Career Opportunities
HMSA is Hawaii’s leading provider of health care coverage. Our success is largely due to the quality and dedication of our employees.
| Jobs: 1 - 10 of 65 |
Medical Management Vendor Relations Analyst
Honolulu, Hawaii
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...
15h
| Job Type | Full Time |
Honolulu, Hawaii
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...
15h
| Job Type | Full Time |
Honolulu, Hawaii
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...
15h
| Job Type | Full Time |
Honolulu, Hawaii
Claims Resolution & Support Serve as the primary liaison for complex escalated claim inquiries from providers, members, account management, and internal departments. Research and resolve complex claim discrepancies, denials, adjustments, an...
15h
| Job Type | Full Time |
Honolulu, Hawaii
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...
1d
| Job Type | Full Time |
Team Lead - Customer Relations
Honolulu, Hawaii
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...
1d
| Job Type | Full Time |
Honolulu, Hawaii
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...
1d
| Job Type | Full Time |
Director, Medicare P&L Management
Honolulu, Hawaii
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...
5d
| Job Type | Full Time |
Honolulu, Hawaii
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 ...
5d
| Job Type | Full Time |
Honolulu, Hawaii
Provides general production support: Monitor daily production performance and inventory levels as assigned. Conduct data and trend analysis to identify areas of improvements. Triage daily production issues. Recommend and implement interim w...
5d
| Job Type | Full Time |
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