Medical Management Policy & Research Analyst I Job at Hawaii Medical Service Association, Honolulu, HI

c1g4ZHFMMFlqcjJlTnRTeEdTR1drek15U1E9PQ==
  • Hawaii Medical Service Association
  • Honolulu, HI

Job Description

Medical Management Policy & Research Analyst I #25-6073 Honolulu, Hawaii, United States

Employment Type

Full-time

Exempt or Non-Exempt

Non-exempt [Non-ex.]

Job Summary

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

Pay Range: $53,000 to $99,000

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

Conduct activities under limited oversight that support government regulations, accreditation standards and specific HMSA line of business requirements.

Minimum Qualifications

  • Associate degree and one (1) year of related work experience; or equivalent combination of education and work experience.
  • Demonstrated oral and written communication skills.
  • Proven organizational and time-management skills.
  • Basic working knowledge of Microsoft Office applications, including but not limited to Word, Excel, Outlook, and PowerPoint.

Duties and Responsibilities

  • Revise and/or develop medical policies adopted from the BCBSA in conjunction with assigned medical director and in accordance with Development and Approval of Medical Policy administrative policy; process includes appropriate and timely implementation and publication.
  • Assist with activities related to the revision and/or development of medical policies, code reviews, and TEC topic research, which include Service Now ticket submissions and Workfront ticket requests (tickets include data requests and medical policy page updates).
  • Assist with the revision and update of MM C&S Unit assigned PRC pages. Collaborate with HMSA Communications Department with the accuracy of PRC page content and in the submission Workfront requests.
  • Support MM sponsored meetings by preparing and distributing an agenda, minutes, and documents to be discussed, and taking minutes (meetings to include UMC, OMD, TEC, Policy Workgroup).
  • Research and respond to requests from internal departments/units requesting information on new technology (including research supporting TEC activities) and medical policies.
  • Performs all other miscellaneous responsibilities and duties as assigned or directed.
#LI-Hybrid

Job Tags

Full time, Work experience placement,

Similar Jobs

Southwestern Wire, Inc.

IT Help Desk Technician Job at Southwestern Wire, Inc.

We are seeking an in-office, entry-level IT Helpdesk Technician to join our team in Norman, OK Summary Helpdesk technicians provide training and support for employees using company hardware and software. Empathy, professionalism, interpersonal communication, and ...

Teach Oklahoma

NMS Special Education Teacher Job at Teach Oklahoma

 ...Start Date Upcoming School Year Position Areas Special Education Certification Must hold a...  ...Description Full time special education teacher needed for Newcastle Middle School. This position is for a resource room... 

INA Solution Inc

Construction Site Superintendent Job at INA Solution Inc

 ...Job Title: Site Superintendent Construction Location: San Antonio, TX Duration: Contract to Hire Qualifications Experience in Electrical, Plumbing, or HVAC required. Minimum 5 years of experience in construction. Supervisory experience would... 

Robert B Payne Heating & Air

HVAC Service Technician Job at Robert B Payne Heating & Air

 ...Residential HVAC Service Technician Robert B. Payne is seeking a skilled Residential HVAC Service Technician to join our team. The successful candidate will deliver exceptional service by maintaining, servicing, and repairing HVAC systems in customers' homes. We are... 

Broad River Rehabilitation

Occupational Therapy Assistant / COTA / OTA Job at Broad River Rehabilitation

Certified Occupational Therapist Assistant (COTA) Part-time hours: 3-5x a week, 20-25 hours/week Continuing Care Retirement Community Lumberton, NC At Broad River Rehab, we hire people who share our vision and who work diligently to provide the kind of care that...