Business Process Analyst
Urban Honolulu, HI jobs
**MUST BE A US CITIZEN ** This role will serve as a link between underwriting operations, financial strategy, and process optimization. The incumbent will apply strong analytical and financial acumen to understand, document, and improve processes within the underwriting lifecycle, ensuring efficiency, compliance, and alignment with financial objectives. While primarily focused on process improvement, this role will also support critical underwriting functions, leveraging data to drive strategic decisions and operational excellence.
**ESSENTIAL RESPONSIBILITIES**
+ Create comprehensive process maps and documentation for underwriting procedures, identifying current state operations, future state recommendations, and potential financial impacts.
+ Develop desktop procedures and training materials specific to underwriting functions, ensuring clarity for audit and compliance.
+ Collaborate closely with underwriters to analyze existing processes and tools, identifying opportunities for financial efficiency, risk mitigation, and improved quote/renewal turnaround times.
+ Conduct analyses to quantify the financial impact of proposed process changes or tool enhancements, ensuring data-driven recommendations.
+ Actively participate in and support project meetings related to underwriting system enhancements, financial modeling tool development, and overall operational efficiency initiatives, ensuring the underwriting perspective is well-represented.
+ Support underwriting workloads by calculate rates utilizing Company rating algorithms, adjusting accordingly to cover questionable claim patterns or unusual situations not otherwise contemplated within the standard formula.
**EDUCATION**
**Required**
+ High School Diploma/GED
**Substitutions**
+ None
**Preferred**
+ Bachelor's Degree in finance, Accounting, Economics, Business Administration, or a related field.
**EXPERIENCE**
**Required**
+ **MUST BE A US CITIZEN **
+ 3 - 5 years of experience in a Business Analyst or Business Process Analyst role or experience in a related operational area (e.g. claims, billing, customer service, etc.)
**Preferred**
+ Experience in a financial analysis, underwriting support, or actuarial support role is highly desired. Strong understanding of financial concepts, risk assessment, and insurance product lifecycles.
**LICENSES OR CERTIFICATIONS**
**Required**
+ None
**Preferred**
+ None
**SKILLS**
+ Analysis of business problems/needs
+ Written & Oral Presentation Skills
+ Business Analysis
+ Business Process Design
+ Business Process Improvement
+ Business Process Mapping
+ Business Requirements
+ Collaborative Problem Solving
+ Project Management
**Languages (other than English)**
None
**Travel Required**
0% - 25%
**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**
**Position Type**
Remote
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Never
Lifting: 25 to 50 pounds
Never
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement:_** _This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$50,200.00
**Pay Range Maximum:**
$91,200.00
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at *****************************
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J273104
Associate Business Process Analyst/HNAS
Urban Honolulu, HI jobs
This job provides assistance for basic to moderately complex problem solving and understanding of system functionality. The incumbent reviews significant amounts of information and analyzes processes to support business unit needs. May assist with troubleshooting errors, conducting impact analyses, and/or solving data rejection. May perform simple business analyses in one or more operational areas. May identify process gaps and recommend process improvements for efficiencies.
**ESSENTIAL RESPONSIBILITIES**
+ Assist with the intake of operational objectives and information gathering. May perform routine research and evaluate basic output requirements and formats. Communicate business operational requirements to internal groups responsible for developing/testing business requirements in various applications.
+ Support the coordination, monitoring, and reporting on the progress of projects to ensure adherence to defined project schedule. Communicate effectively with colleagues. Successfully articulate issues, problems, and solutions. Participate in pre-and post-implementation review. Assist in the planning, designing, and facilitation of functional walk-throughs. May require additional support from more experienced team members.
+ Assist with small to intermediate cross-functional projects and change initiatives involved in the design and delivery of business process solutions, implementation strategies, and control measures, including scoping, leading, and influencing organizational change related to business processes and models.
+ Participate in process improvement meetings and/or discussions.
+ Support analysis of the functions and operations of a business area/function and identify problem areas. Assist in the creation of process mapping and document current and future state business processes.
+ Recommend process efficiencies, strategies for improvement, and/or solutions to align technology with business strategies.
+ Assist in development of desktop procedures and/or training materials.
+ Other duties as assigned.
**EDUCATION**
**Required**
+ High School Diploma/GED
**Substitutions**
+ None
**Preferred**
+ Bachelor's Degree
**EXPERIENCE**
**Required**
+ 1 - 3 years of experience in a Business Analyst or Business Process Analyst role or experience in a related operational area (e.g. claims, billing, customer service, etc.)
**Preferred**
+ 0 - 1 year in the Health Insurance Industry
**LICENSES AND CERTIFICATION**
**Required**
+ None
**Preferred**
+ None
**SKILLS**
+ Analysis of business problems/needs
+ Written & Oral Presentation Skills
+ Business Analysis
+ Business Process Design
+ Business Process Improvement
+ Business Process Mapping
+ Business Requirements
+ Collaborative Problem Solving
+ Project Management
**Languages (other than English)**
None
**Travel Required**
0% - 25%
**PHYSICAL, MENTAL and WORKING CONDITIONS**
**Position Type**
Office-Based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Never
Lifting: 25 to 50 pounds
Never
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$22.71
**Pay Range Maximum:**
$35.18
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at *****************************
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J271514
Patient Access Optimization Analyst
Urban Honolulu, HI jobs
The Patient Access Optimization Analyst role is to configure and provide functional and technical support for access optimization initiatives. This position also assists with the analysis, solutioning, documentation, and implementation of Epic-build related functions.
+ This is a remote position
+ Working hours Central time zone - 8AM - 5PM
+ Two positions available
_The pay range for this position is $31.73/hour (entry level qualifications) - $54.90/hour (highly experienced). The specific rate will depend upon the successful candidate's specific qualifications and prior experience._
**ESSENTIAL FUNCTIONS OF THE ROLE**
+ Presentation - able to communicate information professionally and formally to stakeholders through meetings and written presentations.
+ Independence - proven ability to manage small to medium projects to ensure successful project implementation and engagement.
+ Excellent verbal and written communication skills, as well as presentation skills.
+ Strong analytical and advanced research skills.
+ Solid organizational skills, especially the ability to meet project deadlines with a focus on details.
+ Ability to successfully multi-task while working independently or within a group environment.
+ Ability to work in a deadline-driven environment, and handle multiple projects simultaneously.
+ Ability to interact effectively with people at all organizational levels.
+ Build and maintain strong relationships.
**KEY SUCCESS FACTORS**
+ Decision tree design, documentation, and maintenance experience strongly preferred.
+ Ability to think critically and analyze complex technical solutions.
+ Epic Cadence Certified strongly preferred.
+ ServiceNow experience preferred.
+ Epic Cadence Provider template management and build experience strongly preferred.
+ Ambulatory and/or Surgery scheduling experience required.
+ Experienced proficiency in Excel and SQL required.
+ Able to work through complex business problems and partner with clients using a consultative approach.
+ Exceptional data/modeling skills with ability to convert raw data into actionable business insights.
+ Able to apply knowledge of healthcare industry trends and their drivers.
+ Able to work in a dynamic setting and work well under pressure.
