Strategic Analyst, Medicaid Financial Performance

United States·Hmsa Bldg-Hms-Oahms - HonoluluNormalmid

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Overview

Initiative Driven Financial & Performance Analysis Conducts deep dive analyses in direct support of specific Medicaid financial performance initiatives (e.g., utilization management strategies,

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Initiative Driven Financial & Performance Analysis
- Conducts deep dive analyses in direct support of specific Medicaid financial performance initiatives (e.g., utilization management strategies, community program investments, benefit or operational changes).
- Evaluates financial impact, cost drivers, efficiency opportunities, and unintended consequences associated with initiatives led by the Strategic Program Manager.
- Develops initiative specific baselines, scenarios, and outcome measures to assess effectiveness over time.
- Partners with the Strategic Program Manager to refine analytical questions and translate findings into actionable recommendations.
Performance Optimization Initiatives
- Designs and manages cross-functional initiatives that improve affordability, efficiency, and performance outcomes.
- Applies continuous improvement methods to streamline workflows, reduce administrative burden, and enhance program effectiveness
External / Contract Alignment Support
- Ensures initiatives and investments align with CMS/DHS/MQD requirements and QUEST priorities; supports documentation for audits/reviews as needed.
Mentorship & Capability Building
- Mentors analysts/PM resources, reinforcing standards for documentation, analysis quality, and accountability.
Performs all other miscellaneous responsibilities and duties as assigned or directed.

#LI-Hybrid

Bachelor's degree and 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 to include Word, Excel, PowerPoint, and Outlook.