Career Opportunities
HMSA is Hawaii’s leading provider of health care coverage. Our success is largely due to the quality and dedication of our employees.
| Jobs: 51 - 60 of 79 |
Honolulu, Hawaii
Quality Improvement Operations Provide direction and manage HMSA's overarching Quality Improvement program, including the oversight of staff and necessary resources required to design and implement programs related to compliance with accred...
14d
| Job Type | Full Time |
Medical Management Review Analyst I
Honolulu, Hawaii
Analyzes, researches, and interprets medical and claims data while processing authorization requests. This includes: Authorizes requests that clearly meet specified criteria according to department guidelines. Refers requests to Medical Dir...
17d
| Job Type | Full Time |
Provider Field Support Specialist
Honolulu, Hawaii
Communicates directly with external partners and providers via phone, email or written correspondence in a professional, knowledgeable and timely manner to provide education; to obtain required documentation and/or clarification; and to pro...
18d
| Job Type | Full Time |
Nurse Reviewer - Clinical Review Unit
Kapolei, Hawaii
Utilize medical necessity criteria from established medical policies and clinical practice guidelines to render precertification determinations as described in the Medical Management UM work plan. This detailed clinical judgment includes ev...
19d
| Job Type | Full Time |
Manager, Medicare Risk Adjustment
Honolulu, Hawaii
Leadership and Performance Management Develops short-term and long-term strategies to meet risk adjustment accuracy goals and requirements. Works internally, and with BCBSA, providers, and vendors to review programs, processes, and data col...
20d
| Job Type | Full Time |
Community Health Worker (Maui)
Kahului, Hawaii
Manages community health by establishing and maintaining trusting relationships with individuals, families, and providers to promote health, recovery, resiliency, and wellness. Advocating in members and families' best interests to ensure ne...
20d
| Job Type | Full Time |
Health & Well-Being Consultant
Honolulu, Hawaii
Tactical Activities Responsible for the implementation of tactical workplace well-being plans for employer groups utilizing industry, national, and state best practices to increase employee participation and engagement. Assists in conductin...
20d
| Job Type | Full Time |
Honolulu, Hawaii
Demonstrates proficiency in bringing a cross functional perspective to complex business analysis activities and projects to support the implementation of corporate projects involving new systems and functions, and enhancements to existing s...
20d
| Job Type | Full Time |
Senior Business Process Consultant
Honolulu, Hawaii
Demonstrates proficiency in bringing a cross functional perspective to complex business analysis activities and projects to support the implementation of corporate projects involving new systems and functions, enhancements to existing syste...
20d
| Job Type | Full Time |
HR Employee Relations and Leaves Support Specialist
Honolulu, Hawaii
Employee Relations Activities: Maintains an understanding of the legal and business risks involved in all employee relations issues, including investigations, inquiries, and complaints. Records and produces notes based on this understanding...
20d
| Job Type | Full Time |
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