New
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...
24h
New
Quality Assurance Trainer I
Kapolei,
Hawaii
HMSA
Conducts audits in the operational areas to include: Monthly audits to monitor controls and performance. Document and review findings with operational staff and management. Track audit results and spot error trends to identify training need...
24h
New
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...
24h
New
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...
24h
New
Case Manager/Health Coordinator, IHMS - QUEST
Honolulu,
Hawaii
HMSA
Conduct timely face to face assessments and develop, document, and implement targeted health action plans/care plans based on the results of the assessment for members requiring assistance with care coordination. Coordinate a multi-discipli...
24h
New
Manager, Integrated Health Management Services
Honolulu,
Hawaii
HMSA
Select, train, and manage designated staff, fostering a work environment that encourages teamwork, promotes personal growth and learning, couples empowerment with accountability, learns from failure and celebrates success. Manage all case m...
24h
New
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...
24h
New
Senior Engineer - Unified Communications
Honolulu,
Hawaii
HMSA
Responsible for leading the support of HMSA's unified communications infrastructure. Responsibilities include, but are not limited to the following: Ensures the reliability of HMSA's unified communications infrastructure, to include the pla...
24h
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...
2d
Associate Application Developer
Honolulu,
Hawaii
HMSA
Assists in the project planning process with team members, sometimes with clients and business analysts. Assists in the development of work plan timelines. May manage workflows to meet sub-project timeframes. Participate in the identificati...
4d