+ Intermediate to advanced knowledge of statistics (including modeling techniques) preferred.
+ Lean Six Sigma experience preferred.
+ 5 years of experience working in Epic strongly preferred.
**BENEFITS**
Our competitive benefits package includes the following
+ Immediate eligibility for health and welfare benefits
+ 401(k) savings plan with dollar-for-dollar match up to 5%
+ Tuition Reimbursement
+ PTO accrual beginning Day 1
Note: Benefits may vary based upon position type and/or level
**QUALIFICATIONS**
- EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification
- EXPERIENCE - 5 Years of Experience
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
Functional Product Analyst - Interoperability
Urban Honolulu, HI jobs
This job supports one or more analytical aspects of the product management lifecycle, within a sub-product scope (one or more business application components). Uses regular judgement and discretion to collaborate with customers and business stakeholders in order to: Understand customer and stakeholder needs, business capability needs; Identity opportunities and create business cases and cost sheet analysis to support the product strategy and evolve the product roadmap; Translate high-level business needs into detailed business requirements for new / modified business capabilities; Perform research, analyze data to determine business problems and trends, assess business processes and business rules to identify/recommend opportunities for process improvements and / or recommendation new / modified business capabilities; Work with business stakeholders and delivery partners to prioritize business capabilities in the product backlog; Provide root cause analysis and corrective action plans; Proactively work with delivery partners to verify and govern delivery of customer needs, and ensure on-time, quality delivery. The incumbent identifies, documents, and resolves risks, defects and issues. Analyzes market trends for competitive insight to correlate into business value statements and drive business platform recommendations. Builds organizational and platform knowledge in one or more disciplines to advance professional track career. Uses functional and organizational knowledge to mentor junior resources. Requires thorough understanding of assigned business platform and business integrations points to analyze and manage delivery across the product management lifecycle.
**ESSENTIAL RESPONSIBILITIES**
+ Work with Customers, Business Stakeholder, Vendors, Designers, IT Delivery Partners, and other team members to capture capability needs and drive quality business solutions. Create and maintain deliverables such as business vision, business requirements, customer personas, stakeholder and / or journey maps, product capability roadmaps, product KPIs/metrics, and implementation / delivery plans.
+ Participate in the full product management delivery life cycle by actively participating with business and IT delivery teams using modern product management delivery practices and methodologies, such as Agile / Scrum, Kanban, etc. to manage product requirements, delivery plans, business product backlog & prioritization, testing, prototyping, and defining customer/user acceptance criteria.
+ Support various aspects of business analysis, business requirements definition and documentation, business user testing, business requirement traceability, and full product capability delivery (e.g., user acceptance testing plans, scenarios, documentation, defect management) to ensure minimal production defects are realized and completing analysis of the results tying back to customer impacts.
+ Effectively communicate with team members, customers, partners, and management, including assisting with or conducting business and product requirement walkthroughs and sprint reviews, reporting project / delivery status, supporting and governing delivery of in-house and vendor solutions and providing accurate and concise documentation.
+ Participate in sprint plans and reviews to ensure product capability development aligns with customer needs and defined business objectives.
+ Ensure compliance for required standards and all necessary approvals have been obtained throughout the product management and delivery project lifecycle.
+ Other duties as assigned or requested.
**EDUCATION**
**Required**
+ Bachelor's degree in Business Administration, Business Management, Information Technology, Information Systems or related field
**Substitutions**
+ 6 years of related and progressive experience in lieu of Bachelor's degree
**Preferred**
+ None
**EXPERIENCE**
**Required**
+ 3 years in a Business Analysis and/or Analyst role
**Preferred**
+ 1 year with Lean/Six Sigma and/or Process Improvement
+ 1 year in the Health Insurance Industry
+ 1 year in the Healthcare Industry
+ Healthcare Interoperability Experience
+ SQL experience and skillset
**LICENSES or CERTIFICATIONS**
**Required**
+ None
**Preferred**
+ Lean/Six Sigma
+ Project Management Professional (PMP)
+ Business Analysis Professional (IIBA)
+ Human Centered Design (HCD) / Design Thinking
**SKILLS**
+ Analytical Skills
+ Problem-Solving
+ Communication Skills
+ Report Writing
+ Agile Methodology
+ Agile Project Management
+ Product Management
+ Critical Thinking
+ Analysis
+ Elicitation / Documentation skills
**Language (Other than English):**
None
**Travel Requirement:**
0% - 25%
**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**
**Position Type**
Office-based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
No
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$57,700.00
**Pay Range Maximum:**
$107,800.00
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at *****************************
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J272800
340B Program Analyst - Pharmacy (Full-Time, 40, Day)
Urban Honolulu, HI jobs
RESPONSIBILITIES I. JOB SUMMARY/RESPONSIBILITIES: - Provides advanced knowledge of compliance with 340B Program guidelines, including accounting and proper audit controls and guidance on implementation of controls using principals recommended by Corporate Compliance and Legal Services departments.
- Compliance responsibilities include monitoring and routine auditing of virtual inventory accumulation, purchasing procedures, Medicaid billing procedures, patient eligibility, new areas of service, and the overall quality of the 340B Program.
- Works closely with the QHS Corporate Compliance and Legal Services departments to update the QHS 340B Patient Definition.
- Assists with marketing the 340B Program to departments and providers.
II. TYPICAL PHYSICAL DEMANDS:
- Essential: sitting, standing, walking, stooping/bending, twisting body, finger dexterity, seeing, hearing, speaking, lifting usual weight of 2 pounds; reaching above, at and below shoulder level, repetitive arm/hand motions.
- Occasional: sitting, kneeling, climbing stairs, walking on uneven ground; squatting, lifting usual weight up to 25 pounds.
- Operates office equipment such as telephone, computer, calculator.
III. TYPICAL WORKING CONDITIONS:
- Not substantially subjected to adverse environmental conditions.
- Work environment is fast paced and frequently stressful due to workload.
- Handles multiple tasks at one time.
IV. MINIMUM QUALIFICATIONS:
A. EDUCATION/CERTIFICATION AND LICENSURE:
- Bachelor's degree in accounting, finance, business, health care or related field; or four (4) years experience in healthcare, business or finance may be substituted for the educational requirement.
B. EXPERIENCE:
- In addition to the educational requirement, three (3) years pharmacy operations, business operations or finance experience, preferably in a comparable organization.
- Experience to demonstrate the following:
o Ability to coordinate complex projects for timely completion while working with multiple business stakeholders and IT developers to represent and champion business needs.
o Excellent written and verbal communication skills.
o Strong proficiency with Microsoft Office Suite, particularly Excel.
- Comprehensive knowledge of pharmacy practices and delivery methods and knowledge of 340B programs highly desirable.
- Prior experience with 340B software including Macro Helix highly desirable.
- Working knowledge of Epic electronic medical record system or other similar medical record system highly desirable.
- Experience in PBM operations, sales, PBM implementation, or within various business units highly desirable.
- Experience with retail prescription claims or hospital billing auditing highly desirable.
