HMSA
Business Analyst - Communications
HMSA, Honolulu, Hawaii, United States, 96814
Standard Notification
Manage activities related to communication and notification efforts.
Coordinate and facilitate deliverables and timelines to ensure notifications are sent within required timelines.
Project Implementation
Serve as the subject matter expert for Pharmacy Management with regards to communications or notifications.
Collaborate with internal and external areas to ensure project notification needs are met.
Understand the communication needs and intent to ensure appropriate message is relayed to internal & external entities
Assist with the development of documents and materials for internal and external distribution including but not limited to training materials, impact analyses
Prepare communications project status reports for management, other departments, partners or others as required
Ensure compliance with internal policies, procedures and workflows and new or revised business requirements
Coordinate and facilitate deliverables and timelines to ensure notifications are sent within required timelines.
Information Validation
Validation of impact analyses related to Pharmacy Management notifications.
Validation of Pharmacy Management postings to HMSA.com & PRC.
Review of links to ensure information posted is accurate and up-to-date including but not limited to formulary documents, payment polices.
Benefit Support
Manage inquiries coming to Pharmacy Management
Triage inquiries to ensure servicing needs identified and addressed.
Coordinate problem solving associated with inquiries.
Maintain accurate records of how inquiry was addressed in efforts to identify gaps or opportunities for improvement for Pharmacy Management or for HMSA
Monitor and evaluate accuracy of benefit delivery system through report development and review.
Defines and maintains system functionality for drug claims processor, including, but not limited to the drug claims processing, such as UM edits, formulary updates and benefit design & delivery
Document and update workflows and procedure documents. As well as analyze business problems, current workflows and processes to improve efficiency.
Performs all other miscellaneous responsibilities and duties as assigned or directed.
#LI-Hybrid
Manage activities related to communication and notification efforts.
Coordinate and facilitate deliverables and timelines to ensure notifications are sent within required timelines.
Project Implementation
Serve as the subject matter expert for Pharmacy Management with regards to communications or notifications.
Collaborate with internal and external areas to ensure project notification needs are met.
Understand the communication needs and intent to ensure appropriate message is relayed to internal & external entities
Assist with the development of documents and materials for internal and external distribution including but not limited to training materials, impact analyses
Prepare communications project status reports for management, other departments, partners or others as required
Ensure compliance with internal policies, procedures and workflows and new or revised business requirements
Coordinate and facilitate deliverables and timelines to ensure notifications are sent within required timelines.
Information Validation
Validation of impact analyses related to Pharmacy Management notifications.
Validation of Pharmacy Management postings to HMSA.com & PRC.
Review of links to ensure information posted is accurate and up-to-date including but not limited to formulary documents, payment polices.
Benefit Support
Manage inquiries coming to Pharmacy Management
Triage inquiries to ensure servicing needs identified and addressed.
Coordinate problem solving associated with inquiries.
Maintain accurate records of how inquiry was addressed in efforts to identify gaps or opportunities for improvement for Pharmacy Management or for HMSA
Monitor and evaluate accuracy of benefit delivery system through report development and review.
Defines and maintains system functionality for drug claims processor, including, but not limited to the drug claims processing, such as UM edits, formulary updates and benefit design & delivery
Document and update workflows and procedure documents. As well as analyze business problems, current workflows and processes to improve efficiency.
Performs all other miscellaneous responsibilities and duties as assigned or directed.
#LI-Hybrid