Engineer - Desktop
Honolulu,
Hawaii
HMSA
Responsible for operating and providing support to HMSA's desktop and end-user infrastructure. Responsibilities include, but are not limited to the following: Implements, Maintains and upgrades HMSA's endpoint and client software. Installs,...
2d
Communications Program Coordinator
Honolulu,
Hawaii
HMSA
Project Management Manage and assist Communication Program Managers (CPM) in the management of project timelines associated with mission-critical, cross-departmental projects, events, and initiatives. The size, scope, and content of the pro...
2d
Corporate Advanced Analyst II
Honolulu,
Hawaii
HMSA
Data Management: Reviews data sources and preps needed data. Identifies existing and new data sources. Performs data prototyping, if necessary, to agree what data can/not be used. Preps data for use in analysis, goes back to source if probl...
4d
Senior Manager, Provider and Facility Contracting
Honolulu,
Hawaii
HMSA
Oversees development and implementation of HMSA's provider contracting strategy and the primary team responsible for execution of provider contracts. Leadership Provide direction and guidance to staff on provider issues continually reinforc...
6d
Case Resolution Specialist I
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...
6d
Behavioral Health Navigator
Honolulu,
Hawaii
HMSA
Assessment Provide telephonic screening of BH members using PHQ-9, GAD, and other CM-DM diagnostic tools to determine additional care support needs. Communication Communicates with HMSA members, physicians, case managers, and disease manage...
6d
Corporate Advanced Analyst I
Honolulu,
Hawaii
HMSA
Data Management: Reviews data sources and preps needed data. Identifies existing and new data sources. Performs data prototyping, if necessary, to agree what data can/not be used. Preps data for use in analysis, goes back to source if probl...
6d
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 ...
8d
MS Billing & Research Specialist I
Honolulu,
Hawaii
HMSA
Research member billing issues and routine group billing issues; effectively communicate (written, telephonically or in person) the outcome of the research and resolution to the issue in a timely manner. Ensure appropriate approval levels a...
8d