HMSA · 2 days ago
Senior Encounters System Analyst
Honolulu, HI
Full-time
Hybrid
Mid, Senior Level
$68K/yr - $133K/yr
4+ years expHMSA is seeking a Senior Encounters System Analyst responsible for optimizing the completeness and accuracy of encounter data submissions for multiple lines of business. This role involves collaboration with other departments, sustaining subject matter expertise on regulatory changes, and leading audits and submissions for government finance deliverables.
AssociationHealth CareInsuranceMedical
Responsibilities
Sustains mastery of encounter system processes within HMSA and external partners, for multiple lines of business
Monitors trends in data exchange with external entities and recommends adjustments as needed
Researches highly nuanced claim-member-provider scenarios to determine root cause of data submission errors
Leads collaboration with internal staff to optimize encounter submission processes
Leads the planning, design, implementation, and testing of projects to increase the scope or efficacy of encounters submission
Prioritizes project deliverables to ensure business needs are met
Serves as a resource for colleagues with less experience
Provides data to support financial reporting
Monitors government/vendor requirements changes. Determines and communicates impact, recommends adjustments as needed
Qualification
Required
Bachelor's degree and four years of related experience; or an equivalent combination of education and experience
Working knowledge of claims, health plan financial data, and health industry structure
Working knowledge of Medicare Advantage, Medicaid, and/or ACA revenue cycles for payers
Intermediate working knowledge of Microsoft Office applications, including but not limited to Word, Excel, Outlook, and PowerPoint
Conceptual knowledge of SQL, SAS, or MicroStrategy
Company
HMSA
HMSA is an insurance company that provides affordable health plans, employee benefits services and worksite wellness programs.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Rick Hopfer
Chief Information Officer
Recent News
Honolulu Star-Advertiser
2025-06-12
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