Claims Liaison Coordinator
Honolulu,
Hawaii
HMSA
Claims Resolution & Support Serve as the primary liaison for complex escalated claim inquiries from providers, members, account management, and internal departments. Research and resolve complex claim discrepancies, denials, adjustments, an...
10d
Manager, Configuration
Honolulu,
Hawaii
HMSA
Provide strategic management and direction for the configuration of health plan products, provider networks, and reimbursement methodologies to ensure alignment with business requirements, state and federal regulations, and accreditation st...
10d
Sales Support Specialist I
Honolulu,
Hawaii
HMSA
In-office service contact for assigned groups. Handles day-to-day servicing inquiries directly with account contact via e-mail and phone. Assist with coordination of GTB and certificate requests. Validate the Summary of Benefits Coverage (S...
10d
Encounters System Analyst I
Honolulu,
Hawaii
HMSA
Analyzes encounter system processes within HMSA and external partners. Coordinates and reconciles exchange of data with external entities. Researches various claim-member-provider scenarios to determine root cause of data submission errors....
10d
Account Servicing Advocate I
Honolulu,
Hawaii
HMSA
a. 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 u...
10d
Community Health Worker (Advanced Care)
Honolulu,
Hawaii
HMSA
Manage community health by establishing and maintaining trusting relationships with individuals, families, and providers to promote health, recovery, resiliency, and wellness. Advocate and support members and their families by prioritizing ...
10d
Manager, Provider Performance Management
Honolulu,
Hawaii
HMSA
Lead provider performance management activities. Monitor technical, process, and business outcome metrics across all provider contract requirements and Service Level Agreements (SLAs). Recommend actions for improvement and drive continuous ...
10d
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
Executive Assistant
Honolulu,
Hawaii
HMSA
General Administrative Support Relieves the CEO/assigned Executive(s) of majority of administrative functions and tasks, ensuring the most effective/efficient use of the Executive's attention and focus. Drafts routine and specialized corres...
10d
Community Health Worker (LTSS)
Kahului,
Hawaii
HMSA
Manage community health by establishing and maintaining trusting relationships with individuals, families, and providers to promote health, recovery, resiliency, and wellness. Advocate and support members and their families by prioritizing ...
12d