Retail Associate - Maui
Kahului,
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...
2d
Identity and Access Management (IAM) Program Manager
Honolulu,
Hawaii
HMSA
Responsible for managing all aspects of the planning, execution, controlling, and closure of projects/programs. Responsibilities include, but are not limited to, the following: Receives high-level business requirements and develops detailed...
2d
Community Health Worker (LTSS)
Kahului,
Hawaii
HMSA
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 ...
2d
Senior Revenue Analyst
Honolulu,
Hawaii
HMSA
Reporting, Research & Analysis Analyses and forecasts premium revenue, risk adjustment payments, and other revenue streams related to lines of business with minimal guidance. Interprets financial and enrollment data from internal and extern...
2d
Supervisor, Rating (Underwriting)
Honolulu,
Hawaii
HMSA
Provide guidance to team members; ensure assigned Group Underwriters are able to deliver the rate renewal/RFP information necessary to support the Account Planning process. Ensure all rating staff is adequately trained in the statistical re...
5d
Staff Assistant II
Honolulu,
Hawaii
HMSA
Corporate Compliance Training Administration Manage the training database for employees and temporary workers/contractors with the assignment of administering onboarding and annual continuing education training; follow-up on overdue assignm...
5d
Nurse Reviewer - Clinical Review Unit
Kapolei,
Hawaii
HMSA
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...
5d
Manager, Provider Research
Honolulu,
Hawaii
HMSA
Manage staff, ensuring provider inquiries are responded to timely, accurately, and professionally. Resolve complex provider inquiries. Respond to and oversee staff responding to CMS demand letters. Participate in ad hoc projects to help enh...
6d
Supervisor, Membership Servicing
Honolulu,
Hawaii
HMSA
Monitor the performance and address issues with any business partners or vendors that supports the Members Servicing Department. Build relationships with both internal and external customers to include members and employer groups to address...
6d
Underwriting & Actuarial Data Analyst I
Honolulu,
Hawaii
HMSA
Data Management: Reviews data sources and preps needed data. Identifies existing and new data sources. Performs data prototyping, if necessary, to agree what data can/not be used. Preps data for use in analysis, goes back to source if probl...
8d