Career Opportunities
HMSA is Hawaii’s leading provider of health care coverage. Our success is largely due to the quality and dedication of our employees.
| Jobs: 1 - 10 of 55 |
Utilization Reviewer (Applied Behavior Analysis)
Honolulu, Hawaii
Applies appropriate medical necessity criteria for Applied Behavior Analysis from an established medical policy and clinical guidelines to render pre- or post-service clinical decisions as described in the Medical Management UM work plan. T...
42m
| Job Type | Full Time |
Honolulu, Hawaii
HMSA Provider Strategy You are responsible for being an active participant in the shaping, informing, leading, and implementing HMSA's overall corporate strategy to its providers. You are expected to play an integral role in supporting, inc...
42m
| Job Type | Full Time |
Manager, Membership Administration
Honolulu, Hawaii
Manage and lead a membership admin team by providing training, mentorship, and best practice solutions. Manage daily operations of the membership admin team, including inventory analysis, tracking and resolution Serve as the escalation poin...
42m
| Job Type | Full Time |
Honolulu, Hawaii
Responsible for analysis, design, modeling and architecture for application systems and domains. Manages the maintenance and support of assigned application system(s). May participate in development, maintenance and support activities. Mana...
14h
| Job Type | Full Time |
Customer Service and Sales Representative
Kapolei, Hawaii
Performance Meet established marketing plan goals, and achieve annual sales revenue and membership growth objectives by effectively promoting and closing prospective sales opportunities. Perform quick and efficient transaction fulfillment o...
14h
| Job Type | Full Time |
Medical Management Policy & Research Analyst I
Honolulu, Hawaii
Revise and/or develop medical policies adopted from the BCBSA in conjunction with assigned medical director and in accordance with Development and Approval of Medical Policy administrative policy; process includes appropriate and timely imp...
24h
| Job Type | Full Time |
Honolulu, Hawaii
Responsible for analysis, design, modeling and architecture for application systems and domains. Manages the maintenance and support of assigned application system(s). May participate in development, maintenance and support activities. Mana...
4d
| Job Type | Full Time |
Honolulu, Hawaii
Prioritizes approved invoices and check requests according to payment terms. Assist with month-end accruals as needed. Familiarizes with company policies and navigating steps in Dynamics GP, Certify and CentreSuite. Verifies approver's leve...
4d
| Job Type | Full Time |
Manager, Encounter Submissions
Honolulu, Hawaii
Encounter Submissions Management Communicates with LOB leads and Governance Finance Director on the necessary information and context for strategic business decision making. Establishes schedule for meetings and deliverables to complete nee...
5d
| Job Type | Full Time |
Honolulu, Hawaii
Conducts critical analysis of highly complex and sensitive member and provider appeals, inquiries and grievances and applies internal policies and procedures, contractual provisions, and regulatory requirements. Secures information from int...
6d
| Job Type | Full Time |
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