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: 61 - 70 of 76 |
Liaison, Configuration Provider - Provider Operations
Honolulu, Hawaii
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
| Job Type | Full Time |
Medical Assistant - Temporary On-Call
Lihue, Hawaii
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
| Job Type | Temporary |
Honolulu, Hawaii
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
| 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...
22d
| Job Type | Full Time |
Provider Field Support Specialist
Honolulu, Hawaii
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
| 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...
23d
| Job Type | Full Time |
Senior Manager, Financial Reporting
Honolulu, Hawaii
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
| Job Type | Full Time |
Program Manager, Internal Operations
Honolulu, Hawaii
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
| Job Type | Full Time |
Medical Management Specialist I
Kapolei, Hawaii
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
| Job Type | Full Time |
Healthcare Services Analyst III
Honolulu, Hawaii
Benefit and policy analysis & implementation: Assess business impact of new benefits, changes in medical or reimbursement policies/guidelines and tactics assigned in strategic planning. Initiate, develop, coordinate and implement cost/benef...
30d
| Job Type | Full Time |
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