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 43 |
Honolulu, Hawaii
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...
3d
| Job Type | Full Time |
Program Analyst, Federal Employee Program (FEP)
Honolulu, Hawaii
Monitor, evaluate, educate, and implement FEP program requirements related to Utilization Management (UM), Case Management (CM), Medical Management (MM), and Disease Management (DM) activities to areas within the department for appropriate ...
3d
| Job Type | Full Time |
Honolulu, Hawaii
Job Description Evaluation: Administers job description process: Reviews job evaluation requests for new or revised job descriptions to determine appropriate job leveling and FLSA exemption status. Utilizes job evaluation criteria and avail...
6d
| Job Type | Full Time |
Business Analyst, Medicare Stars
Honolulu, Hawaii
Quality Improvement Interventions Analysis and Development: Work as part of the Stars team to continuously identify, plan, develop, implement, and evaluate interventions. Develop reports, analyses, and data mining to support program plannin...
8d
| Job Type | Full Time |
Honolulu, Hawaii
Design Solutions: Serve as a technical leader on our most demanding, cross-functional projects. Balance technical leadership with strong business judgment to make the right decisions about technology choices. Decompose complex problems into...
8d
| Job Type | Full Time |
Administrative Services Specialist
Honolulu, Hawaii
Collects, analyzes, and utilize data and feedback to identify opportunities to improve the relationship between the business and the other entity. This will include direct communication and participation with the Vendor Management Office (V...
8d
| Job Type | Full Time |
Honolulu, Hawaii
Fee Reviews Lead the Fee Review Process which includes analyzing and explaining complex policy and reimbursement issues to providers, Professional Reimbursement and HMSA leadership Prepare cases for Operations Management Committee decision ...
8d
| Job Type | Full Time |
Keaau, Hawaii
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 unit...
10d
| Job Type | Full Time |
Honolulu, Hawaii
Performs comprehensive reviews of assigned areas, including transactions, documents, records, and automated functions to ensure accuracy, adequate controls, and operational efficiency, in compliance with regulations Conducts cost-benefit an...
10d
| Job Type | Full Time |
Medical Management Policy & Research Analyst I
Honolulu, Hawaii
Revise and/or develop medical policies adopted from the BCBSA in conjunction with assigned medical director and in accordance with Development and Approval of Medical Policy administrative policy; process includes appropriate and timely imp...
13d
| Job Type | Full Time |
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