Manager, Membership Admin
Honolulu,
Hawaii
HMSA
Manage and lead a membership admin team by providing training, mentorship, and best practice solutions. Manage daily operations of the membership admin team, including inventory analysis, tracking and resolution Serve as the escalation poin...
9d
Care Navigator
Honolulu,
Hawaii
HMSA
Assessment Triage member to identify medical, psychological, and social barriers to discharge then transition member to appropriate healthcare professional on their team such as TCN or CHW. Care Transition Collaboration Work with healthcare...
9d
Business Data Analyst
Honolulu,
Hawaii
HMSA
Research and Analysis: Analyze data for the purpose of identifying opportunities to improve the quality and cost of health care. Extract data from electronic medical records, claims, HMSA Data Warehouse and other available sources. Apply da...
14d
Accounting Analyst II
Honolulu,
Hawaii
HMSA
Coordinates various projects as assigned. Develops system requirements, test plan, test scenarios, test cases, anticipated test results and objectives and acceptance criteria. Also, performs testing, communicates status/concerns to appropri...
16d
Claims Liaison Coordinator
Honolulu,
Hawaii
HMSA
Claims Resolution & Support Serve as the primary liaison for complex escalated claim inquiries from providers, members, account management, and internal departments. Research and resolve complex claim discrepancies, denials, adjustments, an...
16d
Group Underwriter III
Honolulu,
Hawaii
HMSA
Accurately calculate and analyze a variety of employer group rates using the historical utilization of the account. Extract and analyze historical data of the account to ensure accuracy and good logic. Analyze the overall composition of the...
17d
Group Underwriter I
Honolulu,
Hawaii
HMSA
Responsible for accurately calculating and analyzing rates for large employer groups using the historical utilization and demographics of the account. Extract and analyze historical data of the account to ensure accuracy and good logic. Ana...
17d
Group Underwriter II
Honolulu,
Hawaii
HMSA
Accurately calculate and analyze a variety of employer group rates using the historical utilization of the account. Extract and analyze historical data of the account to ensure accuracy and good logic. Analyze the overall composition of the...
17d
Product Owner - Membership Administration
Honolulu,
Hawaii
HMSA
Product Ownership & Agile Delivery: Develop, maintain and communicate product vision & roadmaps, ensuring alignment with organizational goals, technology trends, and customer needs. Represent the voice of the customer and business stakehold...
18d
Accounts Receivable Representative
Pearl City,
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. Ensure that the experience meets the customer's...
19d