Director, Claims Operations
Honolulu,
Hawaii
HMSA
Design and lead execution of strategic plans to streamline operations, reduce claim turnaround time, meet accuracy requirements and improve first-pass adjudication rates. Ensure all claims are processed in accordance with member benefits, p...
13d
Manager, Claims
Honolulu,
Hawaii
HMSA
Manage and lead a claims team by providing training, mentorship, and best practice solutions. Manage daily operations of the claims team, including inventory analysis, tracking and resolution of claims Serve as the escalation point for comp...
13d
Internal Operations Audit and Controls Lead
Honolulu,
Hawaii
HMSA
Lead as an IO Audit and Control Subject Matter Expert (SME) on process and controls. Review and monitor design of IO controls department-wide with the purpose of identifying ineffective or inefficient processes and advising on corrective an...
13d
Accounting Analyst I
Honolulu,
Hawaii
HMSA
Reviews and conducts analysis of financial statements for HMSA and other related entities in an accurate and timely manner. This includes preparation, summarization, and maintenance of source data in various subsystems of financial data. Co...
17d
Medical Management Policy & Research Analyst I
Honolulu,
Hawaii
HMSA
Revise and/or develop medical policies adopted from the BCBSA in conjunction with assigned medical director and in accordance with Development and Approval of Medical Policy administrative policy; process includes appropriate and timely imp...
18d
Health Plan Navigator I (Honolulu)
Honolulu,
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...
18d
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...
18d
Administrative Coordinator
Honolulu,
Hawaii
HMSA
Administrative Assistance Exercises good decision making and independent judgment in relieving the assigned leader of all administrative detail, ensuring the most effective use of the leader's attention and focus by: Maintaining calendars f...
18d
Senior Data Governance Analyst
Honolulu,
Hawaii
HMSA
Data Governance Expertise and Processes The Senior Data Governance Analyst lead in the management of governance processes, revise existing governance processes, and implement new processes that are aligned with corporate priorities and init...
19d
Medicare Broker Specialist
Honolulu,
Hawaii
HMSA
Broker Management/Contracting: Oversee broker agency and agent contracts, ensuring all licensing and regulatory requirements are met and documented. Maintain and update broker records, including contact information, activation/suspension/te...
20d