New
Manager, Special Investigations Unit
Honolulu,
Hawaii
HMSA
Program Oversight/Leadership for FWA SIU: Provide strategic oversight of the FWA SIU program Ensure compliance with all applicable FWA regulatory requirements Maintain independence and objectivity of SIU investigations Oversee intake, prior...
8h
New
Account Relationship Consultant
Honolulu,
Hawaii
HMSA
Performance Proactively service and grow HMSA products and services through various methods including site visits, on-line meetings, telephone and email correspondence, power point presentations, and one-on-one customer servicing. Protect H...
8h
New
Employee Relations Partner
Honolulu,
Hawaii
HMSA
Handles employee relations related inquiries and conducts thorough and timely investigations into employee concerns on HR matters. Supports investigative processes from beginning to end including complainant intakes, interviews with subject...
8h
New
Account Relationship Specialist I
Honolulu,
Hawaii
HMSA
In-office service contact for assigned groups. Handles day-to-day servicing inquiries directly with account contact via e-mail and phone. Assist with coordination of GTB and certificate requests. Validate the Summary of Benefits Coverage (S...
8h
New
Manager, Membership Admin
Honolulu,
Hawaii
HMSA
Manage and lead a membership admin team by providing training, mentorship, and best practice solutions. Manage daily operations of the membership admin team, including inventory analysis, tracking and resolution Serve as the escalation poin...
8h
New
Care Navigator
Honolulu,
Hawaii
HMSA
Assessment Triage member to identify medical, psychological, and social barriers to discharge then transition member to appropriate healthcare professional on their team such as TCN or CHW. Care Transition Collaboration Work with healthcare...
23h
Business Data Analyst
Honolulu,
Hawaii
HMSA
Research and Analysis: Analyze data for the purpose of identifying opportunities to improve the quality and cost of health care. Extract data from electronic medical records, claims, HMSA Data Warehouse and other available sources. Apply da...
5d
Accounting Analyst II
Honolulu,
Hawaii
HMSA
Coordinates various projects as assigned. Develops system requirements, test plan, test scenarios, test cases, anticipated test results and objectives and acceptance criteria. Also, performs testing, communicates status/concerns to appropri...
7d
Claims Liaison Coordinator
Honolulu,
Hawaii
HMSA
Claims Resolution & Support Serve as the primary liaison for complex escalated claim inquiries from providers, members, account management, and internal departments. Research and resolve complex claim discrepancies, denials, adjustments, an...
7d
Group Underwriter III
Honolulu,
Hawaii
HMSA
Accurately calculate and analyze a variety of employer group rates using the historical utilization of the account. Extract and analyze historical data of the account to ensure accuracy and good logic. Analyze the overall composition of the...
8d