HMSA · 15 hours ago
Revenue Analyst II
Honolulu, HI
Full-time
Hybrid
Mid Level
$59K/yr - $116K/yr
4+ years expHMSA is focused on providing healthcare services and is seeking a Revenue Analyst II to support their Government Programs plans. The role involves analyzing financial data, forecasting revenue, and ensuring compliance with internal policies and regulatory guidelines.
AssociationHealth CareInsuranceMedical
Responsibilities
Analyses and forecasts premium revenue, risk adjustment payments, and other revenue streams related to lines of business using prescribed guidelines or policies
Gathers, validates, and interprets financial and enrollment data from internal and external sources
Supports RAF and financial data needs of program driving accurate coding and documentation to optimize revenue from evaluation and interpretation of the information
Runs and maintains financial models to assess the impact of regulatory changes, enrollment trends, and market dynamics on revenue
Variance analysis: identify and explain variances between actual and projected revenue
Collaborates with actuarial, finance, compliance and operations teams to ensure accurate revenue recognition and reporting
Ensure all revenue analysis and reporting adhere to internal policies and regulatory guidelines
Develops and maintains appropriate documentation of desktop procedures for reconciliation and audit needs
Maintains working level knowledge of revenue structures and regulations
Identify gaps and assist in implementing process enhancements to improve the accuracy and efficiency of revenue analysis
Provide informal guidance to new team members
Performs all other miscellaneous responsibilities and duties as assigned or directed
Qualification
Required
Bachelor's degree and four years of related experience; or an equivalent combination of education and related work experience
Strong oral and written communication skills for presenting complex information
Working knowledge of the techniques used to present financial or statistical data
Working knowledge of claims, health plan financial data, and health industry structure
Intermediate working knowledge of Microsoft Office applications, including but not limited to Word, Excel, Outlook, and PowerPoint
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
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