Investigator II
Honolulu,
Hawaii
HMSA
SIU case investigation management, resolution and prevention: Manage complex FWA case investigations, collaborate with federal, state and law enforcement entities, and provide applicable notifications as required. Conduct pro-active FWA cas...
17d
BlueCard Business Analyst II
Honolulu,
Hawaii
HMSA
Provides general production support: Monitor daily production performance and inventory levels as assigned. Conduct data and trend analysis to identify areas of improvements. Triage daily production issues. Recommend and implement interim w...
17d
Senior Manager, Consumer Engagement
Honolulu,
Hawaii
HMSA
Oversee corporate and department projects, advocating for HMSA consumers while understanding corporate priorities. Lead project phases end-to-end and facilitate business decisions and technical solutions to meet milestones, resolve issues, ...
18d
Senior Engineer - Unified Communications
Honolulu,
Hawaii
HMSA
Responsible for leading the support of HMSA's unified communications infrastructure. Responsibilities include, but are not limited to the following: Ensures the reliability of HMSA's unified communications infrastructure, to include the pla...
18d
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...
18d
Strategic Data Analyst I, Health Data Integration & Analytics
Honolulu,
Hawaii
HMSA
Strategic Data Analytics and Project Management Understands and aligns enterprise and business unit goals, strategies, and objectives. Works with leadership to identify and prioritize D&A solutions which support goals, strategies, and objec...
19d
Medical Management Vendor Relations Analyst
Honolulu,
Hawaii
HMSA
Coordinate and manage deliverables of aspects of utilization management programs by delegated vendors: Ensures that program deliverables, documentation, and reporting are complete and meets contractual, compliance, and accreditation require...
19d
Case Resolution Specialist I
Honolulu,
Hawaii
HMSA
Conducts critical analysis of highly complex and sensitive member and provider appeals, inquiries and grievances and applies internal policies and procedures, contractual provisions, and regulatory requirements. Secures information from int...
19d
Case Resolution Specialist II
Honolulu,
Hawaii
HMSA
Conducts critical analysis of highly complex and sensitive member and provider appeals, inquiries and grievances and applies internal policies and procedures, contractual provisions, and regulatory requirements. Secures information from int...
19d
Claims Liaison Specialist
Honolulu,
Hawaii
HMSA
Function as a central communication point between claims processing teams and internal/external partners regarding claim status, issues and resolutions. Investigate and resolve escalated claims and trends, including denied or delayed claims...
20d