New
Account Servicing Advocate I
Keaau,
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...
15h
New
Identity and Access Management (IAM) Business Analyst
Honolulu,
Hawaii
HMSA
Business Systems and Reporting Generates reports and, as appropriate, coordinates the regular creation, production, and maintenance of department reports. When appropriate, build needed reports and extract from system. Prepares materials or...
15h
New
Identity and Access Management (IAM) Program Manager
Honolulu,
Hawaii
HMSA
Responsible for managing all aspects of the planning, execution, controlling, and closure of projects/programs. Responsibilities include, but are not limited to, the following: Receives high-level business requirements and develops detailed...
15h
New
Medical Management Review Analyst I
Honolulu,
Hawaii
HMSA
Analyzes, researches, and interprets medical and claims data while processing authorization requests. This includes: Authorizes requests that clearly meet specified criteria according to department guidelines. Refers requests to Medical Dir...
1d
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...
4d
Associate Technical Product Manager
Honolulu,
Hawaii
HMSA
Stakeholder Support: Support product managers by eliciting stakeholder input, documenting product needs, and participating in discussions across the product lifecycle. Assist with stakeholder communications to clarify goals, document decisi...
4d
Senior Manager, Cyber Security Operations
Honolulu,
Hawaii
HMSA
Cyber Security Operations Leadership and Team Management: Lead and mentor a team of security analysts and engineers. Foster a culture of security awareness and continuous improvement within the team. Conduct performance evaluations and prov...
6d
Technical Program Manager
Honolulu,
Hawaii
HMSA
Responsible for managing all aspects of the planning, execution, controlling, and closure of projects/programs. Responsibilities include, but are not limited to, the following: Receives high-level business requirements and develops detailed...
6d
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...
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