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: 31 - 40 of 73 |
Healthcare Services Analyst III
Honolulu, Hawaii
Benefit and policy analysis & implementation: Assess business impact of new benefits, changes in medical or reimbursement policies/guidelines and tactics assigned in strategic planning. Initiate, develop, coordinate and implement cost/benef...
9d
| Job Type | Full Time |
Kahului, Hawaii
Customer Experience Manage customer traffic levels and associate resources to ensure that the center is adequately staffed and operating efficiently. Ensure customers are being greeted and serviced appropriately while visiting the HMSA Cent...
9d
| 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...
9d
| Job Type | Full Time |
Medical Management Specialist I
Kapolei, Hawaii
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...
9d
| Job Type | Full Time |
Provider Field Support Specialist
Honolulu, Hawaii
Communicates directly with external partners and providers via phone, email or written correspondence in a professional, knowledgeable and timely manner to provide education; to obtain required documentation and/or clarification; and to pro...
10d
| Job Type | Full Time |
Honolulu, Hawaii
Train and oversee the Operations Support team. Schedule and manage the team's functions and activities that support the Contact Center, activities such as data entry into Salesforce, preparing invoices for payment for HMSA's vendors, fulfil...
11d
| Job Type | Full Time |
Health & Well-Being Consultant
Honolulu, Hawaii
Tactical Activities Responsible for the implementation of tactical workplace well-being plans for employer groups utilizing industry, national, and state best practices to increase employee participation and engagement. Assists in conductin...
12d
| Job Type | Full Time |
Manager, Medicare Risk Adjustment
Honolulu, Hawaii
Leadership and Performance Management Develops short-term and long-term strategies to meet risk adjustment accuracy goals and requirements. Works internally, and with BCBSA, providers, and vendors to review programs, processes, and data col...
12d
| 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...
12d
| Job Type | Full Time |
Honolulu, Hawaii
Assessment Provide telephonic screening of BH members using PHQ-9, GAD, and other CM-DM diagnostic tools to determine additional care support needs. Communication Communicates with HMSA members, physicians, case managers, and disease manage...
13d
| Job Type | Full Time |
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