Job Details
Medical Management Compliance Analyst
2025-07-15 HMSA Honolulu,HI
Description:
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- Monitor and analyze regulatory/accreditation/business requirements to invoke recommendations for program and/or policy changes as appropriate for various lines of business.
- Lead/coordinate activities, which include internal audits, quality assurance control, quality improvement, provider satisfaction and department policies and procedures, to meet and/or maintain regulatory/accreditation/line of business requirements.
- Serve as a resource to internal and external staff regarding issues relating to administrative policies and procedures, medical policies, and researching and resolving problems.
- Edit all documentation generated by unit e.g., QIAs, reports, executive summaries, presentation materials, workplans, evaluations, annual plans, policies and procedures, minutes, agendas, provide feedback, and develop/generate monitoring reports/tools.
- Coordinate/schedule training opportunities and develop/present related reports and various documentation.
- Coordinate, support and document various department activities to ensure deliverables are completed by due date.
- Perform other duties (e.g., attend meetings) as assigned.
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