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...
22d
Manager, Medicare Risk Adjustment
Honolulu,
Hawaii
HMSA
Leadership and Performance Management Develops short-term and long-term strategies to meet risk adjustment accuracy goals and requirements. Works internally, and with BCBSA, providers, and vendors to review programs, processes, and data col...
23d
Health & Well-Being Consultant
Honolulu,
Hawaii
HMSA
Tactical Activities Responsible for the implementation of tactical workplace well-being plans for employer groups utilizing industry, national, and state best practices to increase employee participation and engagement. Assists in conductin...
23d
HR Employee Relations and Leaves Support Specialist
Honolulu,
Hawaii
HMSA
Employee Relations Activities: Maintains an understanding of the legal and business risks involved in all employee relations issues, including investigations, inquiries, and complaints. Records and produces notes based on this understanding...
23d
Configuration Management Engineer
Honolulu,
Hawaii
HMSA
This position will establish and execute consistent, repeatable software build and release processes tracking and controlling the promotion of project software and hardware products and documentation between the development, Test and Produc...
23d
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...
26d
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...
27d
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...
28d
Healthcare Services Analyst III
Honolulu,
Hawaii
HMSA
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...
28d
Lead Retail Associate - Maui
Kahului,
Hawaii
HMSA
Customer Experience Manage customer traffic levels and associate resources to ensure that the center is adequately staffed and operating efficiently. Ensure customers are being greeted and serviced appropriately while visiting the HMSA Cent...
28d