HRSN Analyst

• HRSN Reporting, Dashboards & Monitoring

• Generates required HRSN reporting from available systems, including monthly, quarterly, and ad hoc reports for MQD and internal leadership.

• Builds, maintains, and refines monitoring dashboards to track referrals, authorization status, utilization, provider capacity, service delivery trends, payment issues, and other implementation indicators.

• Monitors benefit uptake and implementation performance across HRSN programs such as medical respite, nutrition supports, reentry services, housing supports, and CIS+ as applicable.

• Data Research & Issue Resolution

• Researches data, claims, referral, authorization, billing, and operational issues to support timely resolution and reduce barriers for members, providers, and internal teams.

• Analyzes trends and root causes related to HRSN implementation challenges, including workflow gaps, reporting inconsistencies, provider questions, and system configuration impacts.

• Partners with HRSN Program leadership, external relations, claims, utilization management, IT, analytics, and provider operations to translate findings into practical fixes.

• Rapid-Cycle Improvement & Program Implementation Support

• Uses data and qualitative feedback to support rapid-cycle improvement as HRSN benefits move from launch to sustainable operations.

• Supports development and refinement of workflows, monitoring tools, data definitions, status tracking, and documentation standards needed to operationalize HRSN services.

• Prepares concise summaries, issue logs, and implementation updates that inform decision-making, escalation, and cross-functional accountability.

• Compliance, Documentation & Audit Support

• Supports documentation needed to demonstrate alignment with MQD requirements, waiver expectations, reporting protocols, and internal compliance standards.

• Maintains organized workpapers, data definitions, assumptions, and validation notes to support monitoring, review, and audit readiness.

• Performs all other miscellaneous responsibilities and duties as assigned or directed.

#LI-Hybrid

• Bachelor's degree and four years of related experience in healthcare, Medicaid managed care, program operations, reporting, analytics, quality improvement, finance, or a related field.
• Experience analyzing data, developing reports or dashboards, researching operational issues, and communicating findings to business stakeholders.
• Strong analytical, problem-solving, and documentation skills; ability to organize data, validate assumptions, and identify meaningful trends or issues.
• Ability to communicate complex operational and data findings clearly and concisely to program leaders, cross-functional teams, and external partners.
• Ability to work with spreadsheets, datasets, reports, and basic dashboards to support monitoring and analysis.
• Working knowledge of regulated healthcare program requirements, operational workflows, reporting expectations, and documentation standards.
• Intermediate working knowledge of Microsoft Office applications to include Word, Excel, PowerPoint, and Outlook.

Hybrid Work Environment - Must reside in Hawaii

Pay Range: $59,000 - $116,000, position is eligible for an incentive bonus

Note: Individuals typically begin between the minimum to middle of the pay range

The HRSN Analyst provides dedicated analytic, reporting, and operational improvement support for Health-Related Social Needs (HRSN) programs implemented under Hawai'i's QUEST Integration Section 1115 Demonstration. The role supports HMSA's ability to operationalize new HRSN benefits, monitor utilization and implementation performance, identify barriers early, and compile timely reporting for Med-QUEST Division (MQD) oversight.

This position develops and refines monitoring dashboards, researches data and operational issues, supports rapid-cycle process improvement, and translates program data into actionable insights that help the HRSN Program Team coordinate across HMSA functions, community-based providers, and MQD requirements.