What are the responsibilities and job description for the Senior Encounters System Analyst position at Hawaii Medical Service Association?
- 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.
Qualifications:
- 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.