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...
   
          12d    
                                                                       
        
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...
   
          12d    
                                                                       
        
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...
   
          12d    
                                                                       
        
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...
   
          18d    
                                                                       
        
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