Program Analyst
Honolulu,
Hawaii
HMSA
Program Coordination and Oversight Independently plan, coordinate and facilitate meetings with stakeholders, ensuring agenda and related materials are accurate and properly prepared. Coordinate, prepare, and ensure the accuracy of materials...
4d
Manager, Membership Administration
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...
4d
Utilization Reviewer (Applied Behavior Analysis)
Honolulu,
Hawaii
HMSA
Applies appropriate medical necessity criteria for Applied Behavior Analysis from an established medical policy and clinical guidelines to render pre- or post-service clinical decisions as described in the Medical Management UM work plan. T...
4d
Senior System Analyst
Honolulu,
Hawaii
HMSA
Responsible for analysis, design, modeling and architecture for application systems and domains. Manages the maintenance and support of assigned application system(s). May participate in development, maintenance and support activities. Mana...
8d
Senior Accounts Payable Clerk
Honolulu,
Hawaii
HMSA
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...
9d
Consultant Engagement Manager
Honolulu,
Hawaii
HMSA
Performance Protect HMSA's grow market share through the successful renewal and retention of assigned accounts and generate new sales. Work in partnership with HMSA leadership and sales managers to develop broker and consultant driven sales...
11d
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...
13d
Manager, Provider Research
Honolulu,
Hawaii
HMSA
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...
13d
Encounters System Analyst II
Honolulu,
Hawaii
HMSA
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 ...
13d
Senior Encounters System Analyst
Honolulu,
Hawaii
HMSA
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-...
13d