Senior Strategic Contracting Manager
Honolulu,
Hawaii
HMSA
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...
3d
Senior Business Analyst - Medicaid Programs
Honolulu,
Hawaii
HMSA
Business Solution Development: Develop, maintain and coordinate department user requirements, data reporting and application requirements for projects that affect Medicaid Programs. Assist with solution design and development. Participate i...
3d
Health Plan Navigator I (Kapolei)
Kapolei,
Hawaii
HMSA
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...
3d
Medical Management Vendor Relations Analyst
Honolulu,
Hawaii
HMSA
Coordinate and manage deliverables of aspects of utilization management programs by delegated vendors: Ensures that program deliverables, documentation, and reporting are complete and meets contractual, compliance, and accreditation require...
3d
Senior Investment Accounting Analyst
Honolulu,
Hawaii
HMSA
Responsible for leading the recording and reporting of all investment transactions for the Association in accordance with GAAP, State of Hawaii Insurance Division, and NAIC guidance: Obtains information from the Association's banks and trus...
3d
COP Project Manager
Honolulu,
Hawaii
HMSA
Project Execution: Manages the project team to ensure all project tasks, deliverables and milestones are completed according to schedule. Communicates project status and progress to the project team, stakeholders, and executives on a clear ...
3d
MS Billing & Research Specialist I
Honolulu,
Hawaii
HMSA
Research member billing issues and routine group billing issues; effectively communicate (written, telephonically or in person) the outcome of the research and resolution to the issue in a timely manner. Ensure appropriate approval levels a...
4d
Director, Actuarial Services
Honolulu,
Hawaii
HMSA
Oversee the pricing of HMSA's products for all lines of business, including the following: Pricing of new products/plans/benefits and modifications to existing plans/benefits. Regularly updating the rating methodology and factors for HMSA's...
4d
Performance Engagement Project Manager
Honolulu,
Hawaii
HMSA
Program and Project Management Plan and implement multiple high-level, mission-critical, inter-departmental programs and project(s) with guidance from executive sponsors, business owners, subject matter experts, and project staff. Manage de...
4d
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...
4d