Corporate 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...
3d
Account Relationship Consultant
Honolulu,
Hawaii
HMSA
Performance Proactively service and grow HMSA products and services through various methods including site visits, on-line meetings, telephone and email correspondence, power point presentations, and one-on-one customer servicing. Protect H...
3d
Program Analyst, Federal Employee Program (FEP)
Honolulu,
Hawaii
HMSA
Monitor, evaluate, educate, and implement FEP program requirements related to Utilization Management (UM), Case Management (CM), Medical Management (MM), and Disease Management (DM) activities to areas within the department for appropriate ...
3d
Senior Data Governance Analyst
Honolulu,
Hawaii
HMSA
Data Governance Expertise and Processes The Senior Data Governance Analyst lead in the management of governance processes, revise existing governance processes, and implement new processes that are aligned with corporate priorities and init...
3d
BlueCard Customer Advocate I
Kapolei,
Hawaii
HMSA
Review, document and accurately respond, verbally or in writing, to routine and regular claims inquiries received by telephone, correspondence or internal communication, as assigned by supervisor. Effectively manage inventory of unresolved ...
6d
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...
7d
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...
7d
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...
7d
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...
7d
Medicare Stars Member Experience Lead
Honolulu,
Hawaii
HMSA
Monitors member experience indicators and identifies opportunities for improvement. Serves as subject matter expert on Medicare CAHPS performance indicators and trends. Leads the development of data collection and reporting methods to monit...
9d