New
Case Manager/Health Coordinator, IHMS
Kapolei,
Hawaii
HMSA
Conduct timely face to face assessments and develop, document, and implement targeted health action plans/care plans based on the results of the assessment for members requiring assistance with care coordination. Coordinate a multi-discipli...
6h
New
Senior Financial Healthcare Data Analyst II
Honolulu,
Hawaii
HMSA
Design, develop and implement standard plan or provider financial and operational reports in response to customer requirements and business needs Lead and implement internal controls; facilitate definition of data and other information requ...
18h
New
Solution Architect
Honolulu,
Hawaii
HMSA
Responsibilities include, but are not limited to the following: Influence information strategy: By partnering with business unit leadership, and through the rationalization of the information value chain, the information architect will prov...
18h
New
Healthcare Services Analyst I
Honolulu,
Hawaii
HMSA
Research and Analysis: Research and respond to low complexity internal and external inquires. Use a variety of resources including, but not limited to on-line information files and databases, peer guidance, interviews with internal departme...
18h
New
Strategic Data Analyst I, Health Data Integration & Analytics
Honolulu,
Hawaii
HMSA
Strategic Data Analytics and Project Management Understands and aligns enterprise and business unit goals, strategies, and objectives. Works with leadership to identify and prioritize D&A solutions which support goals, strategies, and objec...
18h
New
Senior Financial Healthcare Data Analyst I
Honolulu,
Hawaii
HMSA
Develop, analyze, recommend, and monitor reimbursement and provider strategies; prepare reports that measure the effectiveness of reimbursement and contracting terms and the influence they may have on overall program/plan cost and utilizati...
18h
New
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...
18h
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...
4d
Application Developer
Honolulu,
Hawaii
HMSA
Participates in the project planning process with team members, sometimes with clients and business analysts. Assists in the development of work plan timelines. Manage workflows to meet sub-project timeframes. Participate in the identificat...
4d
System Analyst
Honolulu,
Hawaii
HMSA
Responsible for analysis, design, development, integration, maintenance and support of applications. Responsibilities include, but may not be limited to, the following: Leads and/or participates in the project planning process with clients,...
4d