Equal Opportunity Employer/Disability/Vet
Senior IT Business Analyst
Aiea, HI jobs
We're not just a workplace - we're a Great Place to Work certified employer! Proudly certified as a Great Place to Work, we are dedicated to creating a supportive and inclusive environment. At Sonic Healthcare USA, we emphasize teamwork and innovation. Check out our job openings and advance your career with a company that values its team members!
Position Summary
Sonic Healthcare USA is seeking a Senior IT Business Analyst to support the development and optimization of technology solutions that enhance clinical and laboratory operations. This role is responsible for gathering and translating business requirements, guiding system design and testing, and collaborating across departments to ensure reliable, scalable solutions that reflect the precision and complexity of diagnostic healthcare.
Location: Honolulu, HI
Status: Full Time
Days/Hours: Onsite/Hybrid, Business Hours
Salary range: $75,000 - $115,000 per year
Job Responsibilities
* Planning and Design:
* Elicit and document user requirements to meet a business objective. Sets customer expectation on feasibility. Identify and validate requirements and organize the information into a logic document using business analysis models that are understood by the customer and IT
* Provide the business direction for system changes
* Work with the development teams and product owner to plan appropriate scenarios that meet project specifications
* Assign complexity estimations to tasks
* Test Development:
* Test all scenarios to determine whether system changes met project specifications, ensuring proper functionality and stability
* Work with peers to provide appropriate documentation of work
* Collaborate with teammates on tasks keeping manager aware of progress and risk
* Write efficient, reliable and scalable test automation scripts
* Support and Maintenance:
* Work with development teams to support ongoing development tasks
* Work with support teams to understand and triage defects as they arise
* Work with development teams to mitigate potential defects
* Work with users to remediate defects during UAT
* Becomes intimately familiar with the processes of the laboratory in order to deliver the highest quality product to the business
* Acts as a role model by providing leadership and mentor to other testing resources
* Be available to address emergency issues in a 24/7 healthcare environment
Qualifications & Requirements
Education:
* Bachelor's degree in Information Technology or related field preferred.
Experience:
* Experience in a medical laboratory, with a basic understanding of clinical and anatomical pathology terminology
* Preferred: Microbiology background with blood bank bench experience
* Excellent problem solver, with a focus on team success
* Excellent communication skills with ability to work cross-functionally across multiple teams
Skills:
* Create SQL queries from database tables
* Knowledge of software development life cycle (SDLC)
Scheduled Weekly Hours:
40
Work Shift:
Job Category:
Information Technology
Company:
Sonic Healthcare USA, Inc
Sonic Healthcare USA is an equal opportunity employer that celebrates diversity and is committed to an inclusive workplace for all employees. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, age, national origin, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
Auto-ApplyBusiness Practice Data Analyst - Medical Group (Full Time, 40, Day)
Urban Honolulu, HI jobs
RESPONSIBILITIES - Assists with the development, preparation, and monitoring of the Queen's University Medical Group's (QUMG) financial, and revenue cycle analytics and statistical/operating reporting. - Supports the QUMG management with modeling and analyzing provider productivity, financial performance, and revenue cycle data to drive operational performance.
II. TYPICAL PHYSICAL DEMANDS:
A. ESSENTIAL FUNCTIONS:
- Seeing. Hearing. Speaking. Finger dexterity.
B. MANUAL MATERIAL HANDLING:
- Infrequent: Lift floor to waist between 0-5 lbs. Lift waist to shoulder between 0-5 lbs. Lift waist to overhead between 0-5 lbs. Carry between 0-5 lbs. Push and Pull between 0-5 lbs.
- Occasional: N/A
- Frequent: N/A
- Constant: N/A
C. NON-MANUAL MATERIAL HANDLING:
- Infrequent: Walk. Stoop/Bend.
- Occasional: Reach: shoulder level.
- Frequent: N/A
- Constant: N/A
III. TYPICAL WORKING CONDITIONS:
- Not substantially subjected to adverse environmental conditions.
IV. MINIMUM QUALIFICATIONS:
A. EDUCATION:
- Bachelor's degree required, preferably in healthcare, data analytics, business or finance.
B. CERTIFICATION AND LICENSURE:
- Professional Coder certification from the American Academy of Professional Coders (AAPC) preferred.
C. EXPERIENCE:
- Two (2) years of experience in financial or budgeting analysis, data analytics or revenue cycle, preferably in physician revenue cycle or a comparable organization.
- Experience in healthcare revenue cycle, a medical group, or healthcare, including familiarity with government and third-party payer reimbursement and payer billing rules and guidelines preferred
- Experience with Epic preferred.
- Experience to demonstrate:
o Strong independent critical thinking skills. Ability to gather, analyze data, identify data trends, and organize data in a logical and systematic manner.
o Ability to present data and technical findings in a logical manner to various audiences including providers and organizational leadership.
o Strong organizational skills with attention to detail and accuracy.
o Proficiency with Microsoft Office applications (i.e. Outlook, Word, Excel, and PowerPoint).
o Knowledge of CPT/HCPCS and ICD-10 codes preferred.
Equal Opportunity Employer/Disability/Vet
Sr. Consultant, Change Management
Urban Honolulu, HI jobs
Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.
**Together, we can get life-changing therapies to patients who need them-faster**
Are you ready to lead change at the forefront of healthcare innovation in patient access and support?
Sonexus is undergoing a major transformation-scaling rapidly, reimagining how we deliver patient services, integrating emerging technologies & AI, and collaborating across the specialty pharma ecosystem. We're looking for a Senior Change & Transformation Consultant who's not just experienced but energized by the opportunity to shape the future of patient care and a rapidly growing business division of Cardinal Health.
This is a high-impact role reporting to the Director of Business Transformation and Change Management. This consultant will be responsible for driving adoption, inspiring stakeholders, and embedding lasting change across complex, regulated environments. Too often, patients forego or can't complete prescribed therapy because of complicated qualification processes, unmanageable costs, or uncertainty about their medications. Cardinal Health Sonexus Access and Patient Support combines best-in-class program and pharmacy operations with smart digital tools to streamline patient onboarding and increase adherence to prescribed care. If you thrive in fast-paced settings and want to make a real difference in the lives of patients, this is your moment.
**Responsibilities**
· Design and execute enterprise-level change strategies that support transformation across patient services, pharmacy operations, and digital/AI innovation.
· Conduct impact assessments, stakeholder analyses, and readiness evaluations to guide successful implementation.
· Build strong partnerships across Patient Access, Case Management, Specialty Hubs, Pharmacy Operations, IT, and executive leadership.
· Develop and facilitate dynamic workshops to elevate organizational change capability and leadership transformation IQ to scale a rapidly growing business.
· Design communication strategies, plans, and craft visually appealing and compelling communications (infographics, Veeva Engage posts, slides, manager huddle scripts) tailored to diverse audiences-from frontline teams to senior leaders.
· Champion AI initiatives includes building use cases, managing barriers to change and adoption, and managing the complex people-side of change for adopting AI (must have prior experience).
· Monitor adoption metrics, create surveys, feedback loops, and performance indicators to ensure long-term success.
· Identify risks and lead proactive mitigation strategies to keep business and AI transformation momentum strong. Leverage data and insights to refine approaches.
· Contribute to the evolution of our new Transformation and Change office.
