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Hawaii Medical Service Association

Senior Financial Analyst

Posted Updated
Discussion
  1. Reporting, Research & Analysis
    • Analyzes and forecasts premium revenue, risk adjustment payments, and other revenue streams related to lines of business with minimal guidance.
    • Interprets financial and enrollment data from internal and external sources, identifying opportunities and problems compared to anticipated outcomes.
    • Evaluates financial data needs and identifies and implements solutions for program driving accurate coding and documentation to optimize revenue.
    • Develops and maintains financial models to assess the impact of regulatory changes, enrollment trends, and market dynamics on revenue.
    • Variance analysis: identify and explain variances between actual and projected revenue, providing actionable insights to leadership.
    • Collaborates with actuarial, finance, compliance and operations teams to ensure accurate revenue recognition and reporting.
  2. Compliance & Documentation
    • Ensure all revenue analysis and reporting adhere to internal policies and regulatory guidelines, and recommends strategic alternatives.
    • Develops, maintains, and analyzes appropriate documentation of desktop procedures for reconciliation and audit needs.
    • Builds and maintains in-depth knowledge of revenue structures and regulations and conceptual knowledge of related activities.
  3. Leadership & Continuous Improvement
    • Recommends and implements process enhancements to improve the accuracy and efficiency of revenue analysis.
    • Mentors junior analysts and may be assigned project lead requiring some resource planning assignments.
  4. Performs all other miscellaneous responsibilities and duties as assigned or directed.

#LI-Hybrid

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