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...
4d
Senior Engineer - Desktop
Honolulu,
Hawaii
HMSA
Responsible for leading the support of HMSA's desktop and end-user infrastructure. Responsibilities include, but are not limited to the following: Ensures the reliability of HMSA's desktop and end-user infrastructure, to include the plannin...
4d
Communications Program Coordinator
Honolulu,
Hawaii
HMSA
Project Management Manage and assist Communication Program Managers (CPM) in the management of project timelines associated with mission-critical, cross-departmental projects, events, and initiatives. The size, scope, and content of the pro...
4d
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...
5d
Manager, Medicare Risk Adjustment
Honolulu,
Hawaii
HMSA
Leadership and Performance Management Develops short-term and long-term strategies to meet risk adjustment accuracy goals and requirements. Works internally, and with BCBSA, providers, and vendors to review programs, processes, and data col...
5d
Health & Well-Being Consultant
Honolulu,
Hawaii
HMSA
Tactical Activities Responsible for the implementation of tactical workplace well-being plans for employer groups utilizing industry, national, and state best practices to increase employee participation and engagement. Assists in conductin...
5d
Engineer - Desktop
Honolulu,
Hawaii
HMSA
Responsible for operating and providing support to HMSA's desktop and end-user infrastructure. Responsibilities include, but are not limited to the following: Implements, Maintains and upgrades HMSA's endpoint and client software. Installs,...
5d
Supervisor, Operation Support
Honolulu,
Hawaii
HMSA
Train and oversee the Operations Support team. Schedule and manage the team's functions and activities that support the Contact Center, activities such as data entry into Salesforce, preparing invoices for payment for HMSA's vendors, fulfil...
5d
Lead Engineer - Desktop
Honolulu,
Hawaii
HMSA
Responsible for leading and coordinating complex activities in support of HMSA's desktop and end-user infrastructure. Responsibilities include, but are not limited to the following: Responsible for the overall health of HMSA's desktop and e...
5d
Provider Contracting Manager
Honolulu,
Hawaii
HMSA
HMSA Provider Strategy You are responsible for being an active participant in the shaping, informing, leading, and implementing HMSA's overall corporate strategy to its providers. You are expected to play an integral role in supporting, inc...
6d