Under the general guidance of the Audit Manager:Perform audit support functions related to risk-based, operational, compliance, financial, and information technology audits, and consulting projects for HMSA. Assist in the execution of audit programs and consul…

Coordinates various projects as assigned. Develops system requirements, test plan, test scenarios, test cases, anticipated test results and objectives and acceptance criteria. Also, performs testing, communicates status/concerns to appropriate parties, documen…

Manage staff, ensuring provider inquiries are responded to timely, accurately, and professionally. Resolve complex provider inquiries.Respond to and oversee staff responding to CMS demand letters.Participate in ad hoc projects to help enhance the provider expe…

PerformanceProactively service and grow HMSA products and services through various methods including site visits, on-line meetings, telephone and email correspondence, power point presentations, and one-on-one customer servicing.Protect HMSA's market share thr…

Under the general guidance of the Director:Perform risk-based, compliance, operational, financial and information technology audits and consulting projects for HMSA. Create and execute audit programs and consulting projects, report findings and recommendations…

Recommends competitive and sustainable pricing for products based on actuarial models and market trendsLeads product updates, maintains competitiveness and addresses customer needs throughout the product lifecycleDevelops and implements data quality control pr…

Reviews and conducts analysis of financial statements for HMSA and other related entities in an accurate and timely manner. This includes preparation, summarization, and maintenance of source data in various subsystems of financial data. Compiles data that is …

Research and Financial analysisPerforms complex financial analysis with minimal supervision and report findings to management.Reviews and reconciles medium to high complexity balance sheet accounts. This includes, but is not limited to, cash, revenue, receivab…

Research and AnalysisServe as contact for external vendors and internal departments to support operations and payment integrity activities.Research and respond to low to high priority complex internal and external inquiries.Analyze and coordinate vendor perfor…

Under the general guidance of the Audit Manager: Perform audit support functions related to risk-based, operational, compliance, financial, and information technology audits, and consulting projects for HMSA. Assist in the execution of audit programs and consu…