- HRSN Reporting, Dashboards & Monitoring
- Generates required HRSN reporting from available systems, including monthly, quarterly, and ad hoc reports for MQD and internal leadership.
- Builds, maintains, and refines monitoring dashboards to track referrals, authorization status, utilization, provider capacity, service delivery trends, payment issues, and other implementation indicators.
- Monitors benefit uptake and implementation performance across HRSN programs such as medical respite, nutrition supports, reentry services, housing supports, and CIS+ as applicable.
- Data Research & Issue Resolution
- Researches data, claims, referral, authorization, billing, and operational issues to support timely resolution and reduce barriers for members, providers, and internal teams.
- Analyzes trends and root causes related to HRSN implementation challenges, including workflow gaps, reporting inconsistencies, provider questions, and system configuration impacts.
- Partners with HRSN Program leadership, external relations, claims, utilization management, IT, analytics, and provider operations to translate findings into practical fixes.
- Rapid-Cycle Improvement & Program Implementation Support
- Uses data and qualitative feedback to support rapid-cycle improvement as HRSN benefits move from launch to sustainable operations.
- Supports development and refinement of workflows, monitoring tools, data definitions, status tracking, and documentation standards needed to operationalize HRSN services.
- Prepares concise summaries, issue logs, and implementation updates that inform decision-making, escalation, and cross-functional accountability.
- Compliance, Documentation & Audit Support
- Supports documentation needed to demonstrate alignment with MQD requirements, waiver expectations, reporting protocols, and internal compliance standards.
- Maintains organized workpapers, data definitions, assumptions, and validation notes to support monitoring, review, and audit readiness.
- Performs all other miscellaneous responsibilities and duties as assigned or directed.
#LI-Hybrid
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HMSA
Nov 04, 2026