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: 11 - 20 of 56 |
Medical Management Specialist I
Kapolei, Hawaii
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...
4d
| Job Type | Full Time |
Manager, Provider Performance Management
Honolulu, Hawaii
Lead provider performance management activities. Monitor technical, process, and business outcome metrics across all provider contract requirements and Service Level Agreements (SLAs). Recommend actions for improvement and drive continuous ...
4d
| Job Type | Full Time |
Honolulu, Hawaii
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...
4d
| Job Type | Full Time |
Hilo, Hawaii
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...
4d
| Job Type | Full Time |
Community Health Worker (Advanced Care)
Honolulu, Hawaii
Manage community health by establishing and maintaining trusting relationships with individuals, families, and providers to promote health, recovery, resiliency, and wellness. Advocate and support members and their families by prioritizing ...
4d
| Job Type | Full Time |
Honolulu, Hawaii
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...
4d
| Job Type | Full Time |
Honolulu, Hawaii
Resolve enrollment, eligibility and billing issues and inquiries timely and accurately from members, employer groups and third party administrators by phone, email and written correspondence by: Researching and collaborating with other unit...
4d
| Job Type | Full Time |
Account Relationship Consultant
Honolulu, Hawaii
Performance Proactively service and grow HMSA products and services through various methods including site visits, on-line meetings, telephone and email correspondence, power point presentations, and one-on-one customer servicing. Protect H...
4d
| Job Type | Full Time |
Kapolei, Hawaii
Provides and interprets all program guidance internally regarding Inter-Plan Program policies and manuals being accountable for all Inter-Plan governance and policy matters. Monitor and effectively manage inventory of unresolved complex inq...
6d
| Job Type | Full Time |
Senior Data Governance Analyst
Honolulu, Hawaii
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...
7d
| Job Type | Full Time |
(web-77cf7d65c7-z52c2)
