Caring for the people of Hawaii is our promise and our privilege. Working together with employers, partners, and physicians and other health care providers, we promote wellness; develop reliable, affordable health plans; and support members with clear, thoughtful guidance.
HMSA is the most experienced health plan in the state, covering more than half of Hawaii’s population. As a recognized leader, we embrace our responsibility to strengthen the health and well-being of our community.
Vision A Hawaii where families and communities enjoy ever healthier lives.
Purpose Together, we improve the lives of our members and the health of Hawaii. Caring for our friends, families, and neighbors is our privilege.
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.
Work When you work at HMSA, you make a difference in the lives of the people of Hawaii.
Play Having fun is vital! Spending time doing things you enjoy and living life to the fullest makes each day better.
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...
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...
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...
Mentor servicing representatives to ensure the best customer experience by supporting representatives after they complete classroom training; completing quality assurance audits that ensure timeliness, accuracy, professionalism, and an opti...
SIU case investigation management and resolution: Manage FWA case investigations, collaborate with federal, state and law enforcement entities, and provide applicable notifications as required. Maintain extensive documentation and evidence ...
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...
Provide administrative and clerical support, including but not limited to the following activities: Coordinates, manages and maintains the calendar of department leadership. Ensures that meeting requests are accommodated in priority order. ...
Strategic Planning and Performance Develop and execute strategies and plans to meet and exceed employer and employee health and wellbeing goals and objectives. Strategically plan and employ multiple media strategies (e.g., webinars, in-pers...