Senior Financial Health Data Analyst I

Job Summary

Hybrid Work Environment - Must reside in Hawaii
Pay Range: $47,500 to $88,000
Note: Individuals typically begin between the minimum to middle of the pay range

Duties And Responsibilities

• Develop, analyze, recommend, and monitor reimbursement and provider strategies; prepare reports that measure the effectiveness of reimbursement and contracting terms and the influence they may have on overall program/plan cost and utilization.
• Analyze data and identify trends, patterns, or other notable issues with an eye for cost reduction opportunities.
• Monitor market trends to identify emerging opportunities or risks in business environments.
• Monitor websites for reimbursement and policy changes for both private and government entities; make recommendations for implementation of these changes.
• Create functional summary reports for presentation to management.
• Validate and maintain quality and consistency of data and reporting.
• On a proactive basis identify and isolate potential problems and work with staff within and outside of the department to develop and implement resolutions; develop and communicate data adjustments and workarounds.
• Propose resolutions to management to clearly define the increase in value and productivity associated with the changes.
• Average annual review of compliance workflows, such as, SSAE, MAR.
• Review provider contracts and ensure that claims system set ups accurately reflect fully executed, signed agreements.
• Participates and promotes team activities by providing leadership, consultation, managing other projects, sharing accountability and expertise, communicating, and improving integrity of workflows, and providing constructive feedback on other team members' performance.