The Role
Support Medical Management by gathering and documenting reporting requirements, developing reports and analytics, participating in system implementations, providing user and system support, coordinating training, managing access and equipment requests, and leading assigned department activities under direction of senior staff and management.
Summary Generated by Built In
Job Summary & Responsibilities
- Support Medical Management (MM)'s business solution requirements for the department through data reporting from various HMSA system applications and analytics utilizing established techniques or tools.
- Solicit, document and/or clarify with business the reporting requirements and scope to include but not limited to what question is the business trying to answer, intent of the detailed data, anticipated audience, and summary requirements.
- Maintain requisite knowledge of the current regulatory reporting requirements, including participation in relevant internal calls and/or meetings, researching and reading reporting guideline documentation.
- Maintain requisite knowledge of current workflows for primary reporting requirements, including participation in meetings with the business and/or user groups.
- Maintain requisite knowledge of reporting software / application used to support ALL reporting requirements through available documentation and/or attend trainings.
- Participate in system implementation projects under the direction of the Senior Business Solutions Analyst, Business Solutions Administrator and/or Information Management Manager.
- Solicit and document system and/or business requirements for a system solution to include but not limited to participation in calls, workgroups and/or meetings.
- Develop and/or assist in the creation of various tools to support Utilization Management activities which may include system configuration, test case development and/or testing.
- Provide feedback and/or elevate complex issues / concerns to appropriate lead.
- Lead and/or coordinate specific activities that support department requirements under the direction of Information Management Manager, Director or Vice President of the department.
- Manage the schedule, development, testing and implementation, as necessary, of the specific activity for the targeted audience(s).
- Maintain requisite knowledge of the specific activity; including participation in relevant internal calls and/or meetings, researching and reading updated material/documentation.
- Provide system support to all users on the various utilization management systems managed by Medical Management Department.
- Resolve inquiries submitted directly to MM initiated through email, calls and walk-ins.
- Assist Solutions Analyst with resolving more complex inquiries
- Elevate unresolved complex inquiries.
- Analyzes business problems and issues; coordinates input from various departments, units and/or staff to provide a recommendation or resolution to appropriate business owners.
- Organize and conduct training on how to utilize solutions, includes systems and/or applications administered or developed by the MM.
- Coordinate and manage the security and equipment requirements for the department.
- Completion, submission and tracking of access management requests.
- Completion, submission and tracking of purchase requisitions for computer equipment.
- Performs all other miscellaneous responsibilities and duties as assigned or directed.
#LI-Hybrid
Preferred Qualifications- Bachelor's degree and two years of related work experience; or equivalent combination of education and related work experience.
- Good verbal communication skills to present information before groups, departments, and management.
- Good written skills to compose business correspondence, policies & procedures, work plans, with high degree of accuracy.
- Good organization and time management skills.
- Good project management skills.
- Good business knowledge and experience.
- Strong analytical, organizational, and time-management skills.
- Strong analytical skills.
- Intermediate working knowledge of Microsoft applications, including but not limited to Word, Excel, Outlook, and PowerPoint.
Skills Required
- Bachelor's degree and two years of related work experience; or equivalent combination of education and related work experience
- Good verbal communication skills to present information before groups, departments, and management
- Good written skills to compose business correspondence, policies & procedures, work plans, with high degree of accuracy
- Good organization and time management skills
- Good project management skills
- Good business knowledge and experience
- Strong analytical, organizational, and time-management skills
- Strong analytical skills
- Intermediate working knowledge of Microsoft applications 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.