**Qualifications**
· Bachelor's degree in Business, Organizational Development, Healthcare Administration, or related field, preferred
· Strong consulting, communication, analysis, data gathering and organizational skills.
· Microsoft Office 365 (Teams, Copilot) Proficiency preferred
· Ability to work in a fast-paced, collaborative environment and deliver quality results within aggressive timeframes.
· Willingness to travel up to 25%.
· Must be willing to work Central Time Zone business hours. Prefer candidates located in Columbus, OH or Dallas, TX area.
· 6+ years of experience in change management with AI, digital business transformation experience, preferred
· Prosci certification required; CCMP certification preferred with advanced certifications in digital/AI transformation, coaching, training facilitation, lean six sigma, organizational development (ODCP), etc.
· Deep understanding and application of Change Management methodology end-to-end from strategy and planning to change impact analysis, communications plans and messaging, stakeholder analysis and engagement, readiness assessments, training and facilitation, change reporting and metrics, and reinforcement and sustainability.
· Must be comfortable and proficient delivering change and transformation workshops and courses.
· Proven success managing change for AI-driven solutions, preferred within patient services or pharmacy operations.
· Solid understanding of the specialty pharma ecosystem, with highly preferred experience in Payors, PBMs, Specialty Hubs, Patient Services, Patient Assistance Programs, Medicaid, and Pharmacy Operations.
· Exceptional communication, executive presence, facilitation, and stakeholder management skills.
· Experience with CRM platforms like Salesforce, patient support technologies, or specialty pharmacy systems is a plus.
· Can identify the differences between change and transformation, and provide work/project examples, including knowledge of transformation methodologies, models, AI strategy/transformation models, frameworks, building roadmaps. Framework examples include SAP BTM2, USAII, and CXO Transform.
· Knowledge of product, agile methodologies a plus.
**Why Join Us?**
· Be a catalyst for change in a mission-driven organization transforming patient care.
· Work alongside passionate professionals in a collaborative, forward-thinking environment.
· Lead initiatives that integrate cutting-edge technologies like AI to improve outcomes and efficiency.
· Make a lasting impact on how specialty pharma supports patients across the care continuum.
**TRAINING AND WORK SCHEDULES:**
+ Your new hire training will take place 8:00am-5:00pm CST, mandatory attendance is required.
+ This position is full-time (40 hours/week).
+ Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CST.
**REMOTE DETAILS:**
+ You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to highspeed internet.
+ We will provide you with the computer, technology and equipment needed to successfully perform your job.
+ You will be responsible for providing high-speed internet.
+ Internet requirements include the following:
+ Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable.
+ Download speed of 15Mbps (megabyte per second)
+ Upload speed of 5Mbps (megabyte per second)
+ Ping Rate Maximum of 30ms (milliseconds)
+ Hardwired to the router
+ Surge protector with Network Line Protection for CAH issue
**Anticipated salary range:** $105,100-$150,100
**Bonus eligible:** Yes
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 1/13/2026 *if interested in opportunity, please submit application as soon as possible.
The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
Summer 2026 Reporting Analyst Undergraduate Intern
Urban Honolulu, HI jobs
**SUMMARY OF JOB RESPONSIBILITIES** This job has the goal of providing the opportunity to acquire practical experience through direct exposure to the related business line(s) and to develop the next generation of diverse business professionals. To that end, the program will provide hands-on training and experience in the business line, expose the various career opportunities in the business line and related areas, and prepare participants for positions in the business.
Typical responsibilities include, providing services to the day-to-day operating objectives of the assigned area, participating in projects and programs appropriate to the needs of the assigned area, participating in the planning and implementation of projects and initiatives, conducting research and reporting including recommendations or proposals for action.
**REQUIRED QUALIFICATIONS**
+ Full or part-time enrollment in an accredited college or university baccalaureate program in related field.
+ Problem solving capabilities, critical thinker, able to investigate root causes and recommend solutions.
+ Basic understanding of SQL / querying capabilities. Experience with end-user reporting tools
**ESSENTIAL JOB FUNCTIONS**
1. Communicate effectively while interacting directly with colleagues, clientele, and/or other internal or external constituencies in the planning of assignments and the resolution of day-to-day operational problems.
2. Under supervision, provide entry-level professional services as appropriate to the day-to-day operating objectives of the area. Receives guidance, training, and mentoring from senior personnel in planning and carrying out activities and assignments.
3. Undertake and/or participates in projects and programs designed to develop professional skills and expertise appropriate to the needs of the organization.
4. Participate in the planning and implementation of unit projects and initiatives within area of expertise and ability.
5. As specifically requested by management, conduct research and reporting inclusive of recommendations or alternative proposals for action.
6. Undertake related studies or enrichment programs as appropriate to the specific objectives of the operating unit.
7. Perform miscellaneous job-related duties as assigned.
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement:_** _This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies_
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
**Pay Range Minimum:**
**Pay Range Maximum:**
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at *****************************
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J270574
Utilization Management Nurse Consultant
Urban Honolulu, HI jobs
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
**Position Summary**
Utilize your clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor, and evaluate options to facilitate appropriate healthcare services and benefits for members. This position does require a weekend schedule.
**Required Qualifications**
+ Registered Nurse
+ Must have active current and unrestricted RN licensure in state of residence
+ May be required to obtain addition Nursing Licenses as business needs require
**Preferred Qualifications**
+ Utilization Management experience preferred
**Education**
Diploma RN acceptable; Associate degree/BSN preferred, 3+ years of experience as a Registered Nurse, 1+ years of clinical experience in acute or post-acute setting, and 1+ years of Utilization Management / Care Management Experience
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$26.01 - $74.78
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
**Great benefits for great people**
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .
+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
+ **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit *****************************************
We anticipate the application window for this opening will close on: 12/30/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Sales Support Analyst, Inside Sales
Urban Honolulu, HI jobs
Headquartered in Dublin, Ohio, Cardinal Health, Inc. (NYSE: CAH) is a global, integrated healthcare services and products company connecting patients, providers, payers, pharmacists and manufacturers for integrated care coordination and better patient management. Backed by nearly 100 years of experience, with more than 40,000 employees in nearly 60 countries, Cardinal Health ranks among the top 20 on the Fortune 500.
We boast tremendous opportunities to grow and apply technical skills to meet organizational needs, empowering talented team members who mentor and uplift others, led by leaders with a focus on employee development and well-being, dedicated training programs, and a collaborative atmosphere.
We currently have a career opening for a Sales Support Analyst, Inside Sales.
**Overview**
The Inside Sales team is responsible for driving short-term sales and services to new and existing customers, with a focus on identifying opportunities, managing specialty programs, and collaborating across teams to enhance profitability and customer satisfaction.
This role is instrumental in supporting our Sales Representatives with a wide range of activities - mostly centered around non-sales functions and onboarding of new customers. This opportunity provides hands-on training in sales relationship building and familiarizing oneself with key customers.
