New
Data Governance Analyst
Honolulu,
Hawaii
HMSA
Data Governance Expertise and Processes The Data Governance Analyst will coordinate and contribute to the management of governance processes, including reviewing existing processes and assisting in the implementation of new ones aligned wit...
3h
New
Accounting Analyst II
Honolulu,
Hawaii
HMSA
Coordinates various projects as assigned. Develops system requirements, test plan, test scenarios, test cases, anticipated test results and objectives and acceptance criteria. Also, performs testing, communicates status/concerns to appropri...
1d
Manager, Configuration
Honolulu,
Hawaii
HMSA
Provide strategic management and direction for the configuration of health plan products, provider networks, and reimbursement methodologies to ensure alignment with business requirements, state and federal regulations, and accreditation st...
3d
Performance Reporting Analyst, Command Center
Honolulu,
Hawaii
HMSA
Data Analysis and Reporting Conduct high quality, objective analysis to support performance optimization and strategic initiatives. Collect, interpret, and evaluate Key Performance Indicators (KPIs) and related information to identify trend...
4d
Account Servicing Advocate I
Honolulu,
Hawaii
HMSA
a. 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 u...
4d
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...
4d
Provider Call Center Business Specialist
Honolulu,
Hawaii
HMSA
Collect, analyze, and utilize data and feedback related to the Provider Call Center to provide audit oversight upon predefined contractual criteria and identify opportunities to improve operations between HMSA and the vendor team. This will...
5d
Senior EAO Analyst
Honolulu,
Hawaii
HMSA
Lead EAO Processes Work with stakeholders and leadership from across the organization to ensure initiatives are moving from development to execution (through phased framework). Support initiative leads to understand process, business case r...
5d
Supervisor, 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...
5d
Manager, Actuarial Pricing
Honolulu,
Hawaii
HMSA
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...
6d