New
Network Policy Analyst
Honolulu,
Hawaii
HMSA
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 ...
22h
New
Administrative Services Specialist
Honolulu,
Hawaii
HMSA
Collects, analyzes, and utilize data and feedback to identify opportunities to improve the relationship between the business and the other entity. This will include direct communication and participation with the Vendor Management Office (V...
22h
New
Principal System Engineer
Honolulu,
Hawaii
HMSA
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...
22h
New
Senior Manager, Technical Services (IT Security Operations)
Honolulu,
Hawaii
HMSA
Cyber Security Operations Leadership and Team Management: Lead and mentor a team of security analysts and engineers. Foster a culture of security awareness and continuous improvement within the team. Conduct performance evaluations and prov...
1d
Manager, Actuarial Pricing
Honolulu,
Hawaii
HMSA
Recommends competitive and sustainable pricing for products based on actuarial models and market trends Leads product updates, maintains competitiveness and addresses customer needs throughout the product lifecycle Develops and implements d...
3d
Business Analyst, Medicare Stars
Honolulu,
Hawaii
HMSA
Quality Improvement Interventions Analysis and Development: Work as part of the Stars team to continuously identify, plan, develop, implement, and evaluate interventions. Develop reports, analyses, and data mining to support program plannin...
7d
Actuarial Analyst
Honolulu,
Hawaii
HMSA
Performs comprehensive reviews of assigned areas, including transactions, documents, records, and automated functions to ensure accuracy, adequate controls, and operational efficiency, in compliance with regulations Conducts cost-benefit an...
9d
Senior Accounts Receivable Representative
Honolulu,
Hawaii
HMSA
Independently process group and direct payments received from walk-in members and groups while providing all customers with an exceptional customer-focused and positive HMSA Center experience. Also processes routine enrollment and group or ...
12d
Medical Management Policy & Research Analyst I
Honolulu,
Hawaii
HMSA
Revise and/or develop medical policies adopted from the BCBSA in conjunction with assigned medical director and in accordance with Development and Approval of Medical Policy administrative policy; process includes appropriate and timely imp...
13d
Administrative Coordinator
Honolulu,
Hawaii
HMSA
Administrative Assistance Exercises good decision making and independent judgment in relieving the assigned leader of all administrative detail, ensuring the most effective use of the leader's attention and focus by: Maintaining calendars f...
14d