**Location**
Remote position
**Travel**
No travel required
**Expected Work Hours**
10:00 am - 7:00pm Eastern / 9:00 am - 6:00 pm Central
**Responsibilities**
+ Apply basic concepts, principles, and technical capabilities to complete routine tasks
+ Work on projects with limited scope and complexity
+ Follow established procedures to resolve identifiable technical issues
+ Creative problem solving through cross collaboration and teamwork
+ Build competence through structured work assignments
**Qualifications**
+ 1-2 years of relevant experience preferred
+ Strong attention to detail and excellent organizational skills
+ Outstanding communication skills with consistent follow-up
+ Highly motivated and passionate about pursuing a career in sales
Anticipated hourly range: $15.00 - $23.43 per hour + incentive plan eligibility.
Bonus eligible: Yes (incentive plan eligible)
Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
Application window anticipated to close: 1/10/2026 *if interested in opportunity, please submit application as soon as possible.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
Senior Analyst, IT Business Solutions
Urban Honolulu, HI jobs
**_What Application Development & Maintenance contributes to Cardinal Health_** Information Technology oversees the effective development, delivery, and operation of computing and information services. This function anticipates, plans, and delivers Information Technology solutions and strategies that enable operations and drive business value.
Application Development & Maintenance performs configuration or coding to develop, enhance and sustain the organization's software systems in a cross-functional team environment through adherence to established design control processes and good engineering practices. This job family programs and configures end user applications, systems, databases and websites to achieve the organization's internal needs and externally-facing business needs. Application Development & Maintenance partners with business leaders, investigates user needs and conducts regular assessments, maintenance and enhancements of existing applications.
**_Job Summary_**
The job will be supporting mostly the WaveMark Supply Management & Workflow Solutions which is a SaaS solution enabling healthcare providers and manufacturers to effectively manage supplies with market-leading innovative technology. WaveMark leverages a portfolio of advanced hardware (e.g., RFID) and cloud-based software including an analytics platform providing full visibility and control of all supplies from low-cost commodities to high-cost devices and implants. Our global footprint and continuous innovation deliver the most cost effective and workflow efficient patient care possible.
The IT Analyst plays a critical role in protecting the organization's digital assets by working cross-functionally to design, implement, monitor, and enforce security processes and procedures. This position collaborates with software and hardware engineering, compliance, and other business units to ensure robust security practices are integrated across applications and operations. The analyst is responsible for developing and implementing mitigation strategies and maintaining compliance with industry standards and regulations.
**_Responsibilities:_**
+ Application Portfolio Management (APM):
+ Manage and maintain APM records (Wavemark, MarginAnalysis), ensuring data accuracy.
+ Track APM resiliency deadlines and update relevant systems (worksheets, ServiceNow).
+ Monitor Archer dashboards for upcoming deadlines and past-due remediations.
+ Facilitate status calls with stakeholders regarding application resiliency, exemptions, and remediation.
+ Collaborate with IT and business teams for APM record updates and reporting.
+ Application Security & Compliance:
+ Analyze security threats, vulnerabilities, and audit findings to prioritize remediation.
+ Collaborate with product management and development teams to plan and schedule security fixes that align with business objectives.
+ Support the integration of application logs into the SIEM and develop monitoring and alerting systems to detect potential application attacks and resiliency issues.
+ Develop and implement testing/validation processes for security system effectiveness.
+ Ensure adherence to enterprise security processes, business, regulatory, and legal requirements.
+ Assist in security incident response using SIEM and other detection platforms.
+ Review policies, procedures, system designs, and security controls against frameworks (e.g., NIST Cybersecurity Framework).
+ Support implementation and configuration of application security tools.
+ Monitor and ensure compliance with established application security standards.
+ Assist the Incident Response team with application security investigations.
+ Develop custom tools to help software teams embed security into their development processes when off-the-shelf solutions are unavailable.
**_Qualifications_**
+ 2-4 years of experience, preferred
+ Bachelor's degree in related field, or equivalent work experience, preferred
+ Knowledge of SDLC and DevSecOps concepts such as CI/CD pipelines preferred
+ Experience with common application security controls including WAF preferred
+ Understanding of standard security control frameworks, including NIST Cybersecurity Framework (800-53) preferred
+ Strong analytic, troubleshooting skills; can problem solve, organize, and manage multiple tasks and projects in a health information system environment preferred
+ Able to stay objective and independent when completing assignments and consistently demonstrate the ability to hold information in confidence preferred
+ Ability to learn new software and hardware packages and adapt to changes in technology preferred.
+ Strong technical, process, and interpersonal skills to effectively analyze information systems, research and validate risks preferred.
+ Knowledge of common patterns for AuthN and AuthZ preferred
+ Experience in understanding SCA/SAST scan results and working with development teams to establish remediation plans preferred
+ Experience in creating dashboards in Splunk, Rapid7 or other equivalent tools to measure and guide application security work preferred
+ Experience with Veracode preferred
+ One or more Information Security Certifications preferred: CISSP, CISM, CCSP, CISA preferred
**_What is expected of you and others at this level_**
+ Applies working knowledge in the application of concepts, principles and technical capabilities to perform varied tasks
+ Works on projects of moderate scope and complexity
+ Identifies possible solutions to a variety of technical problems and takes action to resolve
+ Applies judgment within defined parameters
+ Receives general guidance and may receive more detailed instruction on new projects
+ Work reviewed for sound reasoning and accuracy
**Anticipated salary range:** $80,500 - $103,410
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 01/24/2026
*if interested in opportunity, please submit application as soon as possible.
The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
Lead Pricing Analyst
Urban Honolulu, HI jobs
This role is pivotal in shaping the strategic direction of the pricing function within the applicable business unit. It involves leading in-depth research and analysis to inform dynamic pricing strategies for various products, including the development of sophisticated pricing models tailored to specific product offerings. A key aspect of this position is fostering strong cross-functional partnerships to gather critical market intelligence and product insights essential for strategic pricing decisions. This individual will actively engage with product teams to gain a comprehensive understanding of our offerings, translating that knowledge into innovative pricing approaches. Furthermore, this role is responsible for strategically contributing to and supporting the organization's responses to Requests for Proposals (RFPs), ensuring competitive and profitable bids. This role contributes significantly to strategic financial planning by providing expert recommendations for optimizing pricing and revenue generation across the enterprise.
**ESSENTIAL RESPONSIBILITIES**
+ Facilitates the completion of all pricing reviews and ensures all pricings are approved per established policies. May work on more complex reviews.
+ Leverages advanced analytic capabilities to support analysis and reporting within the pricing function.
+ Develop strategy and analysis incorporating project management leadership
+ Drives results and resolves issues through communication with internal partners, locations and divisions.
+ Ensures all policy and process documentation is up to date including pricing assumptions, average cost rates, overhead percentages, etc.
+ Serves as an escalation point across the business regarding pricing reviews and serves as a lead to others in members of the pricing team
+ Other duties as assigned or requested.
