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 33 |
Honolulu, Hawaii
Strategic Leadership: Develop and execute the organization's payment integrity strategy, aligning with enterprise cost containment goals. Oversee the design and implementation of pre-pay and post-pay review processes. Operational Oversight:...
9d
| Job Type | Full Time |
Honolulu, Hawaii
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...
9d
| Job Type | Full Time |
Human Resources Business Partner
Honolulu, Hawaii
Conducts implementation and monitoring activities for a variety of HR programs; typically supports multiple teams/ department within a function. Identifies opportunities to enhance the employee experience and partners with management to dev...
12d
| 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...
15d
| 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...
18d
| Job Type | Full Time |
Honolulu, Hawaii
Prioritizes approved invoices and check requests according to payment terms. Assist with month-end accruals as needed. Familiarizes with company policies and navigating steps in Dynamics GP, Certify and CentreSuite. Verifies approver's leve...
21d
| Job Type | Full Time |
Honolulu, Hawaii
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...
21d
| Job Type | Full Time |
Honolulu, Hawaii
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...
21d
| Job Type | Full Time |
Medical Management Compliance Analyst
Honolulu, Hawaii
Monitor and analyze regulatory/accreditation/business requirements to invoke recommendations for program and/or policy changes as appropriate for various lines of business. Lead/coordinate activities, which include internal audits, quality ...
21d
| Job Type | Full Time |
Honolulu, Hawaii
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...
21d
| Job Type | Full Time |
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