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 60 |
Manager, Federal Plan Programs
Honolulu, Hawaii
Program and Project Management: Responsible for strategic and tactical planning of HMSA's approach to delivering excellent performance and value for Federal Plan 87/Postal Plan and providing clear leadership, training, guidance, and coordin...
16h
| Job Type | Full Time |
Medical Management Specialist I
Kapolei, Hawaii
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...
16h
| Job Type | Full Time |
Honolulu, Hawaii
Be the in-office service contact for assigned groups. Resolves day-to-day servicing inquiries directly with account contact via e-mail and phone for enrollment, billing and claims inquiries. This requires knowledge about benefits for medica...
4d
| Job Type | Full Time |
Honolulu, Hawaii
For assigned line(s) of business, the Lead Actuarial Analyst will: Lead the pricing and rating of HMSA's products, including the following: Collecting and analyzing historical experience data, developing projections and modeling financial o...
4d
| Job Type | Full Time |
Honolulu, Hawaii
a. 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 u...
5d
| Job Type | Full Time |
Honolulu, Hawaii
Sustains strong knowledge of encounter system processes within HMSA and external partners. Coordinates and reconciles data exchange with external entities, monitoring quality. Researches complex claim-member-provider scenarios to determine ...
5d
| Job Type | Full Time |
Hilo, Hawaii
CUSTOMER EXPERIENCE Provide all customers with an exceptional customer-focused and positive HMSA Center experience. Ensure that the experience meets the customer's needs and exceeds their expectations. Communicate and promote HMSA's brand m...
5d
| Job Type | Full Time |
Honolulu, Hawaii
Provide strategic management and direction for the configuration of health plan products, provider networks, and reimbursement methodologies to ensure alignment with business requirements, state and federal regulations, and accreditation st...
5d
| Job Type | Full Time |
Honolulu, Hawaii
Demonstrates proficiency in bringing a cross functional perspective to complex business analysis activities and projects to support the implementation of corporate projects involving new systems and functions, and enhancements to existing s...
5d
| Job Type | Full Time |
Performance Reporting Analyst, Command Center
Honolulu, Hawaii
Data Analysis and Reporting Conduct high quality, objective analysis to support performance optimization and strategic initiatives. Collect, interpret, and evaluate Key Performance Indicators (KPIs) and related information to identify trend...
5d
| Job Type | Full Time |
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