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: 61 - 69 of 69 |
Senior Manager, Member Advocacy & Appeals
Honolulu, Hawaii
Responsible for managing day-to-day operations of the Member Advocacy and Appeals Department including the investigation and resolution of cases, compliance with required processes, tracking, reporting, notifications to members and provider...
19d
| 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...
20d
| Job Type | Full Time |
Medical Management Policy and Research Analyst II
Honolulu, Hawaii
Revise and/or develop medical policies in conjunction with assigned medical director and in accordance with Development and Approval of Medical Policy administrative policy; process includes appropriate and timely implementation and publica...
20d
| 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...
20d
| 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...
21d
| Job Type | Full Time |
Case Manager/Health Coordinator, IHMS
Kapolei, Hawaii
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...
21d
| 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...
22d
| 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...
22d
| Job Type | Full Time |
Nurse Reviewer - Clinical Review Unit
Kapolei, Hawaii
Utilize medical necessity criteria from established medical policies and clinical practice guidelines to render precertification determinations as described in the Medical Management UM work plan. This detailed clinical judgment includes ev...
22d
| Job Type | Full Time |
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