Medical Management Policy & Research Analyst I

HMSA • Honolulu, HI

4d • Hybrid

About The Position

This role involves revising and developing medical policies, researching new technologies, and supporting various meetings. The analyst will collaborate with medical directors and other departments to ensure the accuracy and timely publication of medical policy information. Responsibilities include managing tickets, updating web pages, and preparing meeting materials.

Requirements

• Associate degree and one 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.

Responsibilities

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree