New
Medical Management Compliance Analyst
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 ...
17h
New
Member Advocacy & Appeals Support Specialist II
Honolulu,
Hawaii
HMSA
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...
17h
New
Medical Management Specialist I
Kapolei,
Hawaii
HMSA
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...
17h
New
Accounts Receivable Representative
Honolulu,
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...
17h
New
Program Manager, Internal Operations
Honolulu,
Hawaii
HMSA
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...
17h
New
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...
17h
New
Senior Engineer - Unified Communications
Honolulu,
Hawaii
HMSA
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...
17h
New
National Account Consultant
Kapolei,
Hawaii
HMSA
Performance Use account data and critical thinking to effectively marry customer goals and objectives to HMSA's products and services. Achieve membership goals, quotas and minimum activity standards Manage RFI and RFP responses ensuring acc...
17h
New
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...
17h
New
Sales Account Manager - Community Group Sales
Honolulu,
Hawaii
HMSA
Performance Develop and implement account plans that align HMSA products and strategic objectives to employer groups' objectives and benefit programs. Use exceptional selling skills to promote and implement products and services through var...
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