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: 1 - 10 of 45 |
Kapolei, Hawaii
Review, document and accurately respond, verbally or in writing, to routine and regular claims inquiries received by telephone, correspondence or internal communication, as assigned by supervisor. Effectively manage inventory of unresolved ...
1d
| 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...
2d
| Job Type | Full Time |
Honolulu, Hawaii
Coordinates with all levels of IT and business management to gather, analyze, summarize, and prepare recommendations regarding budget plans, trend future requirements and operating forecasts. Model business scenarios, funding investment sce...
2d
| Job Type | Full Time |
Concurrent Nurse Reviewer - Facility Utilization Review Unit
Honolulu, Hawaii
Applies appropriate medical necessity criteria from established medical policies and clinical practice guidelines to apply concurrent review determinations as described in the Medical Management UM work plan. This detailed clinical judgment...
2d
| Job Type | Full Time |
Healthcare Services Analyst II
Honolulu, Hawaii
Research and Analysis: Research and respond to low to medium complexity internal and external inquires. Is proficient at utilizing a variety of resources including but not limited to on-line information files and databases, Medicare/other p...
2d
| Job Type | Full Time |
Medicare Stars Member Experience Lead
Honolulu, Hawaii
Monitors member experience indicators and identifies opportunities for improvement. Serves as subject matter expert on Medicare CAHPS performance indicators and trends. Leads the development of data collection and reporting methods to monit...
4d
| Job Type | Full Time |
Honolulu, Hawaii
Responsibilities include, but are not limited to the following: Influence information strategy: By partnering with business unit leadership, and through the rationalization of the information value chain, the information architect will prov...
4d
| Job Type | Full Time |
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...
4d
| Job Type | Full Time |
Honolulu, Hawaii
Research and Analysis: Research and respond to low complexity internal and external inquires. Use a variety of resources including, but not limited to on-line information files and databases, peer guidance, interviews with internal departme...
4d
| Job Type | Full Time |
Senior Strategic Contracting Manager
Honolulu, Hawaii
Design, develop and operationalize new clinical integration programs for key partners in market. Will act as primary program lead for value-based deals and special provider projects. Design, develop and operationalize next-generation paymen...
4d
| Job Type | Full Time |
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