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...
11d
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...
11d
Analyst, Physical Security and Employee Safety
Honolulu,
Hawaii
HMSA
Physical Security and Safety Planning Assists the Manager in guiding the development and maintenance of HMSA's physical security and safety plans, policies, and procedures. Manages the physical security and safety plans, policies, and progr...
12d
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...
12d
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...
12d
Senior Manager, Physical Security and Employee Safety
Honolulu,
Hawaii
HMSA
Program Oversight/Leadership for Physical Security and Employee Safety Assists the Director in overseeing HMSA's physical security program, including access controls, surveillance systems, incident response protocols, and threat assessments...
12d
Accounts Receivable Representative
Pearl City,
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...
12d
Quality Assurance Trainer
Honolulu,
Hawaii
HMSA
Conducts pre-payment, post-payment, and procedural audits. Assesses training needs based on audit results. Conducts group or one-on-one training. Performs post-training audits to ensure training effectiveness. Makes recommendations regardin...
12d
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 ...
13d
Manager, Actuarial Pricing
Honolulu,
Hawaii
HMSA
Recommends competitive and sustainable pricing for products based on actuarial models and market trends Leads product updates, maintains competitiveness and addresses customer needs throughout the product lifecycle Develops and implements d...
13d