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Manager, Medicare Risk Adjustment
HMSA
-
Honolulu, HI
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 collection for improvement opportunities. Manages the production of performance dashboards to monitor and report ongoing performance agai
Email Job
Posted 7 days ago
Medical Management Specialist I
HMSA
-
Kapolei, HI
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 regulation requirements. Educate and/or communicate with provider offices on appropriate procedures. Application of internal policies and proc
Email Job
Posted 7 days ago
Health Plan Navigator I (Kapolei)
HMSA
-
Kapolei, HI
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 requirements, while receiving and responding to inquiries. Conduct research for routine inquiries. Apply basic analytical and problem solving sk
Email Job
Posted 7 days ago
Graphic Artist III
HMSA
-
Honolulu, HI
Creative Independently research and design original materials from beginning concept to final product. Interpret/understand project requirements from job request form and/or meetings with Executives, Communications Program Manager and/or customer. Design and create materials according to project specs and through research/inspiration. Lead conceptual meetings with design
Email Job
Posted 8 days ago
Senior Financial Healthcare Data Analyst I
HMSA
-
Honolulu, HI
Develop, analyze, recommend, and monitor reimbursement and provider strategies; prepare reports that measure the effectiveness of reimbursement and contracting terms and the influence they may have on overall program/plan cost and utilization. Analyze data and identify trends, patterns, or other notable issues with an eye for cost reduction opportunities. Monitor market t
Email Job
Posted 8 days ago
Senior Financial Healthcare Data Analyst III
HMSA
-
Honolulu, HI
Facilitates complex projects and functions of high importance as an independent project lead. Plans and manages the project development process and oversees implementation. Analyzes intricate project objectives, data sources, methodology, data summaries and findings, and prepares and edits draft, revised and final reports for dissemination to key project sponsors to meet
Email Job
Posted 8 days ago
Specialty Drug Data Analyst
HMSA
-
Honolulu, HI
Coordinate and manage deliverables Collaborate with subject matter experts to identify and implement process improvement Perform and/or coordinate planning, research, and analysis to ensure deliverables, documentation, and reporting are complete and meet contractual, compliance, and accreditation requirements Analyze busines issues and provide recommendations to managemen
Email Job
Posted 8 days ago
Application Lead - Health System Services
HMSA
-
Honolulu, HI
Maintaining Application Systems Prioritizes and coordinates application support efforts. Updates management on escalated issues on a regular basis. Supports and maintains Production incidents tracking on a daily basis by managing and responding to Production incidents based on their severity level. Ensures resources are allocated to cover after hour problems. The Applicat
Email Job
Posted 8 days ago
Supervisor, Customer Relations
HMSA
-
Honolulu, HI
Promote leadership, engagement, accountability, and innovation by mentoring staff and managing all personnel related tasks fairly and consistently, including but not limited to auditing employee performance, administering training, developing and monitoring personalized Performance Management Programs, implementing employee improvement plans, addressing workplace personne
Email Job
Posted 8 days ago
Senior Financial Healthcare Data Analyst II
HMSA
-
Honolulu, HI
Design, develop and implement standard plan or provider financial and operational reports in response to customer requirements and business needs Lead and implement internal controls; facilitate definition of data and other information requirements; define efficient data assembly methods; and maintain adequate documentation for general reference and audit purposes. Interp
Email Job
Posted 8 days ago
Graphic Artist II
HMSA
-
Honolulu, HI
Independently research and design original materials from beginning concept to final product. Interpret/understand project requirements from job request form and/or meetings with Communications Program Manager and/or customer. Lead design concept sessions with design team, comm staff and business partners as needed. Design and create materials according to project specs a
Email Job
Posted 9 days ago
Business Analyst, Medicare Stars
HMSA
-
Honolulu, HI
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 planning and interventions. Complete program and initiative evaluations such as return on investment and health outcomes. Apply detailed analy
Email Job
Posted 9 days ago
Project Manager, Medicare Programs
HMSA
-
Honolulu, HI
Manage projects that involve research, analysis, planning, development, and implementation activities. Monitors the progress and timeline; communicating with project stakeholders, management, and other relevant parties. Will also focus on process improvement activities. Facilitate/participate in cross functional workgroups. Ensure alignment with other teams across the org
Email Job
Posted 9 days ago
Customer Service and Sales Representative
HMSA
-
Kapolei, HI
Performance Meet established marketing plan goals, and achieve annual sales revenue and membership growth objectives by effectively promoting and closing prospective sales opportunities. Perform quick and efficient transaction fulfillment of telephone calls or email from prospective or current HMSA employer groups and members. Proactively promote HMSA and USAble product o
Email Job
Posted 9 days ago
Account Servicing Advocate I
HMSA
-
Honolulu, HI
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 units or departments to find a solution Accurately updating member records Contacting external partners who provide services for/to HMSA's
Email Job
Posted 10 days ago
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