Career Opportunities
HMSA is Hawaii’s leading provider of health care coverage. Our success is largely due to the quality and dedication of our employees.
| Jobs: 31 - 40 of 60 |
Medical Management Specialist I
Kapolei, Hawaii
Evaluation, interpretation, and processing of clinical review requests to include but not limited to applying the following requirements: Validation that requests has met submission requirements based on accreditation / governmental regulat...
11d
| Job Type | Full Time |
Honolulu, Hawaii
Be the in-office service contact for assigned groups. Resolves day-to-day servicing inquiries directly with account contact via e-mail and phone for enrollment, billing and claims inquiries. This requires knowledge about benefits for medica...
11d
| Job Type | Full Time |
Honolulu, Hawaii
a. Research and Data analysis Provides quality, objective, and professional analysis of relevant topics. Gathers and analyzes information to identify trends, issues, innovations, and solutions for priority business needs. Develops design an...
11d
| Job Type | Full Time |
Hilo, Hawaii
CUSTOMER EXPERIENCE Provide all customers with an exceptional customer-focused and positive HMSA Center experience. Ensure that the experience meets the customer's needs and exceeds their expectations. Communicate and promote HMSA's brand m...
11d
| Job Type | Full Time |
Honolulu, Hawaii
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...
11d
| Job Type | Full Time |
Honolulu, Hawaii
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...
11d
| Job Type | Full Time |
Honolulu, Hawaii
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...
11d
| Job Type | Full Time |
Honolulu, Hawaii
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....
11d
| Job Type | Full Time |
Honolulu, Hawaii
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...
11d
| Job Type | Full Time |
Community Health Worker (Advanced Care)
Honolulu, Hawaii
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 ...
11d
| Job Type | Full Time |
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