Program Analyst, Federal Employee Program (FEP)
Honolulu,
Hawaii
HMSA
Monitor, evaluate, educate, and implement FEP program requirements related to Utilization Management (UM), Case Management (CM), Medical Management (MM), and Disease Management (DM) activities to areas within the department for appropriate ...
8d
Manager, Actuarial Pricing
Honolulu,
Hawaii
HMSA
Recommends competitive and sustainable pricing for products based on actuarial models and market trends Leads product updates, maintains competitiveness and addresses customer needs throughout the product lifecycle Develops and implements d...
8d
Compensation Analyst
Honolulu,
Hawaii
HMSA
Job Description Evaluation: Administers job description process: Reviews job evaluation requests for new or revised job descriptions to determine appropriate job leveling and FLSA exemption status. Utilizes job evaluation criteria and avail...
12d
Business Analyst, Medicare Stars
Honolulu,
Hawaii
HMSA
Quality Improvement Interventions Analysis and Development: Work as part of the Stars team to continuously identify, plan, develop, implement, and evaluate interventions. Develop reports, analyses, and data mining to support program plannin...
13d
Strategic Account Manager - Self-Insured Accounts
Honolulu,
Hawaii
HMSA
Performance Pro-actively manage a base of accounts by strategically prioritizing account sales and service activities. Get ahead of the curve of known jeopardy accounts by strategically positioning the value in HMSA's solutions. Manage your...
14d
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...
14d
Behavioral Health Program Manager
Honolulu,
Hawaii
HMSA
Program and Project Management Utilize appropriate monthly and quarterly dashboards and reporting to assure regular monitoring of behavioral health performance. Work with Clinical, Quality, and NCQA compliance SMEs to ensure that program de...
14d
Administrative Services Specialist
Honolulu,
Hawaii
HMSA
Collects, analyzes, and utilize data and feedback to identify opportunities to improve the relationship between the business and the other entity. This will include direct communication and participation with the Vendor Management Office (V...
14d
Network Policy Analyst
Honolulu,
Hawaii
HMSA
Fee Reviews Lead the Fee Review Process which includes analyzing and explaining complex policy and reimbursement issues to providers, Professional Reimbursement and HMSA leadership Prepare cases for Operations Management Committee decision ...
14d
Behavioral Health Navigator
Honolulu,
Hawaii
HMSA
Assessment Provide telephonic screening of BH members using PHQ-9, GAD, and other CM-DM diagnostic tools to determine additional care support needs. Communication Communicates with HMSA members, physicians, case managers, and disease manage...
14d