HRSN Analyst

HMSA•Honolulu, HI

About The Position

The HRSN Analyst supports reporting, monitoring, research, issue resolution, and implementation improvement for HRSN programs. The role generates monthly, quarterly, and ad hoc reports for MQD and internal leadership; builds and maintains dashboards tracking referrals, authorization status, utilization, provider capacity, service delivery trends, payment issues, and other implementation indicators; and monitors benefit uptake and performance across applicable programs, including medical respite, nutrition supports, reentry services, housing supports, and CIS+. The analyst researches data, claims, referral, authorization, billing, and operational issues to help resolve problems and reduce barriers for members, providers, and internal teams. They analyze trends and root causes of implementation challenges and partner with HRSN Program leadership and cross-functional teams to develop practical fixes. The role also uses data and qualitative feedback to support rapid-cycle improvement, refine workflows and monitoring tools, and prepare summaries, issue logs, and implementation updates. The position supports compliance and audit readiness by maintaining documentation, workpapers, data definitions, assumptions, and validation notes related to MQD requirements, waiver expectations, reporting protocols, and internal standards. Other miscellaneous responsibilities may be assigned or directed.

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 covering referrals, authorization status, utilization, provider capacity, service delivery trends, payment issues, and other implementation indicators.
Monitor benefit uptake and implementation performance across applicable HRSN programs, including medical respite, nutrition supports, reentry services, housing supports, and CIS+.
Research data, claims, referral, authorization, billing, and operational issues to support timely resolution and reduce barriers.
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.
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.