Company:
HMSA
Location: Honolulu
Closing Date: 29/10/2024
Salary: £150 - £200 Per Annum
Hours: Full Time
Type: Permanent
Job Requirements / Description
Job Summary
- Hybrid Work Environment - Must reside in Hawaii
Pay Range: $64,915 - $103,415
Note: Individuals typically begin between the minimum to middle of the pay range.
The Business Analyst develops member and provider interventions to improve clinical quality and member experience and services as a Subject Matter Expert (SME) on Medicare Part C & D Star Ratings. Coordinate efforts with HMSA's vendor partners, community resources, and internal departments to achieve excellent results in health plan ratings and pay-for-performance programs. Complete project planning, implementation, and management, including independent research, analysis, and communication efforts, to support these programs and related projects.
Minimum Qualifications
- Bachelor's degree and four years of related work experience; or equivalent combination of education and related work experience.
- Excellent verbal and written communication skills.
- Knowledge of basic relevant statistical analyses.
- Proficiency in issues identification and data collection, analysis, and interpretation.
- Basic working knowledge of Microsoft Outlook and PowerPoint.
- Intermediate working knowledge of Microsoft Word and Excel.
Duties And Responsibilities
- Quality Improvement Interventions Analysis and Development:
- Work as part of the Stars team to continuously identify, plan, develop, implement, and evaluate interventions.
- Develop reports, analyses, and data mining to support program planning and interventions.
- Complete program and initiative evaluations such as return on investment and health outcomes.
- Apply detailed analysis and problem solving to research and recognize trends to assess need and identify opportunities for quality improvement.
- Gather and synthesize research studies, Stars industry information, and BCBSA resources to gain insight and apply best practices to health care quality improvement strategies.
- Conduct data analysis to support projects and interventions, including gathering data, analyzing data, and presenting recommendations.
- Program and Project Management:
- Plan and implement multiple cross-departmental programs and project(s) with guidance from program managers, executive sponsors, subject matter experts, and project staff.
- Define project scope and schedule by working with business area leads and develop project plans; including tasks, deliverables, and expected outcomes/goals.
- Develop and facilitate full project documentation and reporting to meet identified goals and objectives of each project.
- Proactively monitor overall project performance and life cycle (e.g., on time, within scope and with quality) against measure plans/dashboards and adjust as needed.
- Manage and track risks and issues to completion.
- Organize and lead project status and working meetings.
- Work directly with cross-departmental team members to facilitate communication. Prepare and provide status updates and reports to business owners, executive sponsors, partners, project teams, and others as required.
- Assist with tracking project expenses.
- Generate requirements, reports, and operational processes.
- Complete program and project evaluations, including accomplishments, outcomes, barriers, and opportunities.
- Cross-Functional Integration and Communication:
- Work with HMSA departments and external partners to collect and distribute information, complete tasks, facilitate communication, and provide status updates to ensure coordination among groups.
- Communicate analysis, assessments, recommendations, and completed work product by creating and delivering written and verbal reports and presentations to quality committees and other internal and external stakeholders.
- Quality Improvement Program Support:
- Complete work and documentation to support completion of activities and documentation for the annual Quality Improvement Evaluation and Workplan.
- Support completion of required reporting and quality improvement plans.
- Coordinate, facilitate, and conduct medical record reviews to support quality activities.
- Performs all other miscellaneous responsibilities and duties as assigned or directed.
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