HRSN Analyst
About The Position
The HRSN Analyst supports reporting, monitoring, issue resolution, rapid-cycle improvement, and implementation of HRSN benefits. The role generates monthly, quarterly, and ad hoc reports for MQD and internal leadership, and builds, maintains, and refines dashboards tracking referrals, authorization status, utilization, provider capacity, service delivery trends, payment issues, and other implementation indicators. The analyst monitors benefit uptake and implementation performance across programs such as medical respite, nutrition supports, reentry services, housing supports, and CIS+ as applicable. The position researches data, claims, referral, authorization, billing, and operational issues to support timely resolution and reduce barriers for members, providers, and internal teams. It analyzes trends and root causes behind implementation challenges and partners with program leadership and cross-functional teams to turn findings into practical fixes. The analyst uses data and qualitative feedback to support rapid-cycle improvement as benefits move from launch to sustainable operations. The role also supports workflows, monitoring tools, data definitions, status tracking, documentation standards, implementation updates, compliance documentation, and audit readiness.
Requirements
- Bachelor's degree and four years of related experience in healthcare, Medicaid managed care, program operations, reporting, analytics, quality improvement, finance, or a related field.
- Experience analyzing data, developing reports or dashboards, researching operational issues, and communicating findings to business stakeholders.
- Strong analytical, problem-solving, and documentation skills, including the ability to organize data, validate assumptions, and identify meaningful trends or issues.
- Ability to communicate complex operational and data findings clearly and concisely to program leaders, cross-functional teams, and external partners.
- Ability to work with spreadsheets, datasets, reports, and basic dashboards to support monitoring and analysis.
- Working knowledge of regulated healthcare program requirements, operational workflows, reporting expectations, and documentation standards.
- Intermediate working knowledge of Microsoft Office applications, including Word, Excel, PowerPoint, and Outlook.
Responsibilities
- Generate monthly, quarterly, and ad hoc HRSN reports for MQD and internal leadership.
- Build, maintain, and refine monitoring dashboards for referrals, authorization status, utilization, provider capacity, service delivery trends, payment issues, and other implementation indicators.
- Monitor benefit uptake and implementation performance across HRSN programs, including medical respite, nutrition supports, reentry services, housing supports, and CIS+ as applicable.
- Research data, claims, referral, authorization, billing, and operational issues to support timely resolution and reduce barriers for members, providers, and internal teams.
- Analyze trends and root causes related to HRSN implementation challenges, including workflow gaps, reporting inconsistencies, provider questions, and system configuration impacts.
- Partner with HRSN Program leadership, external relations, claims, utilization management, IT, analytics, and provider operations to translate findings into practical fixes.
- Use data and qualitative feedback to support rapid-cycle improvement as HRSN benefits move from launch to sustainable operations.
- Support the development and refinement of workflows, monitoring tools, data definitions, status tracking, and documentation standards needed to operationalize HRSN services.
- Prepare concise summaries, issue logs, and implementation updates to inform decision-making, escalation, and cross-functional accountability.
- Support documentation demonstrating alignment with MQD requirements, waiver expectations, reporting protocols, and internal compliance standards.
- Maintain organized workpapers, data definitions, assumptions, and validation notes to support monitoring, review, and audit readiness.
- Perform other miscellaneous responsibilities and duties as assigned or directed.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
