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 80 |
Health Plan Navigator I (Keaau)
Keaau, Hawaii
Assist customers in a timely and accurate manner in phone interactions. Maintain quantity, timeliness, accuracy, and quality performance within established standards that support HMSA's ability to comply with customer performance requiremen...
10d
| Job Type | Full Time |
Human Resources Leave Specialist
Honolulu, Hawaii
Leave of Absence (LOA) and Accommodation Case Management: Manages all aspects of leave and accommodation cases by providing extensive case management, coordinating administrative aspects of the case and any applicable claims. Interprets and...
10d
| Job Type | Full Time |
Liaison, Configuration Provider - Provider Operations
Honolulu, Hawaii
Maintain thorough knowledge of HMSA's provider network and the business with focus on provider contracts and reimbursement methodologies while working collaboratively across departments and our vendor partners to identify, document and main...
10d
| Job Type | Full Time |
Medical Assistant - Temporary On-Call
Lihue, Hawaii
Assists in the implementation of care coordination and nursing duties within the scope of education, knowledge and experience and with appropriate supervision by a physician. Examples of duties include, but are not limited to, measuring and...
10d
| Job Type | Temporary |
Honolulu, Hawaii
Quality Improvement Operations Provide direction and manage HMSA's overarching Quality Improvement program, including the oversight of staff and necessary resources required to design and implement programs related to compliance with accred...
10d
| Job Type | Full Time |
Health Plan Specialist - Pearl City
Pearl City, 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...
10d
| Job Type | Full Time |
Medical Management Review Analyst I
Honolulu, Hawaii
Analyzes, researches, and interprets medical and claims data while processing authorization requests. This includes: Authorizes requests that clearly meet specified criteria according to department guidelines. Refers requests to Medical Dir...
13d
| Job Type | Full Time |
Provider Field Support Specialist
Honolulu, Hawaii
Communicates directly with external partners and providers via phone, email or written correspondence in a professional, knowledgeable and timely manner to provide education; to obtain required documentation and/or clarification; and to pro...
14d
| Job Type | Full Time |
Nurse Reviewer - Clinical Review Unit
Kapolei, Hawaii
Utilize medical necessity criteria from established medical policies and clinical practice guidelines to render precertification determinations as described in the Medical Management UM work plan. This detailed clinical judgment includes ev...
15d
| Job Type | Full Time |
Manager, Medicare Risk Adjustment
Honolulu, Hawaii
Leadership and Performance Management Develops short-term and long-term strategies to meet risk adjustment accuracy goals and requirements. Works internally, and with BCBSA, providers, and vendors to review programs, processes, and data col...
16d
| Job Type | Full Time |
(web-69c66cf95d-dssp7)