Strategic Analyst, Medicaid Financial Performance

HMSA • Honolulu, HI

1d

About The Position

The Strategic Analyst supports Medicaid financial performance initiatives through in-depth analysis of their financial effects, cost drivers, efficiency opportunities, and potential unintended consequences. Working with the Strategic Program Manager, the role develops initiative-specific baselines, scenarios, and outcome measures, and translates findings into actionable recommendations.

The position also designs and manages cross-functional performance optimization initiatives, applies continuous improvement methods, supports alignment with applicable CMS, DHS, and MQD requirements and QUEST priorities, and mentors analysts and project management resources on documentation, analysis quality, and accountability. Other duties may be assigned or directed.

Requirements

• Bachelor's degree and six years of related experience in Medicaid or 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 deep-dive analyses supporting Medicaid financial performance initiatives, such as utilization management strategies, community program investments, and benefit or operational changes.
• Evaluate initiative financial impacts, 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 turn 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, and MQD requirements and QUEST priorities; support documentation for audits and reviews as needed.
• Mentor analysts and project management resources, reinforcing standards for documentation, analysis quality, and accountability.
• Perform other miscellaneous responsibilities and duties as assigned or directed.

What This Job Offers

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