Director, Claims Operations
Honolulu,
Hawaii
HMSA
Design and lead execution of strategic plans to streamline operations, reduce claim turnaround time, meet accuracy requirements and improve first-pass adjudication rates. Ensure all claims are processed in accordance with member benefits, p...
2d
Network Policy Analyst
Honolulu,
Hawaii
HMSA
Fee Reviews Lead the Fee Review Process which includes analyzing and explaining complex policy and reimbursement issues to providers, Professional Reimbursement and HMSA leadership Prepare cases for Operations Management Committee decision ...
2d
Product Owner
Honolulu,
Hawaii
HMSA
Product Ownership & Agile Delivery: Develop, maintain and communicate product vision & roadmaps, ensuring alignment with organizational goals, technology trends, and customer needs. Represent the voice of the customer and business stakehold...
2d
Accounting Analyst I
Honolulu,
Hawaii
HMSA
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. Co...
7d
Business Analyst, Medicare Stars
Honolulu,
Hawaii
HMSA
Quality Improvement Interventions Analysis and Development: Work as part of the Stars team to continuously identify, plan, develop, implement, and evaluate interventions. Develop reports, analyses, and data mining to support program plannin...
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
Senior Manager, Cyber Security Operations
Honolulu,
Hawaii
HMSA
Cyber Security Operations Leadership and Team Management: Lead and mentor a team of security analysts and engineers. Foster a culture of security awareness and continuous improvement within the team. Conduct performance evaluations and prov...
8d
Medicare Broker Specialist
Honolulu,
Hawaii
HMSA
Broker Management/Contracting: Oversee broker agency and agent contracts, ensuring all licensing and regulatory requirements are met and documented. Maintain and update broker records, including contact information, activation/suspension/te...
10d
Accounting Analyst II
Honolulu,
Hawaii
HMSA
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 appropri...
11d