Director, Actuarial Services
Honolulu,
Hawaii
HMSA
Oversee the pricing of HMSA's products for all lines of business, including the following: Pricing of new products/plans/benefits and modifications to existing plans/benefits. Regularly updating the rating methodology and factors for HMSA's...
27d
Clinical Pharmacist, Quality Programs
Honolulu,
Hawaii
HMSA
Evaluate, develop, implement, and maintain pharmacy quality programs. Support Medicare STARS, Medicaid and Commercial programs by developing strategies and interventions and identifying opportunities for providers to influence outcomes. Col...
28d
Case Manager/Health Coordinator, IHMS - QUEST (Keaau)
Keaau,
Hawaii
HMSA
Conduct timely face to face assessments and develop, document, and implement targeted health action plans/care plans based on the results of the assessment for members requiring assistance with care coordination. Coordinate a multi-discipli...
28d
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...
28d
Community Health Worker - QUEST (Keaau)
Keaau,
Hawaii
HMSA
Manages community health by establishing and maintaining trusting relationships with individuals, families, and providers to promote health, recovery, resiliency, and wellness. Advocating in members and families' best interests to ensure ne...
28d
Case Manager/Health Coordinator, IHMS
Honolulu,
Hawaii
HMSA
Conduct timely face to face assessments and develop, document, and implement targeted health action plans/care plans based on the results of the assessment for members requiring assistance with care coordination. Coordinate a multi-discipli...
28d
Case Manager/Health Coordinator, IHMS - QUEST (Maui)
Kahului,
Hawaii
HMSA
Conduct timely face to face assessments and develop, document, and implement targeted health action plans/care plans based on the results of the assessment for members requiring assistance with care coordination. Coordinate a multi-discipli...
28d
Case Manager/Health Coordinator, IHMS - QUEST (Honolulu)
Honolulu,
Hawaii
HMSA
Conduct timely face to face assessments and develop, document, and implement targeted health action plans/care plans based on the results of the assessment for members requiring assistance with care coordination. Coordinate a multi-discipli...
28d
Community Health Worker - QUEST (Honolulu)
Honolulu,
Hawaii
HMSA
Manages community health by establishing and maintaining trusting relationships with individuals, families, and providers to promote health, recovery, resiliency, and wellness. Advocating in members and families' best interests to ensure ne...
28d
Manager, Member Portal and Servicing Tools
Honolulu,
Hawaii
HMSA
Responsible for managing the member portal and member servicing tools which enables customers, providers, and stakeholders to have a seamless HMSA experience. Build, support, and maintain effective communication strategies with enterprise s...
30d