Caring for the people of Hawaii is our promise and our privilege. Working together with employers, partners, and physicians and other health care providers, we promote wellness; develop reliable, affordable health plans; and support members with clear, thoughtful guidance.
HMSA is the most experienced health plan in the state, covering more than half of Hawaii’s population. As a recognized leader, we embrace our responsibility to strengthen the health and well-being of our community.
Vision A Hawaii where families and communities enjoy ever healthier lives.
Purpose Together, we improve the lives of our members and the health of Hawaii. Caring for our friends, families, and neighbors is our privilege.
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.
Work When you work at HMSA, you make a difference in the lives of the people of Hawaii.
Play Having fun is vital! Spending time doing things you enjoy and living life to the fullest makes each day better.
Responsible for accurately calculating and analyzing rates for large employer groups using the historical utilization and demographics of the account. Extract and analyze historical data of the account to ensure accuracy and good logic. Ana...
Research and Financial analysis Performs complex financial analysis with minimal supervision and report findings to management. Reviews and reconciles medium to high complexity balance sheet accounts. This includes, but is not limited to, c...
Manage community health by establishing and maintaining trusting relationships with individuals, families, and providers to promote health, recovery, resiliency, and wellness. Advocate and support members and their families by prioritizing ...
Manages community health by establishing and maintaining trusting relationships with individuals, families, and providers to promote health, recovery, resiliency, and wellness. Advocate and support members and their families by prioritizing...
Ensure that Self Direct Providers (SDP) and members are enrolled in Acumen and are trained to use the Electronic Visit Verification System (EVV). Audit enrollment for completion. Train new Health Coordinators (HC) in Acumen's EVV system as ...
Data Governance Expertise and Processes The Data Governance Analyst will coordinate and contribute to the management of governance processes, including reviewing existing processes and assisting in the implementation of new ones aligned wit...
Corporate Compliance Training Administration Manage the training database for employees and temporary workers/contractors with the assignment of administering onboarding and annual continuing education training; follow-up on overdue assignm...
Manage staff, ensuring provider inquiries are responded to timely, accurately, and professionally. Resolve complex provider inquiries. Respond to and oversee staff responding to CMS demand letters. Participate in ad hoc projects to help enh...
General Administrative Support Relieves the CEO/assigned Executive(s) of majority of administrative functions and tasks, ensuring the most effective/efficient use of the Executive's attention and focus. Drafts routine and specialized corres...
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...