New
Supervisor, Membership Servicing
Honolulu,
Hawaii
HMSA
Monitor the performance and address issues with any business partners or vendors that supports the Members Servicing Department. Build relationships with both internal and external customers to include members and employer groups to address...
20h
New
Account Servicing Advocate I
Honolulu,
Hawaii
HMSA
a. 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 u...
20h
New
Human Resources Business Partner
Honolulu,
Hawaii
HMSA
Conducts implementation and monitoring activities for a variety of HR programs; typically supports multiple teams/ department within a function. Identifies opportunities to enhance the employee experience and partners with management to dev...
1d
Manager, Provider Performance Management
Honolulu,
Hawaii
HMSA
Lead provider performance management activities. Monitor technical, process, and business outcome metrics across all provider contract requirements and Service Level Agreements (SLAs). Recommend actions for improvement and drive continuous ...
2d
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...
3d
Identity and Access Management (IAM) Business Analyst
Honolulu,
Hawaii
HMSA
Business Systems and Reporting Generates reports and, as appropriate, coordinates the regular creation, production, and maintenance of department reports. When appropriate, build needed reports and extract from system. Prepares materials or...
3d
Identity and Access Management (IAM) Program Manager
Honolulu,
Hawaii
HMSA
Responsible for managing all aspects of the planning, execution, controlling, and closure of projects/programs. Responsibilities include, but are not limited to, the following: Receives high-level business requirements and develops detailed...
3d
Medical Management Review Analyst I
Honolulu,
Hawaii
HMSA
Analyzes, researches, and interprets medical and claims data while processing authorization requests. This includes: Authorizes requests that clearly meet specified criteria according to department guidelines. Refers requests to Medical Dir...
4d
Nurse Reviewer - Clinical Review Unit
Kapolei,
Hawaii
HMSA
Utilize medical necessity criteria from established medical policies and clinical practice guidelines to render precertification determinations as described in the Medical Management UM work plan. This detailed clinical judgment includes ev...
7d
Associate Technical Product Manager
Honolulu,
Hawaii
HMSA
Stakeholder Support: Support product managers by eliciting stakeholder input, documenting product needs, and participating in discussions across the product lifecycle. Assist with stakeholder communications to clarify goals, document decisi...
7d