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...
2d
Case Resolution Specialist II
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...
2d
Senior Manager, Physical Security and Employee Safety
Honolulu,
Hawaii
HMSA
Program Oversight/Leadership for Physical Security and Employee Safety Assists the Director in overseeing HMSA's physical security program, including access controls, surveillance systems, incident response protocols, and threat assessments...
2d
Accounts Receivable Representative
Pearl City,
Hawaii
HMSA
Independently process group and direct payments received from walk-in members and groups while providing all customers with an exceptional customer-focused and positive HMSA Center experience. Ensure that the experience meets the customer's...
2d
Quality Assurance Trainer
Honolulu,
Hawaii
HMSA
Conducts pre-payment, post-payment, and procedural audits. Assesses training needs based on audit results. Conducts group or one-on-one training. Performs post-training audits to ensure training effectiveness. Makes recommendations regardin...
2d
Medical Management Analyst III
Honolulu,
Hawaii
HMSA
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 ...
3d
Manager, Actuarial Pricing
Honolulu,
Hawaii
HMSA
Recommends competitive and sustainable pricing for products based on actuarial models and market trends Leads product updates, maintains competitiveness and addresses customer needs throughout the product lifecycle Develops and implements d...
3d
Senior Analyst, Strategic Contract Management
Honolulu,
Hawaii
HMSA
Vendor Management and Oversight Analyzing Contract Terms: Identifying risk/opportunities within contract terms; conducting risk assessments. Drafting and Reviewing Contracts: Ensuring accuracy of contracts, compliant with relevant laws/regu...
5d
Public Relations and Social Media Specialist
Honolulu,
Hawaii
HMSA
Manage HMSA's social media profiles and presence. Create, manage, and grow HMSA's business presence across relevant social media channels, including, but not limited to Facebook, Instagram, X (formerly Twitter), LinkedIn, Yelp, and YouTube....
5d
Business Analyst, Medicare Stars
Honolulu,
Hawaii
HMSA
Quality Improvement Interventions Analysis and Development: Work as part of the Stars team to continuously identify, plan, develop, implement, and evaluate interventions. Develop reports, analyses, and data mining to support program plannin...
8d