**EDUCATION**
**Required**
+ Bachelor's Degree in Finance, Business, or related field, or relevant experience and/or education as determined by the company in lieu of bachelor's degree
**Preferred**
+ Master's Degree in Finance, Business, or related field
**EXPERIENCE**
**Required**
+ 5 years with Estimation & Pricing
+ 5 years in a complex matrixed environment
**Preferred**
+ Strategic Thinking & Planning
+ Financial Modeling & Analysis
+ Market Research & Competitive Analysis
**LICENSES or CERTIFICATIONS**
**Required**
+ None
**Preferred**
+ None
**SKILLS**
+ Ability to think analytically
+ Attention to detail
+ Self-starter with ability to work independently
+ Excellent verbal and written skills
+ Microsoft Excel skills are required
+ Client focused with strong business acumen
+ Ability to work under pressure with competing priorities
+ Strong leadership abilities
**Language (Other than English):**
None
**Travel Requirement:**
0% - 25%
**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**
**Position Type**
Office-based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at *****************************
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J271128
Sr Analyst, Performance Suite Analytics
Urban Honolulu, HI jobs
**Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.
Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.
Join Evolent for the mission. Stay for the culture.
**What You'll Be Doing:**
**Your Future Evolves Here**
Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.
Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.
Join Evolent for the mission. Stay for the culture.
**Who You'll Be Working With:**
The Performance Suite Analytics team offers candidates the opportunity to generate meaningful impact through translating disparate data points into tangible insights and actions.
Our team values accuracy, collaboration, and innovation, ensuring that all team members receive the support, tools, and skills to positively contribute to Evolent's broader mission.
This individual will serve as a key member of the Performance Suite Analytics team at Evolent. This individual will be primarily focused on distilling medical economics insights from product strategy analyses and translating them to complex risk-based contract development, and they will partner closely with executives across analytics, finance, product and account management.
**What You Will Be Doing:**
+ Support Business Development & Product teams in developing the strategic approach for innovative and in-demand value-based care pursuits.
+ Support the development of capitated risk partnerships, focusing on cost and use trends, and estimate Evolent's ability to reduce costs and improve quality.
+ Develop models to quantify and articulate value of new and existing value-based care products.
+ Communicate actionable conclusions from analyses to internal/external audiences.
+ Synthesize complex analyses into succinct presentations.
+ Lead customer interactions fostering trust, expertise and cooperation.
+ Extract, manage, and analyze claims and operational data using industry-standard metrics.
+ Process and validate raw unadjudicated claims data.
**Qualifications Required and Preferred:**
+ Bachelor's degree, preferably with a quantitative major (e.g. actuarial, statistics, operations research, mathematics, economics) or healthcare focus (health administration, epidemiology, public health, biology)
+ 1+ years of professional experience in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care, or related healthcare consulting entity
+ Ability to communicate clearly with diverse stakeholders to solve problems; ability to translate between business needs and analytical needs
+ Exceptionally strong analytical abilities, with track record of identifying and communicating insights from quantitative and qualitative data
+ Advanced or higher proficiency in SQL or SAS database/statistical programming languages and Microsoft Excel
+ Experience using data visualization software (s) to package analytical insights (Power BI, Tableau, or similar)
+ Experience in data mining, advanced/ statistical analysis, and data manipulation
+ Familiarity with healthcare reimbursement methodologies and calculations such as DRGs, Revenue Codes, CPT Codes, RVUs, bundled payments, etc.
+ Working knowledge of healthcare claims; specifically, differences between institutional vs professional billing and various sites of care/service is preferred
+ Familiarity with value-based care and utilization management is preferred
+ Understanding of data systems and the critical thinking skills to solve new problems and adapt to changes in data architecture is preferred
**Technical Requirements:**
We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.
**Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact ********************** for further assistance.**
To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration.
**Technical Requirements:**
We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.
**Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ************************** **for further assistance.**
The expected base salary/wage range for this position is $80,000-95,000. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.
Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!
Senior Digital Product Analyst
Urban Honolulu, HI jobs
As the **Sr. Data Analyst,** you will play a critical role in helping Baylor Scott and White Health develop the future of our digital products and platforms, including our flagship mobile app, my BSWHealth. You will work closely with cross-functional teams - including the customer engagement product, engineering, and marketing teams - to translate data into meaningful insights that guide strategic product decisions, improve user experiences, and drive business growth.
In this role you will leverage a deep understanding of both the product and the underlying data to help shape roadmaps, quantify new opportunities, and ensure the products and features we build bring value to BSWH customers and to the business itself.
The ideal candidate will have at least five years of experience working in data analytics, with a strong background in digital data and customer journey analysis.
**SALARY**
The pay range for this position is $36.49 (entry-level qualifications) - $63.11 (highly experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience.
**ESSENTIAL FUNCTIONS OF THE ROLE**
+ · **Product Performance Analysis** oAnalyze product performance metrics and conduct deep dives into product features to understand user behavior, identify high value actions and develop hypotheses which inform product prioritization and optimization opportunitieso Perform pre and post launch impact analyses of product initiatives based on business outcomeso Translate complex data insights into clear, actionable recommendations tailored to non-technical audiences· **Experimentation Management** oDesign, implement and analyze A|B tests in partnership with product managers to evaluate the impact of new features or changeso Ensure proper experimental design (segmentation, sample size calculations, statistical significance, QA) and interpret results to provide actionable go-forward recommendations· **Defining and Tracking KPIs** oCollaborate with product managers to define KPIs aligned with organizational goalso Partner with product managers to develop tracking specs which map to project impact targetso Ensure stakeholders have access to real-time data and reporting via dashboards and/or reports· **Data Modeling and Pipeline Support** oCollaborate with data engineers to ensure the availability, accuracy, and reliability of product datao Define data requirements for tracking new product features and ensure proper instrumentation· **Data-driven advocacy** oEducate team members on how to interpret data and leverage insights effectivelyo Foster a data-driven mindset within the product team by promoting best practices in experimentation, measurement, analysis, and decision makingo Ensure we establish and maintain data integrity and accuracy from implementation to interpretation
**KEY SUCCESS FACTORS**
+ ·5+ years of experience working in digital product analytics, collaborating with Product and Engineering teams, and guiding data-informed product planning, prioritization, and strategy development·Strong analytical and problem-solving skills, using data to drive insights and decisions, preferably in a digital consumer environment; DTC product experience highly valued·Excellent communication and storytelling skills, with the ability to present insights clearly and convey complex concepts to both technical and non-technical stakeholders·Proficiency in at least one programming language (e.g., SQL, Python or R) with the ability to query and manipulate large data sets for analysis·Extensive experience designing, implementing and analyzing A|B tests·Familiarity with PBI/data concepts and experience building out self-service data solutions·Extensive experience with large cloud-based data platform such as Snowflake·Proficiency in SQL Server, Kusto, Engage, and Amplitude·Proactive and detail-oriented with a proven ability to work autonomously ·Belief in the importance of documentation as a core part of the development process
**BENEFITS**
Our competitive benefits package includes the following
+ Immediate eligibility for health and welfare benefits
+ 401(k) savings plan with dollar-for-dollar match up to 5%
+ Tuition Reimbursement
+ PTO accrual beginning Day 1
Note: Benefits may vary based upon position type and/or level
**QUALIFICATIONS**
- EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification
- EXPERIENCE - 5 Years of Experience working in digital product analytics
Preferences:
· Bachelor's degree in Data Science, Statistics, Computer Science, Economics, or a related field
· Expertise in web analytics platforms such as Amplitude, Adobe Analytics or Mixpanel
· Proficiency in SQL, Python, or R for data querying and analysis
· Strong experience with data visualization tools like Power BI
· Deeply familiar with A/B testing platforms such as Amplitude Experiment, Optimizely or Google Optimize
· Demonstrable experience working effectively with cross-functional teams to influence strategic and tactical initiatives
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
Senior Analyst, Finance Operations- Pricing Support
Urban Honolulu, HI jobs
**_What Finance Operations contributes to Cardinal Health_** Finance oversees the accounting, tax, financial plans and policies of the organization, establishes and maintains fiscal controls, prepares and interprets financial reports, oversees financial systems and safeguards the organization's assets.
