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Business Analyst

HMSA
United States, Hawaii, Kapolei
Apr 10, 2024
Business Systems and Reporting Generates reports and, as appropriate, coordinates the regular creation, production, and maintenance of department reports. When appropriate, build needed reports and extract from system. Prepares materials or data to portray department metrics for use by management or executives to internal or external groups. Influences enhancements to business processes and system infrastructure to improve data quality across multiple sources. Creates and maintains workflows and materials demonstrating end-to-end process. Business Project Analysis Identifies opportunities to answer business questions or improve business functions using results from data analysis. Presents opportunities and recommendations to management Works with staff and management within the department and other business areas as required to fully understand business scope, business constraints, and business implications of analytical results. Translates analysis into informed business decisions for management. Provides feedback to department staff and management based on issues identified through data and quality review and analysis. Perform data analysis for employer groups and effectively present information to non-healthcare professionals. Performs data analysis on case management delegates and presents to provider organizations. Business Solution Development Proactively communicates with department managers and key business areas to maintain awareness of state memos, contract changes, and federal regulations; provides impact notification and guidance. Identifies deficiencies and opportunities for improvement in programs; monitors against expectations via report and data validation. Works within the department and other business areas to adjust policies & procedures, workflows, or desktop procedures to adapt to changing needs and requirements. Takes initiative to research issues, conduct root cause analysis, documents methodology, and prepares analytical results/summary findings/ presentation reports. Develops and maintains program documents, including policies and procedures, desktop procedures, and training materials. Develops dashboards to track performance of model of care (MOC) programs compared with case management delegates. Other Duties/Functions Performs all other miscellaneous responsibilities and duties as assigned or directed. Assists with special projects and department priorities/initiatives, such as researching and mining charts for large claim inquiries and other requirements Support staff with similar responsibilities to ensure daily operations continue. #LI-Hybrid