  • Knowledge of healthcare operations and medical management principles.
  • Proficiency in business intelligence tools and data analysis software.


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