**Hybrid Work Environment - Must reside in Hawaii **

Pay Range: $64,915 - $103,415

Note: Individuals typically begin between the minimum to middle of the pay range

The Business Analysts develops member and provider interventions to improve clinical quality and member experience and services as a Subject Matter Expert (SME) on Medicare Part C & D Star Ratings. Coordinate efforts with HMSA's vendor partners, community resources, and internal departments to achieve excellent results in health plan ratings and pay-for-performance programs. Complete project planning, implementation and management, including independent research, analysis and communication efforts, to support these programs and related projects.

• Quality Improvement Interventions Analysis and Development:
  
  • Work as part of the Stars team to continuously identify, plan, develop, implement, and evaluate interventions.
  • Develop reports, analyses, and data mining to support program planning and interventions.
  • Complete program and initiative evaluations such as return on investment and health outcomes.
  • Apply detailed analysis and problem solving to research and recognize trends to assess need and identify opportunities for quality improvement.
  • Gather and synthesize research studies, Stars industry information, and BCBSA resources to gain insight and apply best practices to health care quality improvement strategies.
  • Conduct data analysis to support projects and interventions, including gathering data, analyzing data, and presenting recommendations.

• Program and Project Management:
  
  • Plan and implement multiple cross-departmental programs and project(s) with guidance from program managers, executive sponsors, subject matter experts, and project staff.
  • Define project scope and schedule by working with business area leads and develop project plans; including tasks, deliverables, and expected outcomes/goals.
  • Develop and facilitate full project documentation and reporting to meet identified goals and objectives of each project.
  • Proactively monitor overall project performance and life cycle (e.g., on time, within scope and with quality) against measure plans/dashboards and adjust as needed.
  • Manage and track risks and issues to completion.
  • Organize and lead project status and working meetings.
  • Work directly with cross-departmental team members to facilitate communication. Prepare and provide status updates and reports to business owners, executive sponsors, partners, project teams, and others as required.
  • Assist with tracking project expenses.
  • Generate requirements, reports, and operational processes.
  • Complete program and project evaluations, including accomplishments, outcomes, barriers, and opportunities.

• Cross-Functional Integration and Communication:
  
  • Work with HMSA departments and external partners to collect and distribute information, complete tasks, facilitate communication, and provide status updates to ensure coordination among groups.
  • Communicate analysis, assessments, recommendations and completed work product by creating and delivering written and verbal reports and presentations to quality committees and other internal and external stakeholders.

• Quality Improvement Program Support:
  
  • Complete work and documentation to support completion of activities and documentation for the annual Quality Improvement Evaluation and Workplan.
  • Support completion of required reporting and quality improvement plans.
  • Coordinate, facilitate and conduct medical record reviews to support quality activities

• Performs all other miscellaneous responsibilities and duties as assigned or directed.

#LI-Hybrid