Concurrent Nurse Reviewer - Facility Utilization Review Unit
Honolulu,
Hawaii
HMSA
Applies appropriate medical necessity criteria from established medical policies and clinical practice guidelines to apply concurrent review determinations as described in the Medical Management UM work plan. This detailed clinical judgment...
11d
Healthcare Services Analyst II
Honolulu,
Hawaii
HMSA
Research and Analysis: Research and respond to low to medium complexity internal and external inquires. Is proficient at utilizing a variety of resources including but not limited to on-line information files and databases, Medicare/other p...
12d
Technical Financial Analyst
Honolulu,
Hawaii
HMSA
Coordinates with all levels of IT and business management to gather, analyze, summarize, and prepare recommendations regarding budget plans, trend future requirements and operating forecasts. Model business scenarios, funding investment sce...
12d
Account Servicing Advocate I
Honolulu,
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...
13d
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...
14d
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...
14d
Director, Financial Planning & Analysis
Honolulu,
Hawaii
HMSA
Leads the annual planning process including developing financial tools and analyses and working with functional area leaders in refining their respective budgets into useful management tools. Analyze, identify and track key expense drivers ...
17d
Senior Strategic Contracting Manager
Honolulu,
Hawaii
HMSA
Design, develop and operationalize new clinical integration programs for key partners in market. Will act as primary program lead for value-based deals and special provider projects. Design, develop and operationalize next-generation paymen...
19d
Customer Service and Sales Representative
Kapolei,
Hawaii
HMSA
Performance Meet established marketing plan goals, and achieve annual sales revenue and membership growth objectives by effectively promoting and closing prospective sales opportunities. Perform quick and efficient transaction fulfillment o...
19d
Health Plan Navigator I (Honolulu)
Honolulu,
Hawaii
HMSA
Assist customers in a timely and accurate manner in phone interactions. Maintain quantity, timeliness, accuracy, and quality performance within established standards that support HMSA's ability to comply with customer performance requiremen...
19d