Health Plan Navigator I (Kapolei)
Kapolei,
Hawaii
HMSA
Assist customers in a timely and accurate manner in phone interactions. Maintain quantity, timeliness, accuracy, and quality performance within established standards that support HMSA's ability to comply with customer performance requiremen...
13d
Senior Revenue Analyst
Honolulu,
Hawaii
HMSA
Reporting, Research & Analysis Analyses and forecasts premium revenue, risk adjustment payments, and other revenue streams related to lines of business with minimal guidance. Interprets financial and enrollment data from internal and extern...
13d
Retail Associate - Maui
Kahului,
Hawaii
HMSA
CUSTOMER EXPERIENCE Provide all customers with an exceptional customer-focused and positive HMSA Center experience. Ensure that the experience meets the customer's needs and exceeds their expectations. Communicate and promote HMSA's brand m...
13d
Domain Business Architect
Honolulu,
Hawaii
HMSA
Business Relationship Management: Develops and maintains strong working relationships with domain executives, management and stakeholders to understand their needs and align business objectives with corporate and IT strategies. Meets regula...
13d
Community Health Worker (LTSS)
Keaau,
Hawaii
HMSA
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 ...
14d
Manager, Federal Plan Programs
Honolulu,
Hawaii
HMSA
Program and Project Management: Responsible for strategic and tactical planning of HMSA's approach to delivering excellent performance and value for Federal Plan 87/Postal Plan and providing clear leadership, training, guidance, and coordin...
16d
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...
16d
Sales Support Specialist II
Honolulu,
Hawaii
HMSA
Be the in-office service contact for assigned groups. Resolves day-to-day servicing inquiries directly with account contact via e-mail and phone for enrollment, billing and claims inquiries. This requires knowledge about benefits for medica...
20d
Account Servicing Advocate I
Honolulu,
Hawaii
HMSA
a. 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 u...
21d
Encounters System Analyst II
Honolulu,
Hawaii
HMSA
Sustains strong knowledge of encounter system processes within HMSA and external partners. Coordinates and reconciles data exchange with external entities, monitoring quality. Researches complex claim-member-provider scenarios to determine ...
21d