Manager, Provider Research
Honolulu,
Hawaii
HMSA
Manage staff, ensuring provider inquiries are responded to timely, accurately, and professionally. Resolve complex provider inquiries. Respond to and oversee staff responding to CMS demand letters. Participate in ad hoc projects to help enh...
19d
Executive Assistant
Honolulu,
Hawaii
HMSA
General Administrative Support Relieves the CEO/assigned Executive(s) of majority of administrative functions and tasks, ensuring the most effective/efficient use of the Executive's attention and focus. Drafts routine and specialized corres...
19d
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...
19d
Multimedia Communications Specialist
Honolulu,
Hawaii
HMSA
Creates original content that engages our target audience and supports HMSA's business goals and objectives: Researches, produces, writes, shoots, and edits in-house videos and livestreams. Writes clear and compelling stories in HMSA's bran...
19d
Revenue Analyst I
Honolulu,
Hawaii
HMSA
Reporting, Research & Analysis Runs reports assisting analysis of premium revenue, risk adjustment payments, and other revenue streams related to lines of business. Gathers and validates financial and enrollment data from internal and exter...
19d
Revenue Analyst II
Honolulu,
Hawaii
HMSA
Reporting, Research & Analysis Analyses and forecasts premium revenue, risk adjustment payments, and other revenue streams related to lines of business using prescribed guidelines or policies. Gathers, validates, and interprets financial an...
19d
Supervisor, Rating (Underwriting)
Honolulu,
Hawaii
HMSA
Provide guidance to team members; ensure assigned Group Underwriters are able to deliver the rate renewal/RFP information necessary to support the Account Planning process. Ensure all rating staff is adequately trained in the statistical re...
19d
Senior Business Analyst, Command Center
Honolulu,
Hawaii
HMSA
Research and Data analysis Provide quality, objective, and professional analysis of relevant topics Gather and analyze information to identify trends, issues, innovations, and potential problems and solutions related to internal operations ...
19d
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...
19d
Business Architect
Honolulu,
Hawaii
HMSA
Stakeholder Engagement: Identifies potential opportunities for business architecture modeling within the organization. Engages stakeholders to assess the business value of proposed business architecture requests to prioritize them amongst o...
19d