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HMSA · 1 week ago

Encounters System Analyst II

Honolulu, HI

Full-time

Hybrid

Mid Level

$59K/yr - $116K/yr

3+ years exp

HMSA is a healthcare organization focused on optimizing encounter data submissions. The Encounters System Analyst II is responsible for ensuring the completeness and accuracy of encounter data, collaborating with departments, and maintaining expertise on regulatory changes.

AssociationHealth CareInsuranceMedical

Responsibilities

Sustains strong knowledge of encounter system processes within HMSA and external partners

Coordinates and reconciles data exchange with external entities, monitoring quality

Researches complex claim-member-provider scenarios to determine root cause of data submission errors

Coordinates activities with internal staff to optimize encounter submission processes

Actively participates in the planning, implementation, and testing of projects to increase the scope or efficacy of encounters submission

Analyzes project objectives, data sources, and methodology

Provides data to support financial reporting

Monitors government/vendor requirements changes. Determines and communicates impact

Ensures submission methodologies are compliant with published guidance

Qualification

Health industry knowledgeMedicare Advantage knowledgeMedicaid knowledgeSQL knowledgeSAS knowledgeMicroStrategy knowledgeMicrosoft Office proficiencyCommunication skills