The Role
Serve as a Provider Operations subject matter expert on projects and process improvements. Independently identify and articulate business needs, perform data analysis to find root causes and recommend solutions, document findings, and resolve complex provider inquiries via written and phone communication. Proactively research issues and support department initiatives.
Summary Generated by Built In
Job Summary & Responsibilities
- Serve as Provider Operations subject matter expert on major department and corporate initiatives, projects, process improvement or any other major activity as assigned by management independently.
- Independently be able to ensure Provider Operations' needs are addressed; must be able to clearly articulate business needs so that the department is not negatively affected and elevate concerns and issues to management when applicable. Pursue issues until a satisfactory resolution is reached.
- Independently conduct data analysis related to major projects and operational activities that includes the following activities:
- Design analysis and the gathering and analyzing of data
- Analyze trending information in order to identify root causes and develop recommendations for resolution, prevention procedures and processes
- Constructing documentation analysis and execute solutions as directed by management.
- Work directly with providers both through writing and over the phone to resolve complex inquiries.
- The Business Analyst I must be able to proactively identify, research, and conduct analyses to resolve issues and trends that might negatively impact the department and HMSA as a whole.
- Performs all other miscellaneous responsibilities and duties as assigned or directed
- Bachelor's degree and 2 years of related experience, or equivalent combination of education and experience
- Basic working knowledge of Microsoft Office applications. Including but not limited to Word, Excel, and Outlook.
- Strong oral and written communication, listening and presentation skills.
- Strong organizational skills for tracking and handling multiple projects with deadlines.
Skills Required
- Serve as Provider Operations subject matter expert and support major initiatives
- Independently articulate business needs and escalate issues to management
- Independently conduct data analysis, design analysis, and identify root causes
- Work directly with providers via writing and phone to resolve complex inquiries
- Bachelor's degree or equivalent combination of education and experience
- 2 years of related experience (or equivalent)
- Basic working knowledge of Microsoft Office applications (Word, Excel, Outlook)
- Strong oral and written communication, listening and presentation skills
- Strong organizational skills for tracking multiple projects with deadlines
HMSA Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about HMSA and has not been reviewed or approved by HMSA.
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Healthcare Strength — Medical and dental coverage are described as solid, with preventive services and select zero‑cost features adding value in recent plan years. Employer-sponsored plans can have affordable premiums in certain groups and broad access options.
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Retirement Support — A 401(k) with company match and potential discretionary contributions forms a strong component of total rewards. Retirement support complements the core medical and dental package.
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Leave & Time Off Breadth — Paid holidays and PTO that increases with tenure provide meaningful time‑off flexibility. Time‑away benefits scale with service length.
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The Company
What We Do
The Hawaii Medical Service Association (HMSA), an independent licensee of the Blue Cross and Blue Shield Association, is a reliable name in Hawaii health care. Established in 1938, we are the largest and most experienced provider of health care coverage in the state. Over half of Hawaii’s population have chosen HMSA for their health care coverage. We are dedicated to providing quality, affordable health plans; employee benefit services; and worksite wellness programs. HMSA also offers a variety of programs, services and support to help improve the health and well-being of our members and community.
