Case Resolution Specialist I
Honolulu,
Hawaii
HMSA
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
Senior Encounters System Analyst
Honolulu,
Hawaii
HMSA
Sustains mastery of encounter system processes within HMSA and external partners, for multiple lines of business. Monitors trends in data exchange with external entities and recommends adjustments as needed. Researches highly nuanced claim-...
8d
Senior Business Analyst, Command Center
Honolulu,
Hawaii
HMSA
Research and Data analysis Provide quality, objective, and professional analysis of relevant topics Gather and analyze information to identify trends, issues, innovations, and potential problems and solutions related to internal operations ...
8d
Senior Accounting Analyst
Honolulu,
Hawaii
HMSA
Research and Financial analysis Performs 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, c...
8d
Retail Associate - Maui
Kahului,
Hawaii
HMSA
CUSTOMER EXPERIENCE Provide all customers with an exceptional customer-focused and positive HMSA Center experience. Ensure that the experience meets the customer's needs and exceeds their expectations. Communicate and promote HMSA's brand m...
8d
Pharmacy Performance Analyst
Honolulu,
Hawaii
HMSA
a. Research and Data analysis Provides quality, objective, and professional analysis of relevant topics. Gathers and analyzes information to identify trends, issues, innovations, and solutions for priority business needs. Develops design an...
8d
Medical Management Specialist I
Kapolei,
Hawaii
HMSA
Evaluation, interpretation, and processing of clinical review requests to include but not limited to applying the following requirements: Validation that requests has met submission requirements based on accreditation / governmental regulat...
8d
Manager, Provider Performance Management
Honolulu,
Hawaii
HMSA
Lead provider performance management activities. Monitor technical, process, and business outcome metrics across all provider contract requirements and Service Level Agreements (SLAs). Recommend actions for improvement and drive continuous ...
8d
Manager, Actuarial Pricing
Honolulu,
Hawaii
HMSA
Recommends competitive and sustainable pricing for products based on actuarial models and market trends Leads product updates, maintains competitiveness and addresses customer needs throughout the product lifecycle Develops and implements d...
8d
Health Plan Specialist - Hilo
Hilo,
Hawaii
HMSA
CUSTOMER EXPERIENCE Provide all customers with an exceptional customer-focused and positive HMSA Center experience. Ensure that the experience meets the customer's needs and exceeds their expectations. Communicate and promote HMSA's brand m...
8d