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...
9d
Behavioral Health Navigator
Honolulu,
Hawaii
HMSA
Assessment Provide telephonic screening of BH members using PHQ-9, GAD, and other CM-DM diagnostic tools to determine additional care support needs. Communication Communicates with HMSA members, physicians, case managers, and disease manage...
9d
Medical Management Vendor Relations Analyst
Honolulu,
Hawaii
HMSA
Coordinate and manage deliverables of aspects of utilization management programs by delegated vendors: Ensures that program deliverables, documentation, and reporting are complete and meets contractual, compliance, and accreditation require...
9d
Senior Strategic Contracting Manager
Honolulu,
Hawaii
HMSA
Design, develop and operationalize new clinical integration programs for key partners in market. Will act as primary program lead for value-based deals and special provider projects. Design, develop and operationalize next-generation paymen...
9d
Manager, Credit Union
Honolulu,
Hawaii
HMSA
Assist the Director to implement Credit Union policies, procedures and practices which include the organization's financial goals, objectives, and budgets. Make business improvement recommendations and coordinate with the Director to seek a...
9d
Senior Product Control Coordinator
Honolulu,
Hawaii
HMSA
Coordinate and monitor daily production schedule Tracks promotion requests in a log or via production control software Assists systems & application development team in problem resolution Other duties as assigned #LI-Hybrid
9d
Health Plan Navigator I (Honolulu)
Honolulu,
Hawaii
HMSA
Assist customers in a timely and accurate manner in phone interactions. Maintain quantity, timeliness, accuracy, and quality performance within established standards that support HMSA's ability to comply with customer performance requiremen...
9d
Health Plan Navigator I (Kapolei)
Kapolei,
Hawaii
HMSA
Assist customers in a timely and accurate manner in phone interactions. Maintain quantity, timeliness, accuracy, and quality performance within established standards that support HMSA's ability to comply with customer performance requiremen...
9d
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...
11d