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.
| Jobs: 1 - 10 of 39 |
Nurse Reviewer - Clinical Review Unit
Kapolei, Hawaii
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...
2d
| Job Type | Full Time |
Accounts Receivable Representative
Honolulu, Hawaii
Independently process group and direct payments received from walk-in members and groups while providing all customers with an exceptional customer-focused and positive HMSA Center experience. Ensure that the experience meets the customer's...
5d
| Job Type | Full Time |
Honolulu, Hawaii
Prioritizes approved invoices and check requests according to payment terms. Assist with month-end accruals as needed. Familiarizes with company policies and navigating steps in Dynamics GP, Certify and CentreSuite. Verifies approver's leve...
5d
| Job Type | Full Time |
Accounts Receivable Representative
Pearl City, Hawaii
Independently process group and direct payments received from walk-in members and groups while providing all customers with an exceptional customer-focused and positive HMSA Center experience. Ensure that the experience meets the customer's...
5d
| Job Type | Full Time |
Honolulu, Hawaii
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
| Job Type | Full Time |
Honolulu, Hawaii
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...
5d
| Job Type | Full Time |
Administrative Services Specialist
Honolulu, Hawaii
Collects, analyzes, and utilize data and feedback to identify opportunities to improve the relationship between the business and the other entity. This will include direct communication and participation with the Vendor Management Office (V...
5d
| Job Type | Full Time |
Sales Account Manager - Community Group Sales
Honolulu, Hawaii
Performance Develop and implement account plans that align HMSA products and strategic objectives to employer groups' objectives and benefit programs. Use exceptional selling skills to promote and implement products and services through var...
5d
| Job Type | Full Time |
Medical Management Compliance Analyst
Honolulu, Hawaii
Monitor and analyze regulatory/accreditation/business requirements to invoke recommendations for program and/or policy changes as appropriate for various lines of business. Lead/coordinate activities, which include internal audits, quality ...
5d
| Job Type | Full Time |
Honolulu, Hawaii
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
| Job Type | Full Time |
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