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Business Analyst
3 days ago
The Queen's Health Systems, Inc. Honolulu, United States Full timeWorks with the Senior Analyst to identify options for improving business systems and bridges the needs of the business with the use of information technology. Along with the Senior Analyst, works as a liaison among stakeholders to elicit, analyze, co Business Analyst, Enterprise, ...
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Business Analyst
5 days ago
Queen's Health System Honolulu, United States Full timeRESPONSIBILITIES · I. JOB SUMMARY/RESPONSIBILITIES: · • Works with the Senior Analyst to identify options for improving business systems and bridges the needs of the business with the use of information technology. Along with the Senior Analyst, works as a liaison among stakehold ...
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Business Analyst
1 week ago
Hawaii Growth - Honolulu Honolulu, United StatesCompensation Type: · Yearly · Highgate Hotels: · Highgate is a premier real estate investment and hospitality management company widely recognized as an innovator in the industry. Highgate is the dominant player in U.S. gateway markets including New York, Boston, Miami, San Fr ...
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Business Analyst
5 days ago
Highgate Honolulu, United StatesCompensation Type · Yearly · Highgate Hotels · Highgate is a premier real estate investment and hospitality management company widely recognized as an innovator in the industry. Highgate is the dominant player in U.S. gateway markets including New York, Boston, Miami, San Franci ...
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business analyst
3 days ago
Naval Facilities Engineering Systems Command Honolulu, United StatesSummary · You will serve as a BUSINESS ANALYST in the BUSINESS ANALYSIS OFFICE of NAVAL FACILITIES ENG COMMAND HAWAII. · ***This Job Opportunity Announcement is using an additional online assessment tool to evaluate applicants. Please review the HOW YOU WILL BE EVALUATED, HOW TO ...
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Business Analyst
4 days ago
TEKsystems Honolulu, United StatesJob Description · Job Description6 month contract to hire · Summary of Job Duties: · Develop and author procedures and workflows for Business Analysis group to standardize and document requirements processes · Work closely with business stakeholders to observe, elicit and define ...
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Business Analyst
1 week ago
Lincoln Financial Group Honolulu, United StatesAlternate Locations: Work from Home; Dover, NH (New Hampshire); Fort Wayne, IN (Indiana); Greensboro, NC (North Carolina); Hartford, CT (Connecticut); Omaha, NE (Nebraska); Radnor, PA (Pennsylvania) · Work Arrangement: · Hybrid/Flexible : Work at home and use the office as appr ...
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Business Analyst
1 week ago
Lincoln Financial Group Honolulu, United StatesAlternate Locations: Work from Home; Charlotte, NC (North Carolina); Dover, NH (New Hampshire); Fort Wayne, IN (Indiana); Greensboro, NC (North Carolina); Hartford, CT (Connecticut); Omaha, NE (Nebraska); Radnor, PA (Pennsylvania) · Work Arrangement: · Hybrid/Flexible : Work at ...
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Medicare Business Analyst
1 week ago
TEKsystems Honolulu, United StatesHello, one of Hawaii's largest Healthcare organizations is looking for a Medicare Business Analyst to join their team for a new healthcare plan implementation. Healthcare experience is a must have for this position and any experience in an Analyst role is highly preferred per the ...
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Senior Business Analyst
1 week ago
AlohaCare Honolulu, United StatesThe Opportunity: · Internal Senior Business Analyst · The Internal Senior Business Analyst will serve as the technical liaison between the IT department and various internal business units in support of the development and enhancements to various systems associated with the organ ...
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Business Systems Analyst
1 week ago
TEKsystems Honolulu, United StatesWe are currently seeking a collaborative, analytical Business Systems Analyst from a Banking experience to join our team. In this role, the individual assists management in office automation and information and reporting processes and systems as they relate to the functions of th ...
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Medicare Business Analyst
1 week ago
TEKsystems Honolulu, United StatesHello, one of Hawaii's largest Healthcare organizations is looking for a Medicare Business Analyst to join their team for a new healthcare plan implementation. Healthcare experience is a must have for this position and any experience in an Analyst role is highly preferred per the ...
