New
IT Manager, Technical Services (IAM)
Honolulu,
Hawaii
HMSA
IAM and Cyber Security Risk Management: Oversees and manages HMSA's IAM program leveraging IAM best practices, industry, and frameworks. Create and maintain the IAM roadmap in accordance with the CISO's strategy. Ensure all the necessary po...
21h
Behavioral Health Navigator
Honolulu,
Hawaii
HMSA
Assessment Provide telephonic screening of BH members using PHQ-9, GAD, and other CM-DM diagnostic tools to determine additional care support needs. Communication Communicates with HMSA members, physicians, case managers, and disease manage...
2d
Account Implementation Consultant
Honolulu,
Hawaii
HMSA
Develop a plan and manage the "onboarding" and implementation of the system for designated customers, serving as a liaison with internal and external customers to move them onto an electronic platform. Work with large and/or complex account...
4d
MS Billing & Research Specialist I
Honolulu,
Hawaii
HMSA
Research member billing issues and routine group billing issues; effectively communicate (written, telephonically or in person) the outcome of the research and resolution to the issue in a timely manner. Ensure appropriate approval levels a...
4d
Network Policy Analyst
Honolulu,
Hawaii
HMSA
Fee Reviews Lead the Fee Review Process which includes analyzing and explaining complex policy and reimbursement issues to providers, Professional Reimbursement and HMSA leadership Prepare cases for Operations Management Committee decision ...
4d
Senior Manager, Member Advocacy & Appeals
Honolulu,
Hawaii
HMSA
Responsible for managing day-to-day operations of the Member Advocacy and Appeals Department including the investigation and resolution of cases, compliance with required processes, tracking, reporting, notifications to members and provider...
4d
Principal System Engineer
Honolulu,
Hawaii
HMSA
Design Solutions: Serve as a technical leader on our most demanding, cross-functional projects. Balance technical leadership with strong business judgment to make the right decisions about technology choices. Decompose complex problems into...
4d
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...
6d
Medical Management Policy and Research Analyst II
Honolulu,
Hawaii
HMSA
Revise and/or develop medical policies in conjunction with assigned medical director and in accordance with Development and Approval of Medical Policy administrative policy; process includes appropriate and timely implementation and publica...
6d
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...
6d