hmsacareers

Ensures proper recordation and reporting of various financial transactions for the association and its subsidiaries. Communicate with other F&A staff and internal departments to record and reconcile the following: Prepares and posts accruals for various general ledger accounts on a monthly basis. De

Receives high-level business requirements and oversees the development of detailed requirements and prioritizes efforts. Refines resource requirements and forms project teams. Further defines estimates for financial, physical or human resources to support long-term projects and programs. Facilitate

Manage community health by establishing and maintaining trusting relationships with individuals, families, and providers to promote health, recovery, resiliency, and wellness. Advocate and support members and their families by prioritizing their needs and preferences, making sure they receive approp

Regulatory Review, Interpretation, and Change Management Strategy Independently research, monitor, review, and analyze federal and state laws, regulations, rules, and guidance to identify requirements impacting HMSA operations and assess their implications for health plan operations, products, progr

Facilitates complex projects and functions of high importance as an independent project lead. Plans and manages the project development process and oversees implementation. Analyzes intricate project objectives, data sources, methodology, data summaries and findings, and prepares and edits draft, re

Report Development, Research and Analysis: Develop and present reports that provide organizational awareness, insights and action plans to internal and external partners supporting Stars and Risk Adjustment performance improvement initiatives. Integrates data and uses advanced analytical methods/too

Member Interaction and Inquiry Resolution Greet members in a professional and courteous manner. Resolve basic and routine program-related inquiries efficiently. Screen and direct requests and telephone calls to the appropriate individuals or other departments to ensure they receive the appropriate s

Prepares financial reporting package for month end closing meetings in accordance with Generally Accepted Accounting Principles (GAAP): Prepares the Income Statement, Balance Sheet, and Trial Balance to be presented at monthly close meetings. Applies thorough knowledge of GAAP. Maintains PC-based so

Ensures proper recordation and reporting of various financial transactions for the Association and its Subsidiaries. Communicate with other F&A staff and internal departments to record and reconcile the following: Prepare and post accruals for various general ledger accounts on a monthly basis. Deve

Ensures proper recordation and reporting of various financial transactions for the association and its subsidiaries. Communicate with other F&A staff and internal departments to record and reconcile the following: Prepares and posts accruals for various general ledger accounts on a monthly basis. De

Investigates complex financial trends and performance drivers across multiple business units to enhance forecast accuracy Creates comprehensive financial reports through advanced data analysis and cross-functional performance metrics Builds and refines financial models to improve planning accuracy a

Manage and provide direction to leadership and staff on provider network data and credentialing operations to ensure compliance with HMSA policies and procedures, state and federal regulatory requirements, and all applicable accreditation standards for credentialing HMSA providers across all lines o

Executive Partnership and Anticipatory Support Provide comprehensive, high-touch executive support to the President, serving as a trusted partner who anticipates needs, independently resolves issues, protects executive focus, and ensures readiness for each commitment. Strategically manage a complex

Accurately calculate and analyze a variety of employer group rates using the historical utilization of the account. Extract and analyze historical data of the account to ensure accuracy and good logic. Analyze the overall composition of the group to ensure that the total risk is not excessive and id

Accurately calculate and analyze a variety of employer group rates using the historical utilization of the account. Extract and analyze historical data of the account to ensure accuracy and good logic. Analyze the overall composition of the group to ensure that the total risk is not excessive and id

Responsible for accurately calculating and analyzing rates for large employer groups using the historical utilization and demographics of the account. Extract and analyze historical data of the account to ensure accuracy and good logic. Analyze the overall composition of the group to ensure that the

Assist customers in a timely and accurate manner in phone interactions. Maintain quantity, timeliness, accuracy, and quality performance within established standards that support HMSA's ability to comply with customer performance requirements, while receiving and responding to inquiries. Conduct res

Responsible for analysis, design, modeling and architecture for application systems and domains. Manages the maintenance and support of assigned application system(s). May participate in development, maintenance and support activities. Leads or participates in the project planning process with clien

Regulatory Review, Interpretation, and Change Management Strategy Independently monitor, review, and analyze federal and state laws, regulations, rules, and guidance to identify requirements impacting HMSA operations. Assists management and Senior Analyst with interpreting complex requirements and t

Audit Coordination. Coordinates Compliance Operations activities for internal and external audits, including requests, documentation, evidence, deadlines, and follow-up. Maintains audit records and tracking mechanisms to support timely completion of audit activities. Tracks audit findings and relate