Caring for the people of Hawaii is our promise and our privilege. Working together with employers, partners, and physicians and other health care providers, we promote wellness; develop reliable, affordable health plans; and support members with clear, thoughtful guidance.
HMSA is the most experienced health plan in the state, covering more than half of Hawaii’s population. As a recognized leader, we embrace our responsibility to strengthen the health and well-being of our community.
Vision A Hawaii where families and communities enjoy ever healthier lives.
Purpose Together, we improve the lives of our members and the health of Hawaii. Caring for our friends, families, and neighbors is our privilege.
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.
Work When you work at HMSA, you make a difference in the lives of the people of Hawaii.
Play Having fun is vital! Spending time doing things you enjoy and living life to the fullest makes each day better.
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...
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...
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 ...
Sustains mastery of encounter system processes within HMSA and external partners, for multiple lines of business. Monitors trends in data exchange with external entities and recommends adjustments as needed. Researches highly nuanced claim-...
Ensure that Self Direct Providers (SDP) and members are enrolled in Acumen and are trained to use the Electronic Visit Verification System (EVV). Audit enrollment for completion. Train new Health Coordinators (HC) in Acumen's EVV system as ...
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...
Reviews and conducts analysis of financial statements for HMSA and other related entities in an accurate and timely manner. This includes preparation, summarization, and maintenance of source data in various subsystems of financial data. Co...
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...
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...
Data Governance Expertise and Processes The Data Governance Analyst will coordinate and contribute to the management of governance processes, including reviewing existing processes and assisting in the implementation of new ones aligned wit...