Human Resources Leave Specialist
Honolulu,
Hawaii
HMSA
Leave of Absence (LOA) and Accommodation Case Management: Manages all aspects of leave and accommodation cases by providing extensive case management, coordinating administrative aspects of the case and any applicable claims. Interprets and...
19d
Liaison, Configuration Provider - Provider Operations
Honolulu,
Hawaii
HMSA
Maintain thorough knowledge of HMSA's provider network and the business with focus on provider contracts and reimbursement methodologies while working collaboratively across departments and our vendor partners to identify, document and main...
19d
Medical Assistant - Temporary On-Call
Lihue,
Hawaii
HMSA
Assists in the implementation of care coordination and nursing duties within the scope of education, knowledge and experience and with appropriate supervision by a physician. Examples of duties include, but are not limited to, measuring and...
19d
Manager, Quality Improvement
Honolulu,
Hawaii
HMSA
Quality Improvement Operations Provide direction and manage HMSA's overarching Quality Improvement program, including the oversight of staff and necessary resources required to design and implement programs related to compliance with accred...
19d
Medical Management Review Analyst I
Honolulu,
Hawaii
HMSA
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...
23d
Provider Field Support Specialist
Honolulu,
Hawaii
HMSA
Communicates directly with external partners and providers via phone, email or written correspondence in a professional, knowledgeable and timely manner to provide education; to obtain required documentation and/or clarification; and to pro...
23d
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...
24d
Senior Manager, Financial Reporting
Honolulu,
Hawaii
HMSA
Manage financial reporting for HMSA and its subsidiaries to ensure the timely preparation of the HMSA and Subsidiary companies' financial statements. These financial reports are for both internal and external audiences. Assist the Controlle...
28d
Program Manager, Internal Operations
Honolulu,
Hawaii
HMSA
Program/Project Leadership: Leads and drives Internal Operations and other business resources through the proper identification, prioritization, communication and scheduling of tasks and milestones along with appropriate team/project meetin...
29d
Medical Management Specialist I
Kapolei,
Hawaii
HMSA
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...
30d