Finance Operations is responsible for the oversight and overall performance of the following core financial processes. This includes pricing administration, rebates, cash application, chargebacks, billing, accounts payable and employee travel & expense.
Pharma Supplier Contracts is responsible for processing notifications via EDI, or e-mail from our Suppliers to create a contract, add products or customers, delete products or customers, update contract pricing or adjust effective dates of the contracts. This team looks to prevent and detect process errors which lead to customers receiving incorrect pricing which could result in a Credit and rebill.
**_Responsibilities_**
+ Creating processes, systems and tools, related to contract pricing, to improve the customer and supplier experience
+ Use and facilitate development of tools to enable proactive review of contract pricing, from a customer or supplier lens, to improve VOC (Voice of Customer), VOS (Voice of Sales) and First Time Pricing Accuracy scores
+ Build relationships with select key suppliers and select key customers with the goal of improving VOM (Voice of Manufacturer) and VOS (Voice of Sales) scores
+ Helps direct team members to solve complex pricing inquiries and projects. The goal of this is around being proactive rather than reactive
+ Develop strong supplier relationships to drive effectiveness and value against the planned strategies; facilitate supplier reviews; generate continuous improvement ideas
+ Partners with other finance ops teams to identify root cause and ensure a pricing dispute in that realm is systematically eliminated
+ Follows all process gaps to the finish line to validate the correct training has been implemented and all team members are engaged on how a discrepancy occurred
+ Helps review any FTPA (First Time Pricing Accuracy) findings to determine scope and accountability
+ Troubleshooting pricing discrepancies that arise and ensuring knowledge is shared, documented and communicated to onshore and offshore resources
+ Actively engage in updating processes and SOPs
+ Service multiple suppliers and/or processes in a fast paced and highly analytical environment.
+ Act as a liaison with internal and external key stakeholders to solve for issues within the processing of the contracts.
**_Qualifications_**
+ Bachelor's degree in related field, or equivalent work experience, preferred
+ 2-4 years of experience, preferred
+ Proficient in Microsoft Office, especially in Excel and Access, preferred
+ Excellent communication and interpersonal skills
+ Sense of urgency, attention to detail and accountability needed
+ Ability to build strong collaborative relationships and communicates effectively
+ Strong organizational skills
**_What is expected of you and others at this level_**
+ Applies working knowledge in the application of concepts, principles and technical capabilities to perform varied tasks
+ Works on projects of moderate scope and complexity
+ Identifies possible solutions to a variety of technical problems and takes action to resolve
+ Applies judgment within defined parameters
+ Receives general guidance and may receive more detailed instruction on new projects
+ Work reviewed for sound reasoning and accuracy
**Anticipated salary range:** $57,000-$73,440
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 12/19/2025 *if interested in opportunity, please submit application as soon as possible.
The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
\#LI-Remote
\#SP-1
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
Consultant, Account Management
Urban Honolulu, HI jobs
**What Account Management contributes to Cardinal Health:** Account Management is responsible for cultivating and maintaining on-going customer relationships with an assigned set of customers. Provides new and existing customers with the best possible service and recommendations in relation to billing inquiries, service requests, improvements to internal and external processes, and other areas of opportunity. Provides product service information to customers and identifies upselling opportunities to maintain and increase income streams from customer relationships.
**Responsibilities:**
+ Oversee assigned Medical Products and Distribution customer(s) as it pertains to supply chain health and general service needs.
+ Actively manage relationships between the customer's supply chain team and internal Cardinal Health teams to ensure flawless service.
+ Pursue, initiate, oversee, and take accountability for driving key initiatives that deepen the customer relationships and drive value for both customer and Cardinal Health.
+ Identify, interpret, and manage customer expectations and requirements through proactive account review, issue resolution, and regular engagement and review of key initiatives.
+ Lead order disruption prevention efforts by partnering closely with customer to identify best courses of action and oversee Cardinal Health execution.
+ Lead resolution of complex or persistent order situations where escalation or unique solutions are required.
+ Review key performance indicators monthly and identify plans for optimization.
+ Build and maintain long-term trusted relationships with customer to support retention and growth of the account
**Qualifications:**
+ Bachelor's degree or equivalent work experience, preferred
+ 4-6 years professional experience, preferred
+ Direct customer-facing experience, preferred
+ Strong executive presentations skills, preferred
+ Strong communication skills, preferred
+ Strong command of MS Office applications (Excel, PowerPoint, Word and Outlook), preferred
+ Demonstrated ability to work in a fast-paced, collaborative environment, preferred
+ Highly motivated, creative, able to operate effectively within a team, preferred
+ May require up to 35% travel, client onsite visits and adherence to client/facility policies as well as vendor credentialling requirements.
**What is expected of you and others at this level:**
+ Applies comprehensive knowledge and a thorough understanding of concepts, principles, and technical capabilities to perform varied tasks and projects
+ May contribute to the development of policies and procedures
+ Works on complex projects of large scope
+ Develops technical solutions to a wide range of difficult problems. Solutions are innovative and consistent with organization objectives
+ Completes work independently; receives general guidance on new projects
+ Work reviewed for purpose of meeting objectives
+ May act as a mentor to less experienced colleagues
**Anticipated salary range:** $67,500.00 - $96,300.00
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 2/5/2026 *if interested in opportunity, please submit application as soon as possible.
The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
Sr. Analyst, Customer Success
Urban Honolulu, HI jobs
**_What Customer Success contributes to Cardinal Health_** Commercial Technologies manages the enterprise's portfolio of commercial technologies to maximize the business value of the technologies and enhance the customer experience. This function creates strategies for the portfolio and innovative solutions based on relationships with business leaders, develops back-end solutions and capabilities, and improves the front-end experience.
Customer Success analyzes customer experiences on the company's commercial technologies and platforms and integrates customer perspectives and data into the design and management of commercial technologies. This job family interfaces with Customer Service and Marketing teams to gather and represent the voice of the customer and recommends enhancements to commercial technologies based on insights, working closely with User Experience Design professionals.
The Customer Experience Engineer supports various clinical applications, translates business requirements into technical specifications, maintains relationships with the development and business teams, and drives standard business processes. The engineer should understand business priorities and the relative importance of their projects. This engineer should be able to identify multiple approaches to problem solving and recommend the best-case solution. Furthermore, an engineer must possess strong technical acumen with the ability to translate information and research into non-technical language as necessary to effectively communicate across teams, customers, and clients.
**_Responsibilities_** :
+ Assist frontline analysts with escalation and resolution of complex technical issues reported by customers
+ Interact with Product Owners and Development Teams to become proficient with both business purpose and customer workflows as well as the backend technical architecture of our applications.
