Support the development of new products and benefits by performing the analysis and coordinating the efforts of others to produce the necessary information to be used in decision making by HMSA leadership. Produce comprehensive assessments of proposed changes through collaborative efforts with internal partners and subject matter experts. Prepare financial, brand, regulat

Engagement, Assessment and Planning Engages members in the case management program (outreach and successful enrollment) using diagnostic cost group classifications or other tools which identify the relative risk score and illness burden. Identifying catastrophic health care users with significant health care costs is a priority. Conducts and documents a comprehensive asse

Lead the oversight and monitoring of the medical cost trend improvement efforts, by driving cross functional teamwork efforts to identify, design, implement, and monitor initiatives that moderate the Organization's healthcare cost trends Lead and manage a portfolio of activities with a sharp focus on enhancing healthcare cost outcomes through diversified mitigation strate

Responsibilities include, but are not limited to the following Leads and manages the Identity Access Management team. Acts as a point of escalation for any user or business stakeholder issues. Establishes and maintains relationships with business units throughout the organization so as to understand their working environments and communications needs. Recommends and overs

Responsibilities include, but are not limited to the following Influence information strategy By partnering with business unit leadership, and through the rationalization of the information value chain, the information architect will provide strategic recommendations to maximize the value of information assets via their creation, access and use. Promotes the business valu

Prepare administrative work for the Health Coordinators to include but not limited to preparing HFA's, inputting 1147's, completing the call cadence to enroll members in the program, utilizing HMSA tools to identifying any gaps in care. Ensuring that services are initiated timely to include but not limited to assisting the Health Coordinator in monitoring service plan goa