New
Medical Management Policy and Research Analyst II
Honolulu,
Hawaii
HMSA
Revise and/or develop medical policies in conjunction with assigned medical director and in accordance with Development and Approval of Medical Policy administrative policy; process includes appropriate and timely implementation and publica...
10h
New
Healthcare Services Analyst II
Honolulu,
Hawaii
HMSA
Research and Analysis: Research and respond to low to medium complexity internal and external inquires. Is proficient at utilizing a variety of resources including but not limited to on-line information files and databases, Medicare/other p...
10h
New
Technical Financial Analyst
Honolulu,
Hawaii
HMSA
Coordinates with all levels of IT and business management to gather, analyze, summarize, and prepare recommendations regarding budget plans, trend future requirements and operating forecasts. Model business scenarios, funding investment sce...
10h
New
Healthcare Services Analyst I
Honolulu,
Hawaii
HMSA
Research and Analysis: Research and respond to low complexity internal and external inquires. Use a variety of resources including, but not limited to on-line information files and databases, peer guidance, interviews with internal departme...
1d
New
Nurse Reviewer - Clinical Review Unit
Kapolei,
Hawaii
HMSA
Utilize medical necessity criteria from established medical policies and clinical practice guidelines to render precertification determinations as described in the Medical Management UM work plan. This detailed clinical judgment includes ev...
1d
New
Solution Architect
Honolulu,
Hawaii
HMSA
Responsibilities include, but are not limited to the following: Influence information strategy: By partnering with business unit leadership, and through the rationalization of the information value chain, the information architect will prov...
1d
New
Senior Auditor I
Honolulu,
Hawaii
HMSA
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 audi...
1d
New
Application Lead - Health System Services
Honolulu,
Hawaii
HMSA
Maintaining Application Systems Prioritizes and coordinates application support efforts. Updates management on escalated issues on a regular basis. Supports and maintains Production incidents tracking on a daily basis by managing and respon...
1d
New
Quality Assurance Trainer II
Kapolei,
Hawaii
HMSA
Conducts audits in the operational areas to include: Monthly audits to monitor controls and performance. Document and review findings with operational staff and management. Track audit results and spot error trends to identify training need...
1d
New
Health Plan Specialist - Honolulu
Honolulu,
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...
1d