Technical Program Manager
Honolulu,
Hawaii
HMSA
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...
4d
Manager, Actuarial Pricing
Honolulu,
Hawaii
HMSA
Recommends competitive and sustainable pricing for products based on actuarial models and market trends Leads product updates, maintains competitiveness and addresses customer needs throughout the product lifecycle Develops and implements d...
4d
Program Analyst, Federal Employee Program (FEP)
Honolulu,
Hawaii
HMSA
Monitor, evaluate, educate, and implement FEP program requirements related to Utilization Management (UM), Case Management (CM), Medical Management (MM), and Disease Management (DM) activities to areas within the department for appropriate ...
4d
Compensation Analyst
Honolulu,
Hawaii
HMSA
Job Description Evaluation: Administers job description process: Reviews job evaluation requests for new or revised job descriptions to determine appropriate job leveling and FLSA exemption status. Utilizes job evaluation criteria and avail...
7d
Business Analyst, Medicare Stars
Honolulu,
Hawaii
HMSA
Quality Improvement Interventions Analysis and Development: Work as part of the Stars team to continuously identify, plan, develop, implement, and evaluate interventions. Develop reports, analyses, and data mining to support program plannin...
8d
Principal System Engineer
Honolulu,
Hawaii
HMSA
Design Solutions: Serve as a technical leader on our most demanding, cross-functional projects. Balance technical leadership with strong business judgment to make the right decisions about technology choices. Decompose complex problems into...
9d
Administrative Services Specialist
Honolulu,
Hawaii
HMSA
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...
9d
Network Policy Analyst
Honolulu,
Hawaii
HMSA
Fee Reviews Lead the Fee Review Process which includes analyzing and explaining complex policy and reimbursement issues to providers, Professional Reimbursement and HMSA leadership Prepare cases for Operations Management Committee decision ...
9d
Account Servicing Advocate I
Keaau,
Hawaii
HMSA
Resolve enrollment, eligibility and billing issues and inquiries timely and accurately from members, employer groups and third party administrators by phone, email and written correspondence by: Researching and collaborating with other unit...
10d
Actuarial Analyst
Honolulu,
Hawaii
HMSA
Performs comprehensive reviews of assigned areas, including transactions, documents, records, and automated functions to ensure accuracy, adequate controls, and operational efficiency, in compliance with regulations Conducts cost-benefit an...
10d