What are the responsibilities and job description for the Medical Management Policy & Research Analyst I position at HMSA?
Employment Type
Full-time
Exempt or Non-Exempt
Non-exempt [Non-ex.]
Job Summary
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
Full-time
Exempt or Non-Exempt
Non-exempt [Non-ex.]
Job Summary
- Hybrid Work Environment - Must reside on Oahu**
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.
- 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.
Salary : $53,000 - $99,000
