MS Billing & Research Specialist I
Honolulu,
Hawaii
HMSA
Research member billing issues and routine group billing issues; effectively communicate (written, telephonically or in person) the outcome of the research and resolution to the issue in a timely manner. Ensure appropriate approval levels a...
15d
Director, Actuarial Services
Honolulu,
Hawaii
HMSA
Oversee the pricing of HMSA's products for all lines of business, including the following: Pricing of new products/plans/benefits and modifications to existing plans/benefits. Regularly updating the rating methodology and factors for HMSA's...
15d
Principal System Engineer
Honolulu,
Hawaii
HMSA
Design Solutions: Serve as a technical leader on our most demanding, cross-functional projects. Balance technical leadership with strong business judgment to make the right decisions about technology choices. Decompose complex problems into...
15d
Health Plan Specialist - Lihue
Lihue,
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...
16d
Clinical Pharmacist, Quality Programs
Honolulu,
Hawaii
HMSA
Evaluate, develop, implement, and maintain pharmacy quality programs. Support Medicare STARS, Medicaid and Commercial programs by developing strategies and interventions and identifying opportunities for providers to influence outcomes. Col...
16d
Customer Relations Program Analyst I
Honolulu,
Hawaii
HMSA
Implementation Support and Solution Evaluation: Reviews the solution design to ensure it fulfills all requirements. Identifies opportunities to meet additional business needs within scope of the project. Participates in the testing and moni...
18d
Manager, Member Portal and Servicing Tools
Honolulu,
Hawaii
HMSA
Responsible for managing the member portal and member servicing tools which enables customers, providers, and stakeholders to have a seamless HMSA experience. Build, support, and maintain effective communication strategies with enterprise s...
18d
Manager, Financial Reporting
Honolulu,
Hawaii
HMSA
Manage financial reporting for HMSA and its subsidiaries to ensure the timely preparation of the HMSA and Subsidiary companies' financial statements. These financial reports are for both internal and external audiences. Assist the Senior Ma...
18d
Senior Business Analyst -- Medicare Programs
Honolulu,
Hawaii
HMSA
As the senior level subject matter expert on Medicare plans, works closely with HMSA management, operational departments, Medicare Compliance Officers, business partners and contracted vendors to provide analysis and consulting services. Re...
19d
Business Analyst I - Medicare Programs
Honolulu,
Hawaii
HMSA
Coordinate and monitor activities with appropriate MP and operational departments to ensure that standards are being met timely and accurately; escalate issues as needed. Conduct analysis of ad hoc and questions, research issues, and provid...
19d