+ Proactively develop and maintain technical knowledge in specialized area(s), remaining up to date on current trends and best practices
+ Translate requirements, produce feasibility reports and design solutions to improve productivity and efficiency
+ Manage flow of data between Cardinal Health, its customers and other 3rd Party vendors.
+ Coordinate and report on project progress, obstacles and accomplishments to key Business and IT stakeholders.
**_Qualifications_**
+ 2-4 years of experience, preferred
+ Bachelor's degree in related field, or equivalent work experience, preferred
+ Must be flexible with being in office based on location or team needs
+ Must participate in testing activities outside of normal working hours
+ Must be willing to visit customer sites
+ Windows OS (all versions) and Microsoft Office expert, preferred
+ Hardware and Networking proficiency, preferred
+ Experience with tablets and printers
+ Understanding of DNS server and basic IP routing, preferred
+ Windows Server (Server 2008 and up) familiarity preferred
+ General knowledge of EDI
+ Experience with healthcare or pharmacy workflows or IT software, preferred
+ Experience with EMR / EHR, pharmacy management software, and/or healthcare billing software, preferred
+ Ability to communicate free of technical language to the business and end-user
+ Demonstrate strong analytical and project management skills
+ Demonstrate IT knowledge and expertise in the areas being developed or enhanced
+ Strong collaboration, multi-tasking, and organization skills
+ Strong oral and written English communication skills
+ Demonstrate thorough knowledge of the industry and trends
**_What is expected of you and others at this level_**
+ Applies working knowledge in the application of concepts, principles and technical capabilities to perform varied tasks
+ Works on projects of moderate scope and complexity
+ Identifies possible solutions to a variety of technical problems and takes action to resolve
+ Applies judgment within defined parameters
+ Receives general guidance and may receive more detailed instruction on new projects
+ Work reviewed for sound reasoning and accuracy
**Anticipated salary range:** $ 68,500-$88,020
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 1/18/2026*if interested in opportunity, please submit application as soon as possible.
The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
Project Analyst, Sr - Revenue Cycle
Urban Honolulu, HI jobs
Hawai'i Pacific Health is a not-for-profit health care network with over 70 locations statewide including medical centers, clinics, physicians and other caregivers serving Hawai'i and the Pacific Region with high quality, compassionate care. Its four medical centers - Kapi'olani, Pali Momi, Straub and Wilcox - specialize in innovative programs in women's health, pediatric care, cardiovascular services, cancer care, bone and joint services and more. Hawai'i Pacific Health is recognized nationally for its excellence in patient care and the use of electronic health records to improve quality and patient safety.
The Revenue Cycle department monitors revenue cycle management for all Hawai'i Pacific Health hospitals, clinics and other entities. It achieves this through Revenue Cycle Task Force committees and processes for Hospital, Physician, Pharmacy, Pacific Islanders, Worker compensation, and direct oversight and management of the Billing, Charge Description Management, Coding, Admissions and Financial Service functions. Revenue Cycle staff monitor inpatient and outpatient charge posting, billing, and collection operation, while recommending and implementing policies and procedures to ensure departmental effectiveness and compliance with insurance billing regulations, government billing requirements, collection laws and reimbursement procedures.
As the Senior Project Analyst, your role will be to build and implement revenue cycle related processes, procedures, and systems ranging from pre-service activities through final collection activities. You will coordinate functional testing and approval of all system changes affecting revenue cycle operations, procedures, and claims. We are looking for someone with excellent analytical and planning skills and a commitment to delivering the highest quality health care to Hawai'i's people.
Location: First Insurance Center
Work Schedule: Day - 8 Hours
Work Type: Full Time Regular
FTE: 1.000000
Bargaining Unit: Non-Bargaining
Exempt: Yes
Req ID 29350
Pay Range: 88,317 - 110,386 USD per year
Category: Administrative
Minimum Qualifications: Bachelor's degree in Business, Accounting, Finance, or health care related field, or an equivalent combination of education, training and experience. Epic Resolute Hospital Billing or Claims certification or equivalent training and experience. Five (5) years of experience as an analyst, including three (3) years as a project manager, lead analyst, or patient accounting management.
Preferred Qualifications: Health Care Financial Management Association Certified Health care Financial Professional (CHFP) certification.
EOE/AA/Disabled/Vets
Hawai'i Pacific Health offers a comprehensive and competitive total rewards package that includes pay and benefits. Rate of pay for selected candidates will be determined by various factors including knowledge, skills, abilities, relevant experience and training, as well as internal peer equity.
Project Analyst - Revenue Cycle
Urban Honolulu, HI jobs
Hawai'i Pacific Health is a not-for-profit health care network with over 70 locations statewide including medical centers, clinics, physicians and other caregivers serving Hawai'i and the Pacific Region with high quality, compassionate care. Its four medical centers - Kapi'olani, Pali Momi, Straub and Wilcox - specialize in innovative programs in women's health, pediatric care, cardiovascular services, cancer care, bone and joint services and more. Hawai'i Pacific Health is recognized nationally for its excellence in patient care and the use of electronic health records to improve quality and patient safety.
The Revenue Cycle department monitors revenue cycle management for all Hawai'i Pacific Health hospitals, clinics and other entities. It achieves this through Revenue Cycle Task Force committees and processes for Hospital, Physician, Pharmacy, Pacific Islanders, Worker compensation, and direct oversight and management of the Billing, Charge Description Management, Coding, Admissions and Financial Service functions. Revenue Cycle staff monitor inpatient and outpatient charge posting, billing, and collection operation, while recommending and implementing policies and procedures to ensure departmental effectiveness and compliance with insurance billing regulations, government billing requirements, collection laws and reimbursement procedures.
As the Project Analyst, you will play the crucial role of ensuring that assigned project managers and team members have accurate data and information to execute revenue cycle project activities to assist departments across Hawai'i Pacific Health in achieving their stated goals. You will provide essential data coordination and information collection services through analysis, development and documentation of business and clinical requirements. We are looking for someone prudent and organized, with excellent communication skills and a commitment to delivering the highest quality health care to Hawai'i's people.
**Location:** First Insurance Center
**Work Schedule:** Day - 8 Hours
**Work Type:** Full Time Regular
**FTE:** 1.000000
**Bargaining Unit:** Non-Bargaining
**Exempt:** Yes
**Req ID** 28939
**Pay Range:** 76,814 - 96,013 USD per year
**Category:** Management
**Other information:**
**Minimum Qualifications:** Bachelor's Degree in IT, MIS, Business or related field, or equivalent combination of education and experience. Two (2) years of combined IT, business office or financial experience demonstrating success using analysis to solve business problems.
**Preferred Qualifications:** EPIC certification or proficiency in any revenue cycle application. Experience in leading business process changes and/or system implementation and with resolving revenue cycle issues and supporting revenue cycle users or applications. Experience with Excel and other reporting tools. Understanding of patient accounting.
EOE/AA/Disabled/Vets
Hawai'i Pacific Health offers a comprehensive and competitive total rewards package that includes pay and benefits. Rate of pay for selected candidates will be determined by various factors including knowledge, skills, abilities, relevant experience and training, as well as internal peer equity.