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...
13d
Senior Product Control Coordinator
Honolulu,
Hawaii
HMSA
Coordinate and monitor daily production schedule Tracks promotion requests in a log or via production control software Assists systems & application development team in problem resolution Other duties as assigned #LI-Hybrid
14d
Health Plan Navigator I (Honolulu)
Honolulu,
Hawaii
HMSA
Assist customers in a timely and accurate manner in phone interactions. Maintain quantity, timeliness, accuracy, and quality performance within established standards that support HMSA's ability to comply with customer performance requiremen...
14d
Manager, Credit Union
Honolulu,
Hawaii
HMSA
Assist the Director to implement Credit Union policies, procedures and practices which include the organization's financial goals, objectives, and budgets. Make business improvement recommendations and coordinate with the Director to seek a...
14d
Senior Strategic Contracting Manager
Honolulu,
Hawaii
HMSA
Design, develop and operationalize new clinical integration programs for key partners in market. Will act as primary program lead for value-based deals and special provider projects. Design, develop and operationalize next-generation paymen...
14d
Senior Business Analyst - Medicaid Programs
Honolulu,
Hawaii
HMSA
Business Solution Development: Develop, maintain and coordinate department user requirements, data reporting and application requirements for projects that affect Medicaid Programs. Assist with solution design and development. Participate i...
14d
Health Plan Navigator I (Kapolei)
Kapolei,
Hawaii
HMSA
Assist customers in a timely and accurate manner in phone interactions. Maintain quantity, timeliness, accuracy, and quality performance within established standards that support HMSA's ability to comply with customer performance requiremen...
14d
Medical Management Vendor Relations Analyst
Honolulu,
Hawaii
HMSA
Coordinate and manage deliverables of aspects of utilization management programs by delegated vendors: Ensures that program deliverables, documentation, and reporting are complete and meets contractual, compliance, and accreditation require...
14d
Senior Investment Accounting Analyst
Honolulu,
Hawaii
HMSA
Responsible for leading the recording and reporting of all investment transactions for the Association in accordance with GAAP, State of Hawaii Insurance Division, and NAIC guidance: Obtains information from the Association's banks and trus...
14d
COP Project Manager
Honolulu,
Hawaii
HMSA
Project Execution: Manages the project team to ensure all project tasks, deliverables and milestones are completed according to schedule. Communicates project status and progress to the project team, stakeholders, and executives on a clear ...
14d