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: 51 - 60 of 72 |
Honolulu, Hawaii
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...
13d
| Job Type | Full Time |
Honolulu, Hawaii
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 ...
15d
| Job Type | Full Time |
MS Billing & Research Specialist I
Honolulu, Hawaii
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...
15d
| Job Type | Full Time |
Network Management Representative
Honolulu, Hawaii
a. Responsible for initiating and providing face-to-face support to new providers interested in joining HMSA's network. This includes, but is not limited to, contracting and on-boarding to ensure that there are no unnecessary delays in the ...
15d
| Job Type | Full Time |
Honolulu, Hawaii
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...
15d
| Job Type | Full Time |
Senior Manager, Member Advocacy & Appeals
Honolulu, Hawaii
Responsible for managing day-to-day operations of the Member Advocacy and Appeals Department including the investigation and resolution of cases, compliance with required processes, tracking, reporting, notifications to members and provider...
15d
| Job Type | Full Time |
Honolulu, Hawaii
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...
17d
| 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...
17d
| Job Type | Full Time |
Kapolei, Hawaii
Conducts audits in the operational areas to include: Monthly audits to monitor controls and performance. Document and review findings with operational staff and management. Track audit results and spot error trends to identify training need...
18d
| Job Type | Full Time |
Senior Software Engineer - Data Integration
Honolulu, Hawaii
Responsible for analysis, design, modeling and architecture for application systems and domains. Manages the maintenance and support of assigned application system(s). May participate in development, maintenance and support activities. Lead...
18d
| Job Type | Full Time |
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