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 ...
14d
Account Servicing Advocate I
Keaau,
Hawaii
HMSA
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
Actuarial Analyst
Honolulu,
Hawaii
HMSA
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...
15d
Medical Management Policy & Research Analyst I
Honolulu,
Hawaii
HMSA
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
Administrative Coordinator
Honolulu,
Hawaii
HMSA
Administrative Assistance Exercises good decision making and independent judgment in relieving the assigned leader of all administrative detail, ensuring the most effective use of the leader's attention and focus by: Maintaining calendars f...
20d
Consultant, Financial Planning & Analysis
Honolulu,
Hawaii
HMSA
Analyzes enterprise-wide financial performance against the annual operating plan and facilitates action planning and decision-making processes. Orchestrates budget management strategies across the organization to optimize resource allocatio...
20d
Training Design and Delivery Associate
Honolulu,
Hawaii
HMSA
Delivers training programs using established materials and methodologies while ensuring consistent quality and adherence to learning objectives. Gathers data and feedback to support training needs assessments through surveys, interviews, an...
21d
Training Coordinator
Honolulu,
Hawaii
HMSA
Supports deployment of training initiatives including coordinating logistics and scheduling sessions; utilizes a variety of delivery methods/techniques. Assists in the creation and distribution of talent management communications, materials...
21d
Customer Service and Sales Representative
Honolulu,
Hawaii
HMSA
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
Quality Improvement Specialist
Honolulu,
Hawaii
HMSA
Proficient in all federal, state and commercial Quality Improvement standards (NCQA, CMS, MQD); coordinates with internal departments and delegates to ensure that standards are met and that appropriate program deliverables (e.g., descriptio...
22d