Staff Assistant II
Honolulu,
Hawaii
HMSA
Corporate Compliance Training Administration Manage the training database for employees and temporary workers/contractors with the assignment of administering onboarding and annual continuing education training; follow-up on overdue assignm...
3d
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...
3d
Manager, Provider Research
Honolulu,
Hawaii
HMSA
Manage staff, ensuring provider inquiries are responded to timely, accurately, and professionally. Resolve complex provider inquiries. Respond to and oversee staff responding to CMS demand letters. Participate in ad hoc projects to help enh...
4d
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...
4d
Underwriting & Actuarial Data Analyst I
Honolulu,
Hawaii
HMSA
Data Management: Reviews data sources and preps needed data. Identifies existing and new data sources. Performs data prototyping, if necessary, to agree what data can/not be used. Preps data for use in analysis, goes back to source if probl...
6d
Underwriting & Actuarial Data Analyst II
Honolulu,
Hawaii
HMSA
Data Management: Reviews data sources and preps needed data. Identifies and communicates issues, limitations, and risks with data sets/reports. Identifies existing and new data sources. Performs data prototyping, if necessary, to agree what...
6d
Business Architect
Honolulu,
Hawaii
HMSA
Stakeholder Engagement: Identifies potential opportunities for business architecture modeling within the organization. Engages stakeholders to assess the business value of proposed business architecture requests to prioritize them amongst o...
6d
Domain Business Architect
Honolulu,
Hawaii
HMSA
Business Relationship Management: Develops and maintains strong working relationships with domain executives, management and stakeholders to understand their needs and align business objectives with corporate and IT strategies. Meets regula...
7d
Data Governance Analyst
Honolulu,
Hawaii
HMSA
Data Governance Expertise and Processes The Data Governance Analyst will coordinate and contribute to the management of governance processes, including reviewing existing processes and assisting in the implementation of new ones aligned wit...
8d
Senior Business Analyst, Command Center
Honolulu,
Hawaii
HMSA
Research and Data analysis Provide quality, objective, and professional analysis of relevant topics Gather and analyze information to identify trends, issues, innovations, and potential problems and solutions related to internal operations ...
8d