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 55 |
Honolulu, Hawaii
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 ...
14d
| 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...
14d
| Job Type | Full Time |
Keaau, Hawaii
Resolve enrollment, eligibility and billing issues and inquiries timely and accurately from members, employer groups and third party administrators by phone, email and written correspondence by: Researching and collaborating with other unit...
15d
| Job Type | Full Time |
Medical Management Policy & Research Analyst I
Honolulu, Hawaii
Revise and/or develop medical policies adopted from the BCBSA in conjunction with assigned medical director and in accordance with Development and Approval of Medical Policy administrative policy; process includes appropriate and timely imp...
19d
| Job Type | Full Time |
Honolulu, Hawaii
Performs comprehensive reviews of assigned areas, including transactions, documents, records, and automated functions to ensure accuracy, adequate controls, and operational efficiency, in compliance with regulations Conducts cost-benefit an...
19d
| Job Type | Full Time |
Liaison, Configuration Provider - Provider Operations
Honolulu, Hawaii
Maintain thorough knowledge of HMSA's provider network and the business with focus on provider contracts and reimbursement methodologies while working collaboratively across departments and our vendor partners to identify, document and main...
22d
| Job Type | Full Time |
Health Plan Navigator I (Keaau)
Keaau, Hawaii
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...
22d
| Job Type | Full Time |
Honolulu, Hawaii
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...
22d
| Job Type | Full Time |
Honolulu, Hawaii
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...
22d
| Job Type | Full Time |
Customer Service and Sales Representative
Kapolei, Hawaii
Performance Meet established marketing plan goals, and achieve annual sales revenue and membership growth objectives by effectively promoting and closing prospective sales opportunities. Perform quick and efficient transaction fulfillment o...
22d
| Job Type | Full Time |
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