Case Resolution Specialist II
Honolulu,
Hawaii
HMSA
Conducts critical analysis of highly complex and sensitive member and provider appeals, inquiries and grievances and applies internal policies and procedures, contractual provisions, and regulatory requirements. Secures information from int...
9d
Engineer - Desktop
Honolulu,
Hawaii
HMSA
Responsible for operating and providing support to HMSA's desktop and end-user infrastructure. Responsibilities include, but are not limited to the following: Implements, Maintains and upgrades HMSA's endpoint and client software. Installs,...
9d
Healthcare Services Analyst III
Honolulu,
Hawaii
HMSA
Benefit and policy analysis & implementation: Assess business impact of new benefits, changes in medical or reimbursement policies/guidelines and tactics assigned in strategic planning. Initiate, develop, coordinate and implement cost/benef...
9d
Claims Operation Specialist
Honolulu,
Hawaii
HMSA
Collect, analyze, and utilize data and feedback related to Claims to identify opportunities to improve the relationship between the business and the other entity. This will include direct communication and participation with the Vendor Mana...
9d
Senior Engineer - Desktop
Honolulu,
Hawaii
HMSA
Responsible for leading the support of HMSA's desktop and end-user infrastructure. Responsibilities include, but are not limited to the following: Ensures the reliability of HMSA's desktop and end-user infrastructure, to include the plannin...
9d
Manager, Medicare Risk Adjustment
Honolulu,
Hawaii
HMSA
Leadership and Performance Management Develops short-term and long-term strategies to meet risk adjustment accuracy goals and requirements. Works internally, and with BCBSA, providers, and vendors to review programs, processes, and data col...
9d
Provider Contracting Manager
Honolulu,
Hawaii
HMSA
HMSA Provider Strategy You are responsible for being an active participant in the shaping, informing, leading, and implementing HMSA's overall corporate strategy to its providers. You are expected to play an integral role in supporting, inc...
11d
System Analyst
Honolulu,
Hawaii
HMSA
Responsible for analysis, design, development, integration, maintenance and support of applications. Responsibilities include, but may not be limited to, the following: Leads and/or participates in the project planning process with clients,...
12d
Associate Application Developer
Honolulu,
Hawaii
HMSA
Assists in the project planning process with team members, sometimes with clients and business analysts. Assists in the development of work plan timelines. May manage workflows to meet sub-project timeframes. Participate in the identificati...
12d
Business Analyst I - Medicare
Honolulu,
Hawaii
HMSA
Coordinate and monitor activities with appropriate MP and operational departments to ensure that standards are being met timely and accurately; escalate issues as needed. Conduct analysis of ad hoc and questions, research issues, and provid...
12d