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  3. Medical Management Policy & Research Analyst I

Medical Management Policy & Research Analyst I

HMSA
Posted 3 months ago, valid for 9 days
Location

Honolulu, HI 96803, US

Salary

Competitive

Contract type

Full Time

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Sonic Summary

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  • The position involves revising and developing medical policies in collaboration with a medical director and ensuring timely implementation and publication.
  • Responsibilities include assisting with code reviews, TEC topic research, and managing ticket submissions for data requests and policy updates.
  • The role also requires collaboration with the HMSA Communications Department to ensure the accuracy of PRC page content and support for MM sponsored meetings.
  • Candidates should have an associate degree and at least one year of related work experience, along with strong communication and organizational skills.
  • The salary for this position is not explicitly stated, but proficiency in Microsoft Office applications is required.
  1. 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.
  2. 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).
  3. 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.
  4. 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).
  5. Research and respond to requests from internal departments/units requesting information on new technology (including research supporting TEC activities) and medical policies.
  6. Performs all other miscellaneous responsibilities and duties as assigned or directed.

#LI-Hybrid

Qualifications
  1. Associate degree and one year of related work experience; or equivalent combination of education and work experience.
  2. Demonstrated oral and written communication skills.
  3. Proven organizational and time-management skills.
  4. Basic working knowledge of Microsoft Office applications, including but not limited to Word, Excel, Outlook, and PowerPoint.


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