Medical Management Specialist I
Kapolei,
Hawaii
HMSA
Evaluation, interpretation, and processing of clinical review requests to include but not limited to applying the following requirements: Validation that requests has met submission requirements based on accreditation / governmental regulat...
9d
Senior Accounts Payable Clerk
Honolulu,
Hawaii
HMSA
Prioritizes approved invoices and check requests according to payment terms. Assist with month-end accruals as needed. Familiarizes with company policies and navigating steps in Dynamics GP, Certify and CentreSuite. Verifies approver's leve...
10d
Medical Management Compliance Analyst
Honolulu,
Hawaii
HMSA
Monitor and analyze regulatory/accreditation/business requirements to invoke recommendations for program and/or policy changes as appropriate for various lines of business. Lead/coordinate activities, which include internal audits, quality ...
13d
Senior Actuarial Analyst
Honolulu,
Hawaii
HMSA
Identifies and mitigates potential regulatory risks associated with new product development Supports competitive and cost-benefit analyses by comparing actuarial features and pricing of competitor products Evaluates the feasibility and pote...
14d
Program Manager, Internal Operations
Honolulu,
Hawaii
HMSA
Program/Project Leadership: Leads and drives Internal Operations and other business resources through the proper identification, prioritization, communication and scheduling of tasks and milestones along with appropriate team/project meetin...
15d
Member Advocacy & Appeals Support Specialist II
Honolulu,
Hawaii
HMSA
Handles the intake processes for all Department cases that involve complex confidential issues in a highly time sensitive environment. Intake of member and provider calls, faxes, email correspondence, and internal referrals; evaluation of i...
15d
Senior Engineer - Unified Communications
Honolulu,
Hawaii
HMSA
Responsible for leading the support of HMSA's unified communications infrastructure. Responsibilities include, but are not limited to the following: Ensures the reliability of HMSA's unified communications infrastructure, to include the pla...
15d
National Account Consultant
Kapolei,
Hawaii
HMSA
Performance Use account data and critical thinking to effectively marry customer goals and objectives to HMSA's products and services. Achieve membership goals, quotas and minimum activity standards Manage RFI and RFP responses ensuring acc...
15d
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...
15d
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...
15d