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Junior IT Business Analyst
3 days ago
Hawaii Gas Honolulu, United StatesOverview: · The Junior IT Business Analyst will collaborate with clients, advocating for information technology needs and assisting them in improving their business and technical processes. The Junior IT Business Analyst will partner with clients to perform feasibility studies a ...
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Medicare Business Analyst
1 week ago
Dice Honolulu, United StatesDice is the leading career destination for tech experts at every stage of their careers. Our client, TEKsystems c/o Allegis Group, is seeking the following. Apply via Dice today · Hello, one of Hawaii's largest Healthcare organizations is looking for a Medicare Business Analyst ...
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Business Data Analyst
1 week ago
TEKsystems Honolulu, United StatesTEKsystems in Hawaii is looking for a Business Data Analyst with experience with SQL, ETL, and Excel to support one of the local healthcare companies in Hawaii This role is remote, but must be able to work in the Hawaii Standard Time zone. If you are interested, please apply for ...
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Business Development Analyst
2 weeks ago
Cayuse Holdings Honolulu, United States**Overview** · The Business Development Analyst utilizes resources to support revenue-generation staff to become both knowledgeable and proficient in account management and support through Deltek GovWinIQ. All duties and responsibilities will be performed by the Business Intellig ...
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Senior Business Analyst
1 week ago
Oracle Honolulu, HI, United StatesThe OCI Business Operations team is seeking an experienced Business Analyst to support cross-functional operations. The desired candidate will have a solid understanding of data and operational business process, including analyzing and managing trends, monitoring KPI, and managin ...
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Business Data Analyst
1 week ago
Dice Honolulu, United StatesDice is the leading career destination for tech experts at every stage of their careers. Our client, TEKsystems c/o Allegis Group, is seeking the following. Apply via Dice today · TEKsystems in Hawaii is looking for a Business Data Analyst with experience with SQL, ETL, and Exce ...
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Business Analyst II
2 weeks ago
HMSA Honolulu, United StatesJob Summary · Hybrid Work Environment - Must reside in Hawaii ** · Responsible to support the development and implementation of required activities to ensure compliance with Centers for Medicare and Medicaid Services (CMS) requirements and mandates, that ensures compliance with ...
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Senior Business Analyst
1 week ago
Oracle Honolulu, United StatesThe OCI Business Operations team is seeking an experienced Business Analyst to support cross-functional operations. The desired candidate will have a solid understanding of data and operational business process, including analyzing and managing trends, monitoring KPI, and managin ...
Provider Operations Business Analyst - Honolulu, United States - HMSA
Description
Job Summary
The Provider Operations Business Analyst will be responsible for performance monitoring, research, analysis, development, implementation and coordination of Provider Operation's initiatives and related projects to ensure the highest integrity of HMSA's Provider Network data, credentialing, directories, and related operational functions.
This analyst initiates and performs all activities related to the appropriate administration of these activities, which are based on an excellent working knowledge of HMSA's business as well as credentialing, contracting, and reimbursement policies while regularly demonstrating a collaborative, respectful, courteous and service-oriented demeanor.
Minimum QualificationsBachelor's degree and two years of related work experience; or an equivalent combination of education and related work experience.
Effective oral and written communication skills
Good problem-solving skills
Good projects management skills
Intermediate working knowledge of Microsoft Office applications.
Duties and Responsibilities
Develop and maintain processes and reports for internal and external performance monitoring of all provider database and credentialing activities to ensure compliance with corporate performance and/or regulatory guidelines.
Effectively work with external and internal teams on implementing changes and/or corrective action plans to improving outcomes and increase efficiencies identified as a result of the performance monitoring.
Lead, coordinate and represent Provider Operations on project teams and interdepartmental efforts by coordinating efforts, creating and/or contributing to requirement documents and developing test cases related to provider data.
Prepare case files for presentation to Provider Operations Leadership and Credentialing Committee in order to satisfactorily meet all standards as required by HMSA policies and procedures, State and Federal regulatory requirements and all relevant accreditation standards pertaining to the credentialing for HMSA providers in all lines of business including commercial, Medicare, Medicaid and ACA products.
Develop and maintain Provider Operations program descriptions, policies and procedures based on current state and federal requirements, accreditation standards, and internal process updates.
Performs all other miscellaneous responsibilities and duties as assigned or directed.To include database management for any escalations
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