The Role
Leads financial system testing and Agile activities, troubleshoots system issues, validates HIPAA EDI and ERA transactions, reconciles accounts and claims payments, prepares journal entries and payment transactions, supports audits and financial reporting, researches regulatory requirements, and coordinates implementation with business and technical stakeholders.
Summary Generated by Built In
Job Summary & ResponsibilitiesPreferred Qualifications
- Participate in projects as a test lead role to support corporate initiatives and provide system test support. The Senior Financial System Analyst communicates business need and requirements relevant to the success of system or product implementation to include communication on issues and project status to management. Ability to trouble-shoot system problems and collect relevant information to solve problem or determine best solution with minimal risk and impact to our customers. Provides guidance and recommendations on resolving complex issues with coordination from other business leads and management. Also provides guidance to junior staff on more complex issues. Serves as a key liaison between business and technical teams by supporting Agile processes, facilitating sprint planning, backlog refinement, and daily stand-up meetings.
- Validate HIPAA Electronic Data Interchange (EDI) transactions related to Electronic Remittance Advice (ERA); and research and resolve transaction errors, transaction balancing issues, and data discrepancies. Balances system-generated claims payment by investigating and resolving payment variances, out-of-balance conditions, and other payment-related discrepancies.
- Performs medium to high complexity balance sheet account reconciliation on a monthly basis including but not limited to benefit expense account balance to underwriting, cash, receivable and payable account reconciliation. Prepares reconciliation and documentation for internal and external audit review. Balance claims system payments and identifies and resolve discrepancies with minimal supervision.
- Prepares and reviews Standard Journals, Reimbursements Journal, and Journal Entries for input to the General Ledger. Perform wire transactions and other payment-related activities. Document workflows and policy and procedures related to the payment activities. Performs analysis of financial data and assists management in compiling information for financial reporting or audits.
- Review compliance guidelines including but not limited to HIPAA Core Rules, Washington Publishing Company Updates, BCBS Association updates. Research and analyze other Federal and State regulatory requirement. Leads or facilitates communication with key stakeholders to implement requirements.
- Performs all other miscellaneous responsibilities and duties as assigned or directed
#LI-Hybrid
- Bachelor's degree and two years of related work experience; or an equivalent combination of education and related work experience.
- Excellent verbal and written communication skills.
- Basic to intermediate level knowledge of Microsoft Office applications. Including but not limited to Word, Excel, Outlook, and Power Point.
Skills Required
- Bachelor's degree and two years of related work experience, or an equivalent combination of education and related work experience
- Excellent verbal and written communication skills
- Basic to intermediate knowledge of Microsoft Office, including Word, Excel, Outlook, and PowerPoint
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.
