Strategic Analyst, Medicaid Financial Performance
HMSA Honolulu, Hawaii, United States
Insurance · 1,001-5,000 employees
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About the role
The Strategic Analyst will conduct deep-dive financial and performance analyses to support Medicaid initiatives and evaluate their impact. They will also design cross-functional optimization projects and mentor junior analysts to ensure high-quality documentation and analytical standards.
What they look for
Requirements
Candidates must possess a bachelor's degree and at least six years of experience in Medicaid, healthcare operations, or finance. Strong project management, analytical skills, and proficiency in Microsoft Office are required to effectively communicate complex information to leadership.
Full description
- Initiative Driven Financial & Performance Analysis
- Conducts deep dive analyses in direct support of specific Medicaid financial performance initiatives (e.g., utilization management strategies, community program investments, benefit or operational changes).
- Evaluates financial impact, cost drivers, efficiency opportunities, and unintended consequences associated with initiatives led by the Strategic Program Manager.
- Develops initiative specific baselines, scenarios, and outcome measures to assess effectiveness over time.
- Partners with the Strategic Program Manager to refine analytical questions and translate findings into actionable recommendations.
- Performance Optimization Initiatives
- Designs and manages cross-functional initiatives that improve affordability, efficiency, and performance outcomes.
- Applies continuous improvement methods to streamline workflows, reduce administrative burden, and enhance program effectiveness
- External / Contract Alignment Support
- Ensures initiatives and investments align with CMS/DHS/MQD requirements and QUEST priorities; supports documentation for audits/reviews as needed.
- Mentorship & Capability Building
- Mentors analysts/PM resources, reinforcing standards for documentation, analysis quality, and accountability.
- Performs all other miscellaneous responsibilities and duties as assigned or directed.
#LI-Hybrid
Qualifications
- Bachelor's degree and six years of related experience in Medicaid/managed care, healthcare operations, program performance, finance, or analytics
- Demonstrated experience leading complex projects and developing business recommendations
- Strong analytical and project management skills; ability to communicate complex information clearly and concisely to leadership
- Working knowledge of regulated program requirements and documentation standards.
- Intermediate working knowledge of Microsoft Office applications to include Word, Excel, PowerPoint, and Outlook.
