Strategic Analyst, Medicaid Financial Performance

Hawaii Medical Service Association • Honolulu, HI

1d

About The Position

Conducts in-depth analyses to support Medicaid financial performance initiatives, such as utilization management strategies, community program investments, and benefit or operational changes. Evaluates initiatives’ financial impact, cost drivers, efficiency opportunities, and potential unintended consequences. Develops initiative-specific baselines, scenarios, and outcome measures to assess effectiveness over time, and partners with the Strategic Program Manager to refine analytical questions and turn findings into actionable recommendations.

Designs and manages cross-functional initiatives to improve affordability, efficiency, and performance outcomes. Applies continuous improvement methods to streamline workflows, reduce administrative burden, and enhance program effectiveness. Ensures initiatives and investments align with CMS, DHS, and MQD requirements and QUEST priorities, and supports documentation for audits and reviews as needed.

Mentors analysts and project-management resources, reinforcing standards for documentation, analysis quality, and accountability. Performs other miscellaneous responsibilities and duties as assigned or directed.

Requirements

• Bachelor's degree.
• Six years of related experience in Medicaid/managed care, healthcare operations, program performance, finance, or analytics.
• Demonstrated experience leading complex projects and developing business recommendations.
• Strong analytical and project management skills.
• Ability to communicate complex information clearly and concisely to leadership.
• Working knowledge of regulated program requirements and documentation standards.
• Intermediate working knowledge of Microsoft Office applications, including Word, Excel, PowerPoint, and Outlook.

Responsibilities

• Conduct in-depth analyses supporting specific Medicaid financial performance initiatives.
• Evaluate initiatives’ financial impact, cost drivers, efficiency opportunities, and unintended consequences.
• Develop initiative-specific baselines, scenarios, and outcome measures to assess effectiveness over time.
• Partner with the Strategic Program Manager to refine analytical questions and translate findings into actionable recommendations.
• Design and manage cross-functional initiatives that improve affordability, efficiency, and performance outcomes.
• Apply continuous improvement methods to streamline workflows, reduce administrative burden, and enhance program effectiveness.
• Ensure initiatives and investments align with CMS/DHS/MQD requirements and QUEST priorities; support documentation for audits and reviews as needed.
• Mentor analysts and project-management resources, reinforcing documentation, analysis-quality, and accountability standards.
• Perform other miscellaneous responsibilities and duties as assigned or directed.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior