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...
2d
Pharmacy Performance Analyst
Honolulu,
Hawaii
HMSA
a. Research and Data analysis Provides quality, objective, and professional analysis of relevant topics. Gathers and analyzes information to identify trends, issues, innovations, and solutions for priority business needs. Develops design an...
2d
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...
2d
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...
2d
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...
2d
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
Internal Operations Audit and Controls Lead
Honolulu,
Hawaii
HMSA
Lead as an IO Audit and Control Subject Matter Expert (SME) on process and controls. Review and monitor design of IO controls department-wide with the purpose of identifying ineffective or inefficient processes and advising on corrective an...
5d
Manager, Accounting
Honolulu,
Hawaii
HMSA
Oversee and manage accounting operations for HMSA and its subsidiaries, including general ledger and reconciliation activities. Streamline processes and implement efficiencies to optimize financial operations. Ensure accuracy of our financi...
5d
Senior Manager, Provider and Facility Contracting
Honolulu,
Hawaii
HMSA
Oversees development and implementation of HMSA's provider contracting strategy and the primary team responsible for execution of provider contracts. Leadership Provide direction and guidance to staff on provider issues continually reinforc...
5d
Manager, Claims
Honolulu,
Hawaii
HMSA
Manage and lead a claims team by providing training, mentorship, and best practice solutions. Manage daily operations of the claims team, including inventory analysis, tracking and resolution of claims Serve as the escalation point for comp...
5d