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 43 |
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...
16d
| Job Type | Full Time |
Honolulu, Hawaii
a. Research and Data analysis Provides quality, objective, and professional analysis of relevant topics. Gathers and analyzes information to identify trends, issues, innovations, and solutions for priority business needs. Develops design an...
17d
| Job Type | Full Time |
Honolulu, Hawaii
Prioritizes approved invoices and check requests according to payment terms. Assist with month-end accruals as needed. Familiarizes with company policies and navigating steps in Dynamics GP, Certify and CentreSuite. Verifies approver's leve...
17d
| Job Type | Full Time |
Medical Management Compliance Analyst
Honolulu, Hawaii
Monitor and analyze regulatory/accreditation/business requirements to invoke recommendations for program and/or policy changes as appropriate for various lines of business. Lead/coordinate activities, which include internal audits, quality ...
20d
| Job Type | Full Time |
Honolulu, Hawaii
Identifies and mitigates potential regulatory risks associated with new product development Supports competitive and cost-benefit analyses by comparing actuarial features and pricing of competitor products Evaluates the feasibility and pote...
21d
| 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...
22d
| Job Type | Full Time |
Program Manager, Internal Operations
Honolulu, Hawaii
Program/Project Leadership: Leads and drives Internal Operations and other business resources through the proper identification, prioritization, communication and scheduling of tasks and milestones along with appropriate team/project meetin...
22d
| 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...
22d
| Job Type | Full Time |
Senior Engineer - Unified Communications
Honolulu, Hawaii
Responsible for leading the support of HMSA's unified communications infrastructure. Responsibilities include, but are not limited to the following: Ensures the reliability of HMSA's unified communications infrastructure, to include the pla...
22d
| Job Type | Full Time |
Member Advocacy & Appeals Support Specialist II
Honolulu, Hawaii
Handles the intake processes for all Department cases that involve complex confidential issues in a highly time sensitive environment. Intake of member and provider calls, faxes, email correspondence, and internal referrals; evaluation of i...
22d
| Job Type | Full Time |
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