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...
8d
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...
8d
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...
8d
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...
10d
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,...
11d
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...
11d
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...
11d
National Account Consultant
Kapolei,
Hawaii
HMSA
Performance Use account data and critical thinking to effectively marry customer goals and objectives to HMSA's products and services. Achieve membership goals, quotas and minimum activity standards Manage RFI and RFP responses ensuring acc...
11d
Application Developer
Honolulu,
Hawaii
HMSA
Participates in the project planning process with team members, sometimes with clients and business analysts. Assists in the development of work plan timelines. Manage workflows to meet sub-project timeframes. Participate in the identificat...
11d
Network Management Coordinator
Kahului,
Hawaii
HMSA
Directs and provides guidance to employees responsible for timely and accurate responses to providers' inquiries regarding contracting, claims, benefits and complex issues that include medical or payment policy questions and provider paymen...
17d