Senior Accounting Analyst
Honolulu,
Hawaii
HMSA
Research and Financial analysis Performs complex financial analysis with minimal supervision and report findings to management. Reviews and reconciles medium to high complexity balance sheet accounts. This includes, but is not limited to, c...
8d
Accounting Analyst II
Honolulu,
Hawaii
HMSA
Coordinates various projects as assigned. Develops system requirements, test plan, test scenarios, test cases, anticipated test results and objectives and acceptance criteria. Also, performs testing, communicates status/concerns to appropri...
8d
Medical Management Specialist I
Kapolei,
Hawaii
HMSA
Evaluation, interpretation, and processing of clinical review requests to include but not limited to applying the following requirements: Validation that requests has met submission requirements based on accreditation / governmental regulat...
8d
Sales Support Specialist II
Honolulu,
Hawaii
HMSA
Be the in-office service contact for assigned groups. Resolves day-to-day servicing inquiries directly with account contact via e-mail and phone for enrollment, billing and claims inquiries. This requires knowledge about benefits for medica...
8d
Pharmacy Performance Analyst
Honolulu,
Hawaii
HMSA
a. Research and Data analysis Provides quality, objective, and professional analysis of relevant topics. Gathers and analyzes information to identify trends, issues, innovations, and solutions for priority business needs. Develops design an...
8d
Health Plan Specialist - Hilo
Hilo,
Hawaii
HMSA
CUSTOMER EXPERIENCE Provide all customers with an exceptional customer-focused and positive HMSA Center experience. Ensure that the experience meets the customer's needs and exceeds their expectations. Communicate and promote HMSA's brand m...
8d
Claims Liaison Coordinator
Honolulu,
Hawaii
HMSA
Claims Resolution & Support Serve as the primary liaison for complex escalated claim inquiries from providers, members, account management, and internal departments. Research and resolve complex claim discrepancies, denials, adjustments, an...
8d
Manager, Configuration
Honolulu,
Hawaii
HMSA
Provide strategic management and direction for the configuration of health plan products, provider networks, and reimbursement methodologies to ensure alignment with business requirements, state and federal regulations, and accreditation st...
8d
Sales Support Specialist I
Honolulu,
Hawaii
HMSA
In-office service contact for assigned groups. Handles day-to-day servicing inquiries directly with account contact via e-mail and phone. Assist with coordination of GTB and certificate requests. Validate the Summary of Benefits Coverage (S...
8d
Encounters System Analyst I
Honolulu,
Hawaii
HMSA
Analyzes encounter system processes within HMSA and external partners. Coordinates and reconciles exchange of data with external entities. Researches various claim-member-provider scenarios to determine root cause of data submission errors....
8d