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...
6d
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...
6d
Medical Management Vendor Relations Analyst
Honolulu,
Hawaii
HMSA
Coordinate and manage deliverables of aspects of utilization management programs by delegated vendors: Ensures that program deliverables, documentation, and reporting are complete and meets contractual, compliance, and accreditation require...
6d
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...
6d
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...
6d
Claims Liaison Specialist
Honolulu,
Hawaii
HMSA
Function as a central communication point between claims processing teams and internal/external partners regarding claim status, issues and resolutions. Investigate and resolve escalated claims and trends, including denied or delayed claims...
7d
Team Lead - Customer Relations
Honolulu,
Hawaii
HMSA
Mentor servicing representatives to ensure the best customer experience by supporting representatives after they complete classroom training; completing quality assurance audits that ensure timeliness, accuracy, professionalism, and an opti...
7d
Research Coordinator
Honolulu,
Hawaii
HMSA
Coordinates case resolution with internal business areas to respond timely and accurately to provider inquiries regarding claims, benefits and medium complex issues that include medical, or payment policy questions and provider appeals. Res...
7d
Director, Medicare P&L Management
Honolulu,
Hawaii
HMSA
Program Leadership Function as the leader and champion of the Medicare Stars Program, risk adjustment operations, and Medicare cost of care initiatives. Collaborate with internal and external stakeholders to establish measure by measure tar...
11d
Investigator I
Honolulu,
Hawaii
HMSA
SIU case investigation management and resolution: Manage FWA case investigations, collaborate with federal, state and law enforcement entities, and provide applicable notifications as required. Maintain extensive documentation and evidence ...
11d